MIT researchers have shown that they can accurately track muscle movement using tiny magnetic beads implanted in the muscle. These measurements could make it easier for people with certain types of amputations to control their prosthetic limbs.
For decades, researchers have been working to develop neuroprosthetic limbs, which use neural information from muscles remaining after an amputation to guide the prosthetic limb. Measurements of a muscle's length, velocity and activation can be fed into the control algorithms that guide the limbs, allowing individuals with leg amputation to walk with a more natural gait, or those with arm amputation to manipulate objects more effectively.
Until now, these devices have relied on muscle activity measurements from electrodes placed on the surface of the skin. However, those measurements have not proven reliable enough to ensure safety while walking with a neuroprosthetic leg.
The MIT team hopes that their new magnetic tracking system, which offers more accurate measurements, will enable commercial development of such limbs.
Researchers demonstrate how the two magnetic beads are wirelessly tracked.
Credit: Courtesy of the researchers
"For four decades, the standard methodology for neurally controlling prostheses has been to use skin electrodes to measure muscle activation. However, to control a prosthetic limb, joint position, torque, or impedance has to be controlled, and one cannot directly determine such mechanical signals using electrical activation alone," 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.
In the new study, which appears today in Nature Sensors , the researchers demonstrated the accuracy of the magnetic measurements in three participants with below-knee amputations.
"This interface is minimally invasive, so it could be accessible to more people. You place two beads in the muscle and you have access to all of this rich information about the muscle dynamics," says Christopher Shallal, an MIT graduate student in the Harvard-MIT Program in Health Sciences and Technology and one of the lead authors of the paper.
The paper's other lead author is Cameron Taylor PhD '20, an assistant professor of biomedical engineering at the University of North Carolina at Chapel Hill.
Tracking muscles
For many years, Herr's lab has been developing human-machine interfaces that can be used to control an artificial limb in a way that makes it more like using a natural limb. Obtaining accurate measurements of how the user is moving the muscles at the amputation site is critical to the success of this type of prosthesis.
Electrodes on the surface of the skin can reveal the electrical activation of the muscle below, and those measurements can be converted to estimates of how much a muscle is contracting or flexing. Based on that input, a robotic controller generates commands that guide the prosthetic limb in the user's intended direction.
However, that measurement approach, known as electromyography, does not always provide accurate enough information. The electrical signal is not a perfect proxy for muscle dynamics; for example, when a muscle is held at a fixed length for several seconds, the signal fades. Additionally, the electrodes may pick up signals from muscles other than the intended target, and sweat can interfere with detection of the signal.
Last year, Herr and his colleagues reported a "bionic knee" prosthesis that uses electrodes implanted in the muscles to provide accurate measurements and feed them into a robotic controller. This approach proved successful in a small clinical study, but alongside that work, Herr's team has also been working on a less invasive approach that relies on magnets instead of electrodes.
With this approach, known as magnetomicrometry, pairs of magnets are implanted into muscles. When a muscle contracts or stretches, external sensors placed on the skin can measure the change in distance between the magnets, allowing muscle length and velocity to be calculated.
"Magnets can be tracked wirelessly through the body, so you can get very specific muscle signals and measure the mechanical output of the muscle without needing to be extremely invasive," Shallal says.
Better control
In a 2021 study led by Taylor, Herr's lab first demonstrated the magnet-based technique in animal models. The new Nature Sensors study extends the approach to humans with long-term magnetic implants. For the study, the researchers recruited three participants who have below-knee amputations.
All of these participants had a type of amputation that creates what's called an agonist-antagonist myoneural interface (AMI). With this surgical procedure, muscle pairs are reconnected during surgery so that they still dynamically communicate with each other within the residual limb. This sensory feedback, called proprioception, helps the wearer of the prosthesis to decide how to position and move their prosthetic limb.
Participants had magnets implanted in up to four muscles of the ankle joint. The surgeries were performed at Brigham and Women's Hospital in collaboration with plastic surgeon Matthew Carty, a co-author of the study. The beads are 3 millimeters in diameter, about the size of a sesame seed. The magnets are made from an alloy of neodymium, iron, and boron, and are coated with gold and a polymer called parylene C to make them biocompatible. The magnetic signals can be read from a depth of up to 6 centimeters from the skin's surface, using a customized external sensor that is worn over the skin, positioned over the muscles that are being tracked.
Each of the participants in this study also had electrodes implanted into the same muscles that received magnetic beads. This allowed the researchers to compare the accuracy of three different types of measurements: magnetomicrometry, electromyography with implanted electrodes, and electromyography with electrodes on the surface of the skin.
During the experiments, the participants were not wearing a prosthetic limb but were asked to perform tasks such as moving a cursor on a screen to a particular target using their muscle movements. Using each of the three measurement techniques, the signals generated by the muscle movements were translated into control signals that, in this case, moved the cursor but in the future could be fed into the controller of a robotic ankle-foot prosthesis.
"The cursor on the screen represented the degrees of freedom that they would control on a robotic ankle-foot prosthesis. This virtual neuroprosthetic task allowed us to compare the performance across different neural interfaces, and our results suggest that the magnet-based approach can offer more accurate and stable control," Shallal says.
The researchers are now performing a larger study in which they are evaluating how well people can control prosthetic limbs using measurements from the magnetic beads.
The research was funded, in part, by the Yang Tan Collective at MIT as well as a National Science Foundation Graduate Research Fellowship.
