“A prosthesis that's tissue-integrated — anchored to the bone and directly controlled by the nervous system — is not merely a lifeless, separate device, but rather a system that is carefully integrated into human physiology, offering a greater level of prosthetic embodiment. It’s not simply a tool that the human employs, but rather an integral part of self,” says Hugh Herr, a professor of media arts and sciences, co-director of the K. Lisa Yang Center for Bionics at MIT, an associate member of MIT’s McGovern Institute for Brain Research, and the senior author of the new study.
Participants in a small clinical study also reported that the limb felt more like a part of their own body, compared to people who had more traditional above-the-knee amputations.
Unlike prostheses in which the residual limb sits within a socket, the new system is directly integrated with the user’s muscle and bone tissue. This enables greater stability and gives the user much more control over the movement of the prosthesis.
MIT researchers have developed a new bionic knee that can help people with above-the-knee amputations walk faster, climb stairs, and avoid obstacles more easily than they could with a traditional prosthesis.
Better control
Over the past several years, Herr’s lab has been working on new prostheses that can extract neural information from muscles left behind after an amputation and use that information to help guide a prosthetic limb.
During a traditional amputation, pairs of muscles that take turns stretching and contracting are usually severed, disrupting the normal agonist-antagonist relationship of the muscles. This disruption makes it very difficult for the nervous system to sense the position of a muscle and how fast it’s contracting.
Using the new surgical approach developed by Herr and his colleagues, known as agonist-antagonist myoneuronal interface (AMI), muscle pairs are reconnected during surgery so that they still dynamically communicate with each other within the residual limb. This sensory feedback helps the wearer of the prosthesis to decide how to move the limb, and also generates electrical signals that can be used to control the prosthetic limb.
In a 2024 study, the researchers showed that people with amputations below the knee who received the AMI surgery were able to walk faster and navigate around obstacles much more naturally than people with traditional below-the-knee amputations.
In the new study, the researchers extended the approach to better serve people with amputations above the knee. They wanted to create a system that could not only read out signals from the muscles using AMI but also be integrated into the bone, offering more stability and better sensory feedback.
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