Vujaklija, Ivan

[["dc.bibliographiccitation.artnumber","eaau2956"],["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Science Advances"],["dc.bibliographiccitation.lastpage","eaau2956"],["dc.bibliographiccitation.volume","5"],["dc.contributor.author","Bergmeister, Konstantin D."],["dc.contributor.author","Aman, Martin"],["dc.contributor.author","Muceli, Silvia"],["dc.contributor.author","Vujaklija, Ivan"],["dc.contributor.author","Manzano-Szalai, Krisztina"],["dc.contributor.author","Unger, Ewald"],["dc.contributor.author","Byrne, Ruth A."],["dc.contributor.author","Scheinecker, Clemens"],["dc.contributor.author","Riedl, Otto"],["dc.contributor.author","Salminger, Stefan"],["dc.contributor.author","Frommlet, Florian"],["dc.contributor.author","Borschel, Gregory H."],["dc.contributor.author","Farina, Dario"],["dc.contributor.author","Aszmann, Oskar C."],["dc.date.accessioned","2019-07-09T11:50:25Z"],["dc.date.available","2019-07-09T11:50:25Z"],["dc.date.issued","2019"],["dc.description.abstract","Selective nerve transfers surgically rewire motor neurons and are used in extremity reconstruction to restore muscle function or to facilitate intuitive prosthetic control. We investigated the neurophysiological effects of rewiring motor axons originating from spinal motor neuron pools into target muscles with lower innervation ratio in a rat model. Following reinnervation, the target muscle's force regenerated almost completely, with the motor unit population increasing to 116% in functional and 172% in histological assessments with subsequently smaller muscle units. Muscle fiber type populations transformed into the donor nerve's original muscles. We thus demonstrate that axons of alternative spinal origin can hyper-reinnervate target muscles without loss of muscle force regeneration, but with a donor-specific shift in muscle fiber type. These results explain the excellent clinical outcomes following nerve transfers in neuromuscular reconstruction. They indicate that reinnervated muscles can provide an accurate bioscreen to display neural information of lost body parts for high-fidelity prosthetic control."],["dc.identifier.doi","10.1126/sciadv.aau2956"],["dc.identifier.pmid","30613770"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/15938"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/59771"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation","info:eu-repo/grantAgreement/EC/FP7/267888/EU//DEMOVE"],["dc.relation.issn","2375-2548"],["dc.rights","CC BY-NC 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by-nc/4.0"],["dc.subject.ddc","610"],["dc.title","Peripheral nerve transfers change target muscle structure and function"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","125"],["dc.bibliographiccitation.issue","2"],["dc.bibliographiccitation.journal","American Journal of Physical Medicine & Rehabilitation"],["dc.bibliographiccitation.lastpage","129"],["dc.bibliographiccitation.volume","98"],["dc.contributor.author","Salminger, Stefan"],["dc.contributor.author","Vujaklija, Ivan"],["dc.contributor.author","Sturma, Agnes"],["dc.contributor.author","Hasenoehrl, Timothy"],["dc.contributor.author","Roche, Aidan D."],["dc.contributor.author","Mayer, Johannes A."],["dc.contributor.author","Hruby, Laura A."],["dc.contributor.author","Aszmann, Oskar C."],["dc.date.accessioned","2020-12-10T18:20:09Z"],["dc.date.available","2020-12-10T18:20:09Z"],["dc.date.issued","2019"],["dc.identifier.doi","10.1097/PHM.0000000000001031"],["dc.identifier.issn","0894-9115"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/75468"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","Functional Outcome Scores With Standard Myoelectric Prostheses in Below-Elbow Amputees"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","34960"],["dc.bibliographiccitation.journal","Scientific Reports"],["dc.bibliographiccitation.volume","6"],["dc.contributor.author","Aszmann, Oskar C."],["dc.contributor.author","Vujaklija, Ivan"],["dc.contributor.author","Roche, Aidan Dominic"],["dc.contributor.author","Salminger, Stefan"],["dc.contributor.author","Herceg, Malvina"],["dc.contributor.author","Sturma, Agnes"],["dc.contributor.author","Hruby, Laura A."],["dc.contributor.author","Pittermann, Anna"],["dc.contributor.author","Hofer, Christian"],["dc.contributor.author","Amsuess, Sebastian"],["dc.contributor.author","Farina, Dario"],["dc.date.accessioned","2018-11-07T10:07:08Z"],["dc.date.available","2018-11-07T10:07:08Z"],["dc.date.issued","2016"],["dc.description.abstract","Critical soft tissue injuries may lead to a non-functional and insensate limb. In these cases standard reconstructive techniques will not suffice to provide a useful outcome, and solutions outside the biological arena must be considered and offered to these patients. We propose a concept which, after all reconstructive options have been exhausted, involves an elective amputation along with a bionic substitution, implementing an actuated prosthetic hand via a structured tech-neuro-rehabilitation program. Here, three patients are presented in whom this concept has been successfully applied after mutilating hand injuries. Clinical tests conducted before, during and after the procedure, evaluating both functional and psychometric parameters, document the benefits of this approach. Additionally, in one of the patients, we show the possibility of implementing a highly functional and natural control of an advanced prosthesis providing both proportional and simultaneous movements of the wrist and hand for completing tasks of daily living with substantially less compensatory movements compared to the traditional systems. It is concluded that the proposed procedure is a viable solution for re-gaining highly functional hand use following critical soft tissue injuries when existing surgical measures fail. Our results are clinically applicable and can be extended to institutions with similar resources."],["dc.identifier.doi","10.1038/srep34960"],["dc.identifier.isi","000384900300001"],["dc.identifier.pmid","27721419"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/13822"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/39225"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Nature Publishing Group"],["dc.relation.issn","2045-2322"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Elective amputation and bionic substitution restore functional hand use after critical soft tissue injuries"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","421"],["dc.bibliographiccitation.journal","Frontiers in Neuroscience"],["dc.bibliographiccitation.volume","11"],["dc.contributor.author","Bergmeister, Konstantin D."],["dc.contributor.author","Vujaklija, Ivan"],["dc.contributor.author","Muceli, Silvia"],["dc.contributor.author","Sturma, Agnes"],["dc.contributor.author","Hruby, Laura A."],["dc.contributor.author","Prahm, Cosima"],["dc.contributor.author","Riedl, Otto"],["dc.contributor.author","Salminger, Stefan"],["dc.contributor.author","Manzano-Szalai, Krisztina"],["dc.contributor.author","Aman, Martin"],["dc.contributor.author","Russold, Michael-Friedrich"],["dc.contributor.author","Hofer, Christian"],["dc.contributor.author","Principe, Jose"],["dc.contributor.author","Farina, Dario"],["dc.contributor.author","Aszmann, Oskar C."],["dc.date.accessioned","2019-07-09T11:44:48Z"],["dc.date.available","2019-07-09T11:44:48Z"],["dc.date.issued","2017"],["dc.description.abstract","Modern robotic hands/upper limbs may replace multiple degrees of freedom of extremity function. However, their intuitive use requires a high number of control signals, which current man-machine interfaces do not provide. Here, we discuss a broadband control interface that combines targeted muscle reinnervation, implantable multichannel electromyographic sensors, and advanced decoding to address the increasing capabilities of modern robotic limbs. With targeted muscle reinnervation, nerves that have lost their targets due to an amputation are surgically transferred to residual stump muscles to increase the number of intuitive prosthetic control signals. This surgery re-establishes a nerve-muscle connection that is used for sensing nerve activity with myoelectric interfaces. Moreover, the nerve transfer determines neurophysiological effects, such as muscular hyper-reinnervation and cortical reafferentation that can be exploited by the myoelectric interface. Modern implantable multichannel EMG sensors provide signals from which it is possible to disentangle the behavior of single motor neurons. Recent studies have shown that the neural drive to muscles can be decoded from these signals and thereby the user’s intention can be reliably estimated. By combining these concepts in chronic implants and embedded electronics, we believe that it is in principle possible to establish a broadband man-machine interface, with specific applications in prosthesis control. This perspective illustrates this concept, based on combining advanced surgical techniques with recording hardware and processing algorithms. Here we describe the scientific evidence for this concept, current state of investigations, challenges, and alternative approaches to improve current prosthetic interfaces."],["dc.identifier.doi","10.3389/fnins.2017.00421"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/14912"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/59101"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation","info:eu-repo/grantAgreement/EC/FP7/267888/EU//DEMOVE"],["dc.relation.issn","1662-453X"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.subject.ddc","610"],["dc.title","Broadband Prosthetic Interfaces: Combining Nerve Transfers and Implantable Multichannel EMG Technology to Decode Spinal Motor Neuron Activity"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","810"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","IEEE Transactions on Neural Systems and Rehabilitation Engineering"],["dc.bibliographiccitation.lastpage","819"],["dc.bibliographiccitation.volume","22"],["dc.contributor.author","Farina, Dario"],["dc.contributor.author","Rehbaum, Hubertus"],["dc.contributor.author","Holobar, Ales"],["dc.contributor.author","Vujaklija, Ivan"],["dc.contributor.author","Jiang, Ning"],["dc.contributor.author","Hofer, Christian"],["dc.contributor.author","Salminger, Stefan"],["dc.contributor.author","van Vliet, Hans-Willem"],["dc.contributor.author","Aszmann, Oskar C."],["dc.date.accessioned","2018-11-07T09:37:54Z"],["dc.date.available","2018-11-07T09:37:54Z"],["dc.date.issued","2014"],["dc.description.abstract","Targeted muscle reinnervation (TMR) redirects nerves that have lost their target, due to amputation, to remaining muscles in the region of the stump with the intent of establishing intuitive myosignals to control a complex prosthetic device. In order to directly recover the neural code underlying an attempted limb movement, in this paper, we present the decomposition of high-density surface electromyographic (EMG) signals detected from three TMR patients into the individual motor unit spike trains. The aim was to prove, for the first time, the feasibility of decoding the neural drive that would reach muscles of the missing limb in TMR patients, to show the accuracy of the decoding, and to demonstrate the representativeness of the pool of extracted motor units. Six to seven flexible EMG electrode grids of 64 electrodes each were mounted over the reinnervated muscles of each patient, resulting in up to 448 EMG signals. The subjects were asked to attempt elbow extension and flexion, hand open and close, wrist extension and flexion, wrist pronation and supination, of their missing limb. The EMG signals were decomposed using the Convolution Kernel Compensation technique and the decomposition accuracy was evaluated with a signal-based index of accuracy, called pulse-to-noise ratio (PNR). The results showed that the spike trains of 3 to 27 motor units could be identified for each task, with a sensitivity of the decomposition 90%, as revealed by PNR. The motor unit discharge rates were within physiological values of normally innervated muscles. Moreover, the detected motor units showed a high degree of common drive so that the set of extracted units per task was representative of the behavior of the population of active units. The results open a path for a new generation of human-machine interfaces in which the control signals are extracted from noninvasive recordings and the obtained neural information is based directly on the spike trains of motor neurons."],["dc.identifier.doi","10.1109/TNSRE.2014.2306000"],["dc.identifier.isi","000342080000011"],["dc.identifier.pmid","24760935"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32949"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Ieee-inst Electrical Electronics Engineers Inc"],["dc.relation.issn","1558-0210"],["dc.relation.issn","1534-4320"],["dc.title","Noninvasive, Accurate Assessment of the Behavior of Representative Populations of Motor Units in Targeted Reinnervated Muscles"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]