Transradial prostheses: Trends in development of hardware and control systems

Int J Med Robot. 2019 Feb;15(1):e1960. doi: 10.1002/rcs.1960. Epub 2018 Oct 12.

Abstract

Background: Prosthesis is a wearable device that intends to provide the functionality and/or appearance of a missing body part. In the case of trans-radial prostheses, the wearer or the trans-radial amputee is fitted with an artificial wrist and a hand that is either mechanically or electro-mechanically operated. Main aim is to enable the wearer to perform activities of daily living with minimal external assistance.

Methods: In this review paper, hardware systems of state-of-the-art trans-radial prostheses have been briefly discussed. Focus is to provide an insight on the latest technologies employed in development of its mechanical systems: terminal devices, artificial wrist joints, and body attachments. In that context, latest hardware designs on terminal devices for grasping motion are presented as it is the primary function of trans-radial prostheses. Hardware designs of prosthetic wrists and body attachments are also reviewed. Finally, latest trends and future directions on design of trans-radial prostheses are explored and presented.

Conclusions: Size, shape, weight, durability, appearance, and functionality are the key factors that need to be considered when developing a trans-radial prosthesis. Moreover, the current developments are moving closer to a human upper limb. However, the availability of these devices is minimum due to high-tech involved and the high cost, which necessitates further development trans-radial prostheses.

Keywords: anatomy and biomechanics; body attachments; prosthetic wrists; terminal devices; transradial prostheses.

Publication types

  • Review

MeSH terms

  • Activities of Daily Living
  • Amputees
  • Anthropometry
  • Artificial Limbs*
  • Hand / anatomy & histology*
  • Hand / surgery
  • Hand Strength
  • Humans
  • Movement
  • Prosthesis Design*
  • Software
  • Wrist / anatomy & histology*
  • Wrist / surgery
  • Wrist Joint / anatomy & histology*
  • Wrist Joint / surgery