{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T04:03:24Z","timestamp":1742961804910,"version":"3.40.3"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:p>Das \u201eagonist-antagonist myoneural interface\u201c (AMI) ist ein innovativer Ansatz zur Rekonstruktion der Propriozeption und zur intuitiveren motorischen Kontrolle nach Gliedma\u00dfenverlust. Es basiert auf der Nachbildung der nat\u00fcrlichen biomechanischen Beziehung zwischen Agonisten- und Antagonistenmuskeln, um dem Prothesennutzer eine bidirektionale Kommunikation zwischen der Prothese und seinem peripheren Nervensystem zu erm\u00f6glichen. Neurovaskul\u00e4r gestielte Agonisten-Antagonisten-Muskelpaare werden durch eine adaptierte Sehnennaht in einem Gleitlager miteinander verbunden, sodass Spannungs\u00e4nderungen w\u00e4hrend der Bewegung ein propriozeptives Feedback erzeugen. Dieses Feedback wird \u00fcber afferente Nervenbahnen zum Zentralnervensystem weitergeleitet, wodurch eine Wahrnehmung der Gelenkposition des urspr\u00fcnglich von dem Muskelpaar gef\u00fchrten Gelenks erm\u00f6glicht und gleicherma\u00dfen die Prothesensteuerung erleichtert wird. Das AMI scheint eine Integration der Prothese in die bestehenden neuronalen Netzwerke zu erm\u00f6glichen und verbessert sowohl die Steuerung der Prothese als auch die sensorische Diskriminierung. Im Vergleich zur Standardoperationstechnik (Myodese oder Myoplastik) mit einer nahezu rein mechanischen Transposition der residuellen Stumpfmuskeln reduziert AMI die kognitive Belastung w\u00e4hrend der Prothesennutzung und vermittelt ein nat\u00fcrlicheres Bewegungsgef\u00fchl, was das Embodiment positiv beeinflusst. Insgesamt markiert AMI einen bedeutenden Fortschritt in der Mensch-Maschine-Integration und stellt einen vielversprechenden Ansatz, um die Lebensqualit\u00e4t von Menschen mit einem Gliedma\u00dfenverlust nachhaltig zu verbessern, dar.<\/jats:p>","DOI":"10.1007\/s00113-025-01536-3","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T17:51:21Z","timestamp":1741283481000},"page":"256-263","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201eAgonist-antagonist myoneural interface (AMI)\u201c","Agonist-antagonist myoneural interface (AMI)"],"prefix":"10.1007","volume":"128","author":[{"given":"M. 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