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市售假肢足部额状面适应性的力学测试

Mechanical testing of frontal plane adaptability of commercially available prosthetic feet.

作者信息

Wernke Matthew M, Ficanha Evandro M, Thomas Zac, Maitland Murray E, Allyn Katheryn J, Albury Alex, Colvin James

机构信息

WillowWood Global LLC, Mount Sterling, OH, USA.

University of Washington, Seattle, WA, USA.

出版信息

J Rehabil Assist Technol Eng. 2022 Sep 7;9:20556683221123330. doi: 10.1177/20556683221123330. eCollection 2022 Jan-Dec.

Abstract

INTRODUCTION

Prosthetic feet have limited adaptability in the frontal plane. Research shows walking on uneven terrain is difficult for many prosthesis users. A new prosthetic foot, the META Arc, was designed with a polycentric ankle joint that allows relatively free movement in the frontal plane to address this limitation. Previous simulations of the polycentric ankle mechanism found potential benefits such as reduced lateral movement of a proximal mass during forward progress and reduced forces being transferred upward from the ground through the foot.

METHODS

Standard mechanical testing protocols were used to evaluate the Meta Arc prosthetic foot's performance and six comparable feet commercially available.

RESULTS

The results found the META Arc prosthetic foot had increased frontal plane adaptability as well as reduced lateral forces, and reduced inversion eversion moment compared to the six comparison feet on 10-degree cross-slope test conditions. All included prosthetic feet had similar results for the percent of energy return and dynamic force in the sagittal plane.

CONCLUSIONS

These results suggest the inclusion of the polycentric ankle within the META Arc foot will provide more stability without sacrificing forward walking performance.

摘要

引言

假肢脚在额状面的适应性有限。研究表明,许多假肢使用者在不平坦地形上行走困难。一种新型假肢脚——META Arc,设计有一个多中心踝关节,可在额状面实现相对自由的运动,以解决这一局限性。先前对多中心踝关节机制的模拟发现了一些潜在益处,例如在向前行进过程中近端质量的横向移动减少,以及从地面通过脚部向上传递的力减少。

方法

使用标准机械测试方案来评估META Arc假肢脚以及六种市售可比假肢脚的性能。

结果

结果发现,在10度横向斜坡测试条件下,与六种对比假肢脚相比,META Arc假肢脚的额状面适应性增强,横向力减小,内翻外翻力矩减小。所有纳入的假肢脚在矢状面的能量回返百分比和动态力方面结果相似。

结论

这些结果表明,在META Arc假肢脚中加入多中心踝关节将在不牺牲向前行走性能的情况下提供更高的稳定性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f67/9459498/97630eef2081/10.1177_20556683221123330-fig1.jpg

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