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不同制作加工条件下假肢接受腔的舒适度讨论。

Comfort level discussion for prosthetic sockets with different fabricating processing conditions.

机构信息

Department of Mold and Die Engineering, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan, ROC.

出版信息

Biomed Eng Online. 2018 Nov 6;17(Suppl 2):145. doi: 10.1186/s12938-018-0577-2.

Abstract

BACKGROUND

In the past, manufacture of prosthetic socket by using traditional handmade method not only consumed research time but also required a special assembly approach. Recently, reverse engineering and rapid prototype technology have grown up explosively, and thus, provide a choice to fabricate prosthetic socket.

METHODS

Application 3D computer aided design and manufacturing (computer-aided design/computer-aided engineering) tools approach the surface shape stump data is digitized and can be easily modified and reused. Collocation investigates gait parameters of prosthetic socket, and interface stress between stump and socket with different processing conditions. Meanwhile, questionnaire was utilized to survey satisfaction rating scale, comfort level, of subjects using this kind of artificial device.

RESULTS

The main outcome of current research including gait parameters, stress interface and satisfaction rating scale those would be an informative reference for further studies in design and manufacture as well as clinical applications of prosthetic sockets.

CONCLUSIONS

This study found that, regardless of the method used for socket fabrication, most stress was concentrated in tibia end pressure-relief area. This caused discomfort in the area of tibia end to the participant wearing prosthesis. This discomfort was most evident in case when the prosthetic socket was fabricated using RE and RP.

摘要

背景

过去,使用传统手工方法制造假肢接受腔不仅耗费研究时间,而且需要特殊的装配方法。最近,反向工程和快速原型技术迅猛发展,为假肢接受腔的制造提供了一种选择。

方法

应用三维计算机辅助设计和制造(计算机辅助设计/计算机辅助工程)工具,对残肢表面形状数据进行数字化处理,便于修改和重复使用。研究了不同加工条件下接受腔的步态参数和残肢与接受腔之间的界面应力。同时,采用问卷调查的方法,对使用这种人工装置的受试者的满意度评分、舒适度进行了调查。

结果

本研究的主要结果包括步态参数、界面应力和满意度评分,为进一步的设计和制造研究以及假肢接受腔的临床应用提供了有价值的参考。

结论

本研究发现,无论接受腔制造方法如何,大多数应力都集中在胫骨末端减压区域。这会给穿假肢的人胫骨末端区域带来不适。在使用 RE 和 RP 制造假肢接受腔的情况下,这种不适最为明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e9/6219010/333ae7dcd480/12938_2018_577_Fig1_HTML.jpg

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