-- Prosthesis users can regain partial limb functionality, however, full natural limb mobility is rarely restored, often resulting in compensatory movements that lead to discomfort, inefficiency, and long-term physical strain. T o address this issue, we propose a novel human-robot collaboration framework to mitigate compensatory mechanisms in upper-limb prosthesis users by exploiting their residual motion capabilities while respecting task requirements. Our approach introduces a personalised mobility model that quantifies joint-specific functional limitations and the cost of compensatory movements. This model is integrated into a constrained optimisation framework that computes optimal user postures for task performance, balancing functionality and comfort. We validated the framework using a new body-powered prosthetic device for single-finger amputation, which enhances grasping capabilities through synergistic closure with the hand but imposes wrist constraints. Initial experiments with healthy subjects wearing the prosthesis as a supernumerary finger demonstrated that a robotic assistant embedding the user-specific mobility model outperformed human partners in handover tasks, improving both the efficiency of the prosthesis user's grasp and reducing compensatory movements in functioning joints. Prosthetic devices aim to mitigate these issues by restoring functionality and enabling users to regain independence in daily living and work-related activities.

The absence of functional arm joints, such as the wrist, in upper extremity prostheses leads to compensatory motions in the users' daily activities. Compensatory motions have been previously studied for varying task protocols and evaluation metrics. However, the movement targets' spatial locations in previous protocols were not standardised and incomparable between studies, and the evaluation metrics were rudimentary. This work analysed compensatory motions in the final pose of subjects reaching across a discretely sampled 7*7 2D grid of targets under unbraced (normative) and braced (compensatory) conditions. For the braced condition, a bracing system was applied to simulate a transradial prosthetic limb by restricting participants' wrist joints. A total of 1372 reaching poses were analysed, and a Compensation Index was proposed to indicate the severity level of compensation. This index combined joint spatial location analysis, joint angle analysis, separability analysis, and machine learning (clustering) analysis. The individual analysis results and the final Compensation Index were presented in heatmap format to correspond to the spatial layout of the workspace, revealing the spatial dependency of compensatory motions. The results indicate that compensatory motions occur mainly in a right trapezoid region in the upper left area and a vertical trapezoid region in the middle left area for right-handed subjects reaching horizontally and vertically. Such results might guide motion selection in clinical rehabilitation, occupational therapy, and prosthetic evaluation to help avoid residual limb pain and overuse syndromes.

Recent advances in upper limb prostheses have led to significant improvements in the number of movements provided by the robotic limb. However, the method for controlling multiple degrees of freedom via user-generated signals remains challenging. To address this issue, various machine learning controllers have been developed to better predict movement intent. As these controllers become more intelligent and take on more autonomy in the system, the traditional approach of representing the human-machine interface as a human controlling a tool becomes limiting. One possible approach to improve the understanding of these interfaces is to model them as collaborative, multi-agent systems through the lens of joint action. The field of joint action has been commonly applied to two human partners who are trying to work jointly together to achieve a task, such as singing or moving a table together, by effecting coordinated change in their shared environment. In this work, we compare different prosthesis controllers (proportional electromyography with sequential switching, pattern recognition, and adaptive switching) in terms of how they present the hallmarks of joint action. The results of the comparison lead to a new perspective for understanding how existing myoelectric systems relate to each other, along with recommendations for how to improve these systems by increasing the collaborative communication between each partner.

Lukas Kalemba was walking home with some friends after a night of partying and drinking in Dortmund, Germany, in 2003. While crossing a bridge along the way, he stopped to rest but lost his balance and fell over. In an attempt to break his fall, he instinctively reached out and grabbed a wire that stretched across. It kept him from falling 20 feet to the ground immediately but the wire sent a high-voltage current through the left side of his body, causing irreparable damage to his leg. Kalemba became an above-the-knee amputee when he was 19 years old.