grasp and force based taxonomy of split-hook …grasp and force based taxonomy of split-hook...

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Grasp and Force Based Taxonomy of Split-Hook Prosthetic Terminal Devices Joseph T. Belter, Bo C. Reynolds, and Aaron M. Dollar, IEEE Senior Member Abstract — In this paper, we analyze the use of the body- powered split-hook prosthetic terminal device, which is the most commonly used upper-limb prosthesis. We developed two taxonomies of split-hook use, one on grasp shape and one on force exertion, illustrating the functional capabilities and use cases of the device. Video captured from an amputee using a body-powered split-hook during a number of common activities was used to lend weight to the completeness of the classifications. These taxonomies serve to establish a common language and means of comparing the types of grasps achievable by simple terminal devices to those of advanced myoelectric terminal devices or even human hands. The first taxonomy categorizes the grasp type based on the contacts with the environment while the second is categorized by the method and limitation of force exertion. We discuss the difference between grasps capable of holding objects compared to those that are capable of acquiring objects and the importance of non-prehensile uses of the split-hook. The classification schemes lay the groundwork for further detailed study of split- hook use, and the discussion of the use cases described may help guide terminal device developers to create improved prostheses. Keywords—split-hook; terminal device; prosthetic hand I. INTRODUCTION Although hundreds of prosthetic terminal devices are available, ranging from task specific devices to almost indiscernible cosmetic replicas of human hands [1], the voluntary opening split-hook (shown in Fig. 1) is widely accepted as the most commonly utilized functional terminal device [2]. Even with advanced multi-fingered and multi- DOF myoelectric terminal devices now available on the market, many prosthetists and amputees still turn to the body-powered split-hook due to its proven robustness, performance, low cost, and light weight [3], and many amputees who have learned to utilize the split hook without any major difficulties are reluctant to switch to a newer technology with a long learning curve. Researchers have long categorized and organized human hand grasp types to better understand and emulate the capabilities of human manipulation. An early taxonomy divides human grasps into six main categories: cylindrical, tip, hook, palmer, spherical, and lateral based on the approximate shape of the hand while grasping an object [4]. This was later extended to a more complex human hand grasp taxonomy by Cutkosky based on the grasp types required in a manufacturing environment [5]. Manipulation taxonomies have also been proposed that classify the relative motion between the object and hand rather than the “shape” of the grasp [6]. The information on human hand use is commonly collected through observation and through the analysis of film collected in a natural use setting. A recent study by Zheng et al. analyzed video footage of human hand use taken during non-structured tasks for machinists and housemaids [7]. By recording each grasping task, the relative distribution of grasp types was measured. In this paper, we present two sub-classifications of split- hook prosthesis use to enable a better understanding of the functional capabilities and usage of this class of terminal devices. While the specific pose or shape of the hook with relation to the object may help to define the grasp type, it was also observed that within different grasp types there are multiple limitations to the forces that can be exerted on the object. For this reason, we separated our look at the split- hook into two taxonomies. The first is based on the nature of contact with an object, while the second is based on the types of force exertion that can be utilized. There has been relatively little work related to thorough classifications of split-hook usage that focuses on the function of the device instead of the task. While the majority of studies on prosthesis use to date has primarily involved written surveys of users (e.g. [8]), others have supplemented with follow up visits to the amputee’s home to observe the use of the device in the normal and unstructured environment [9]. As far as the authors are aware, all of these studies focus on high-level function (e.g. usage frequency, classes of tasks) without detail on the specific ways in which the device is used. The most relevant study that we were able to identify was performed by Fraser in 1998, in which 66 amputees were videotaped at their homes using their terminal device while performing a set of common tasks [10]. The video was then analyzed and each action involving the terminal device was categorized into a manipulative or non-manipulative category. The secondary categories included, grip, release, hold, transfer, support, steady, etc. While generally a very thorough study, it did not focus on specifics of the device usage and the categorization was broad enough to cover the wide range of devices used, including purely cosmetic terminal devices. This work was supported in part by the Gustavus and Louise Pfeiffer Research Foundation. J. T. Belter, B. C. Reynolds, and A. M. Dollar are with the department of Mechanical Engineering and Material Science, Yale University, New Haven CT 06511, USA (email: [email protected], bo.reynolds @yale.edu, and [email protected]) 978-1-4244-7929-0/14/$26.00 ©2014 IEEE 6613

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Page 1: Grasp and Force Based Taxonomy of Split-Hook …Grasp and Force Based Taxonomy of Split-Hook Prosthetic Terminal Devices Joseph T. Belter, Bo C. Reynolds, and Aa ron M. Dollar, IEEE

Grasp and Force Based Taxonomy of Split-Hook Prosthetic Terminal Devices

Joseph T. Belter, Bo C. Reynolds, and Aaron M. Dollar, IEEE Senior Member

Abstract — In this paper, we analyze the use of the body-powered split-hook prosthetic terminal device, which is the most commonly used upper-limb prosthesis. We developed two taxonomies of split-hook use, one on grasp shape and one on force exertion, illustrating the functional capabilities and use cases of the device. Video captured from an amputee using a body-powered split-hook during a number of common activities was used to lend weight to the completeness of the classifications. These taxonomies serve to establish a common language and means of comparing the types of grasps achievable by simple terminal devices to those of advanced myoelectric terminal devices or even human hands. The first taxonomy categorizes the grasp type based on the contacts with the environment while the second is categorized by the method and limitation of force exertion. We discuss the difference between grasps capable of holding objects compared to those that are capable of acquiring objects and the importance of non-prehensile uses of the split-hook. The classification schemes lay the groundwork for further detailed study of split-hook use, and the discussion of the use cases described may help guide terminal device developers to create improved prostheses.

Keywords—split-hook; terminal device; prosthetic hand

I. INTRODUCTION

Although hundreds of prosthetic terminal devices are available, ranging from task specific devices to almost indiscernible cosmetic replicas of human hands [1], the voluntary opening split-hook (shown in Fig. 1) is widely accepted as the most commonly utilized functional terminal device [2]. Even with advanced multi-fingered and multi-DOF myoelectric terminal devices now available on the market, many prosthetists and amputees still turn to the body-powered split-hook due to its proven robustness, performance, low cost, and light weight [3], and many amputees who have learned to utilize the split hook without any major difficulties are reluctant to switch to a newer technology with a long learning curve.

Researchers have long categorized and organized human hand grasp types to better understand and emulate the capabilities of human manipulation. An early taxonomy divides human grasps into six main categories: cylindrical, tip, hook, palmer, spherical, and lateral based on the approximate shape of the hand while grasping an object [4].

This was later extended to a more complex human hand grasp taxonomy by Cutkosky based on the grasp types required in a manufacturing environment [5]. Manipulation taxonomies have also been proposed that classify the relative motion between the object and hand rather than the “shape” of the grasp [6]. The information on human hand use is commonly collected through observation and through the analysis of film collected in a natural use setting. A recent study by Zheng et al. analyzed video footage of human hand use taken during non-structured tasks for machinists and housemaids [7]. By recording each grasping task, the relative distribution of grasp types was measured.

In this paper, we present two sub-classifications of split-hook prosthesis use to enable a better understanding of the functional capabilities and usage of this class of terminal devices. While the specific pose or shape of the hook with relation to the object may help to define the grasp type, it was also observed that within different grasp types there are multiple limitations to the forces that can be exerted on the object. For this reason, we separated our look at the split-hook into two taxonomies. The first is based on the nature of contact with an object, while the second is based on the types of force exertion that can be utilized.

There has been relatively little work related to thorough classifications of split-hook usage that focuses on the function of the device instead of the task. While the majority of studies on prosthesis use to date has primarily involved written surveys of users (e.g. [8]), others have supplemented with follow up visits to the amputee’s home to observe the use of the device in the normal and unstructured environment [9]. As far as the authors are aware, all of these studies focus on high-level function (e.g. usage frequency, classes of tasks) without detail on the specific ways in which the device is used. The most relevant study that we were able to identify was performed by Fraser in 1998, in which 66 amputees were videotaped at their homes using their terminal device while performing a set of common tasks [10]. The video was then analyzed and each action involving the terminal device was categorized into a manipulative or non-manipulative category. The secondary categories included, grip, release, hold, transfer, support, steady, etc. While generally a very thorough study, it did not focus on specifics of the device usage and the categorization was broad enough to cover the wide range of devices used, including purely cosmetic terminal devices.

This work was supported in part by the Gustavus and Louise PfeifferResearch Foundation.

J. T. Belter, B. C. Reynolds, and A. M. Dollar are with the department of Mechanical Engineering and Material Science, Yale University, NewHaven CT 06511, USA (email: [email protected], [email protected], and [email protected])

978-1-4244-7929-0/14/$26.00 ©2014 IEEE 6613

Page 2: Grasp and Force Based Taxonomy of Split-Hook …Grasp and Force Based Taxonomy of Split-Hook Prosthetic Terminal Devices Joseph T. Belter, Bo C. Reynolds, and Aa ron M. Dollar, IEEE

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6614

Page 3: Grasp and Force Based Taxonomy of Split-Hook …Grasp and Force Based Taxonomy of Split-Hook Prosthetic Terminal Devices Joseph T. Belter, Bo C. Reynolds, and Aa ron M. Dollar, IEEE

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6615

Page 4: Grasp and Force Based Taxonomy of Split-Hook …Grasp and Force Based Taxonomy of Split-Hook Prosthetic Terminal Devices Joseph T. Belter, Bo C. Reynolds, and Aa ron M. Dollar, IEEE

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n Fig. 4 separat

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onomy shows all oplacing the object

ween 45-70 N f cm sized obje

he hook is showre. The user cbands and exerlimiting factor powered contr

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of the fingers athe position auch smaller grthe elastic ban

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observed uses for twithin the hook u

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The tthe spliinteractbased oachievacommoof achiorientatintende

A. Obj

A mdifferentype. SpreposiFor exaFig. 2 (hand pomost gr

the voluntary-openusing the able hand

from left to ried to perform e

two taxonomieit-hook is usedtion types. Alon the objects able prehensilon object sizes ievable grasp tions, dependi

ed to be perform

ject Acquisition

major feature nce in acquisit

Some of the gritioning of theample, the four(bottom) securositions the forasp types invo

ning split-hook as d.

ight by the leveach category o

IV. DISCUSS

es presented ind to perform a lthough the gbeing grasped

le grasps ecoand geometrietypes hold m

ing on the remed.

n versus Holdi

of grasp uttion methods frasps are unace object prior tur-contact, thumring a fork, is rk within the holving multiple

controlled by a bo

vel of user conof force exertio

SION

n Fig. 3 and 4 wide array of

grasp taxonomd, it can be seompass a lares. Furthermore

many objects iequirements o

ing

tilization relatfor each partic

chievable withoto closing the mb/finger grip,only achieved hook. This is the contacts with

ody-powered contr

ncentration on.

4 show that f grasp and

my was not en that the

rge set of e, the array in multiple of the task

tes to the cular grasp out careful split-hook. , as seen in if the able

he case for h the thumb

rol cable and

6616

Page 5: Grasp and Force Based Taxonomy of Split-Hook …Grasp and Force Based Taxonomy of Split-Hook Prosthetic Terminal Devices Joseph T. Belter, Bo C. Reynolds, and Aa ron M. Dollar, IEEE

ohthowbpdsopd

andowSatehthc

B

hmthptyvacin

or clamp. Prephand manipulahe object befo

object into a mwithin hand mabe placed in thplaces a large ddevice for mucshows that not of acquiring ipractical usagedoing unilatera

The necessitya useful grasp non-prehensile devices. In factof the split-howithin-finger tSimilar results amputee requirerminal device

easier to simplhand. Perhaps shis additiona

concentration, t

B. Modificatio

Designers hahook design anmethods [1]. Whe hook could

presented in thypes including

voluntary closappropriately ncylindrical opentended to gra

Figure 4. The spthe maximum for

osition of objetion when oneore within-han

more stable or anipulation in he hook in thedemand on thech of the pract

only is the grit in order to e to both unill and bilateral

y for careful prposition may uses of the

t, the most comook user weretwo-contact gr

were found bres the use oe in holding or ly perform the since non-prehal effort andthey are perfor

ons of Hooks/ N

ave seen limitnd proposed al

We can easily d expand, or

his paper. Fig. g the “Work Hing hook (rignamed based ening between sp the handle o

plit-hook force taxrce exerted and the

ects is observee grasp type isnd manipulatio

useful grasp. the split-hook

e exact positioe contralateral ical function orasp important

determine itlateral and bitasks. repositioning p

lead to the hsplit-hook or

mmon grasps se non-prehensrasps the nextby Fraser [10f the able hausing an objectask complete

hensile functiond require vrmed more freq

New Hook Desi

ations to the lternative featusee how the ffill in, the g5 shows two

Hook” (middleght) [1]. The

on the additithe fingers. T

of a broom or s

xonomy shows thee amount of user c

ed in able hums used to pick on transitions tWith the lack , the object mu

on for use whihand or termin

of the hook. Tht, but the meths relevance alateral ampute

prior to achievihigh incidence r other terminseen in the vidsile grasps, wt most commo]. If a unilate

and to assist tct, then it may ely with the abns do not requ

very little usquently.

igns

traditional splures or actuatifeatures added rasp taxonomadditional ho

e) and the Sierwork hook w

ion of the larThis opening wshovel. When w

e methods of forceconcentration requi

man up the of

ust ich nal his

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ing of

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with on. eral the be

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ook rra

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In adnumeroThese space particulrod [1].

e exertion utilized ired to achieve tha

t the grasp taxoe robust alternype. le the work hion to the capamedium and lagrasps” as the

en grasper andgrasps make uyet are not c

rd split-hook. up for by utilizandwiching larthesis socket an looking at took, it is clear of any voluntant of which than the limitavice were a vbe directly sp

ed cable. One o be maintaineary closing hohe ability to exok. The voluntacribed above buin position whl cable (althoursome and somddition to thesous task speciftypes of devicof required glar aspect such.

by split-hook userat particular task.

onomy in Fig. native to the

hook partially abilities of the sarge diameter pey involve a

d object to supup a large portcapable of beiThe lack of azing the split-rge cylindrical

and their chest the force exethat there are

tary opening teis the inabilityation imposedvoluntary clospecified by th

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erminal devicey to close tigh

d by the elasticsing split-hookhe tension in that this tens

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ces within theeration gives ts a lock that won is releasedng feature can

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t this offers finger-span

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of contact ads). These for human

d using the grasp was

s body and en the hook

ties of the ased on the e, the most hter on an c bands. If k, the load

the body sion would The Sierra e but does e fingers of the benefits ill hold the

d from the n be a bit

ok designs, es are sold.

the entire olely on a e or fishing

limitation to

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Page 6: Grasp and Force Based Taxonomy of Split-Hook …Grasp and Force Based Taxonomy of Split-Hook Prosthetic Terminal Devices Joseph T. Belter, Bo C. Reynolds, and Aa ron M. Dollar, IEEE

fptotohothafcwimoo[cwnosaginpr

P

[

[2

[3

V.

Using the splfunctional use prostheic hand o perform a wo acquire all

hand and the aof the voluntarhe presented ta

analysis in orfunction of numclassified the twe would likmportance of e

or the types of others. This an5,6,7], but non

classified and rwould like to enumber of subjof grasp typestatistical distriadd an additiongrasp listed in nformative de

prosthetic handrequired by the

The authorsPfeiffer Resear

1] RSL Steeper 2009. http://bebioni_limb_catalog

2] C.M. Fryer, JComponents”RehabilitationSurgeons, edi

3] G. H, Kejlaprotheses to u163, 1993

Figure 5. Basic (middle) and the S

CONCLUSION

it-hook taxonoof the hook wuse. Although

ide variety of the grasps wit

ability to exert ry opening conaxonomies cander to compamerous terminypes of grasps

ke to get a each grasp typegrasped objec

nalysis has been-prehensile furecorded. To dextend our vidjects and taskse and duratioibution of grasnal element relthe taxonomy

ecision makingds depending o end user.

ACKNOW

s would like to ch Foundation

REFER

“Upper Limb ProRetrieved

ic.com/uploads/filegue.pdf J.W. Michael, “U” Atlas of Limb Pn Principles, Ch. 6ition 2, 1992, repri

aa, “Consumer coupper limb ampute

Hosmer 5X hookSierra Hook (right)

NS AND FUTURE

omy, we can eaith both humanh the split-hoofunctions, it lathout assistancforces is limit

ntrol strategy. n allow for moare and betternal devices. Als achievable bbetter unders

e based on the ts that are mor

en performed functions of the do so with termdeo analysis fos, as well as toon to enable sp type utilizatlated to the imand therefore

g process for on the usage a

WLEDGMENTS

thank the Gusn for supporting

RENCES osthetic Componen

Jan es/upper

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re important thfor able hands hand were rare

minal devices, wr a much grea

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