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正常步态生物力学能给下肢假肢设计者带来什么启示?

What can normal gait biomechanics teach a designer of lower limb prostheses?

作者信息

Pitkin M

机构信息

Tufts University School of Medicine, Boston, MA 02111, USA.

出版信息

Acta Bioeng Biomech. 2013;15(1):3-10.

Abstract

Compensating a limb loss with prosthesis is a challenging task due to complexity of the human body which cannot be fully matched by the available technical means. Designer of lower limb prostheses wants to know what specification of the device could provide the best approximation to the normal locomotion. Deep understanding of the latter is essential, and gait analysis may be a valuable tool for this. Once prosthesis is built, gait analysis may help in comparing the wearer's performance with the new device and with the prior art, and in verification of the hypotheses being put forward during the development process. In this lecture, we will discuss some synergies of normal gait. We will focus on the required biomechanical properties of a prosthetic leg that can allow the prosthesis's inclusion in normal gait synergy without demanding excessive compensatory movements. We will consider contribution of leg joints to generation of propulsion for adequate design of lower limb prostheses especially those with power supply.

摘要

由于人体的复杂性,现有技术手段无法完全匹配,因此用假肢补偿肢体缺失是一项具有挑战性的任务。下肢假肢设计者想知道哪种规格的设备能最接近正常的运动。深入了解正常运动至关重要,而步态分析可能是实现这一目标的宝贵工具。一旦假肢制造完成,步态分析有助于将佩戴者使用新设备的表现与现有技术进行比较,并验证在开发过程中提出的假设。在本次讲座中,我们将讨论正常步态的一些协同作用。我们将重点关注假肢腿所需的生物力学特性,这些特性可使假肢融入正常步态协同作用,而无需过多的代偿性运动。我们将考虑腿部关节对推进力产生的贡献,以便对下肢假肢,尤其是带动力供应的假肢进行合理设计。

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