• Elizabeth C Tyler-Kabara, John Downey, Jeffrey Weiss, Katharina Muelling, Arun Venkataraman, Jean-Sebastien Valois, Shervin Javdani, Martial Herbert, J Andrew Bagnell, Andrew Schwartz, and Jennifer Collinger.
• Neurosurgery. 2015 Aug 1;62 Suppl 1:233.

IntroductionBrain-machine interface neuroprosthetic arms for people with upper limb impairment are developing quickly, but could be improved through intelligent computer-vision-based assistance. Grasping and manipulating objects requires very accurate control of a prosthetic arm and hand, and is required for these limbs to eventually be used clinically. With the computer helping to stabilize the hand during grasping, the user's control would not need to be as accurate, and they would be free to concentrate on the larger goals of the arm movements.MethodsA brain-machine interface was used to control a robotic arm to complete a subset of tasks from the Action Research Arm Test to determine 2 subjects' functional control of the arm. The task was done with and without computer-vision-based assistance. The computer-vision system identified objects and how the objects could be stably grasped. Once the user approached the object, the system helped the movements to ensure a stable grasp.ResultsBoth subjects successfully completed the tasks more often with the grasp assistance than without. The assistance lowered the speed with which the arm moved while near the objects, but did not increase the amount of time required to complete the task. This shows that the assistance made the movements both more accurate and more efficient. Both subjects reported that the arm was easier to use with assistance.ConclusionBy integrating brain-machine interface-based high-level control with computer-vision-based low-level control of a robotic arm, people with tetraplegia showed improved functional use of the arm. This result highlights the importance of combining neuroscience- and robotic-based assistive technologies to create a highly flexible and effective neuroprosthetic arm for people with upper limb impairment.

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