He Chen, Xiao Yixuan, Li Xinwei, Deng Zhipeng, Qian Yu, Zhao Jing, Yu Hongliu
Institute of Rehabilitation Engineering and Technology, University of Shanghai for Science and Technology, Shanghai, China.
Institute of Medical Robotics, Shanghai Jiao Tong University, Shanghai, China.
Technol Health Care. 2023;31(2):459-469. doi: 10.3233/THC-220091.
The limited number of hip prostheses users makes it less feasible to conduct amputee tests for prosthesis development in the clinic, which restricts the development efficiency of the intelligent prostheses.
This study proposes a hip disarticulation prostheses test system (HDPTS) to supplement the amputee tests for hip disarticulation prosthesis (HDP) evaluation, which would potentially facilitate the prosthesis evaluation safety and development efficiency.
The hip trajectory of an individual with normal gait was acquired and reproduced by calculating the corresponding movement joint angle of a manipulator. Then, an HDP was fit on an amputee and on the HDPTS respectively to obtain the hip and knee joint angles of the HDP during walking. Comparing the root mean square error (RMSE) of the expected and planned trajectory, the joint angles between the amputee test and HDPTS test, to verify the feasibility and accuracy of the HDPTS for prosthesis evaluation.
The RMSE between the expected and planned trajectory value was less than 1.20 mm (< 0.19%). The RMSE of the joint angles between the amputee test and HDPTS test were 2.18∘ (1.8%) and 3.13∘ (5.92%) for hip and knee joint respectively.
The HDPTS was found accurate in hip trajectory reproduction and feasible in gait simulation for the prosthesis evaluation, which could potentially supplement the amputee test for prosthesis design thus improving prosthesis test safety and development efficiency.
髋关节假体使用者数量有限,使得在临床中进行用于假体开发的截肢者测试不太可行,这限制了智能假肢的开发效率。
本研究提出一种髋关节离断假肢测试系统(HDPTS),以补充用于髋关节离断假肢(HDP)评估的截肢者测试,这可能会提高假肢评估的安全性和开发效率。
通过计算机械手相应的运动关节角度,获取并再现正常步态个体的髋关节轨迹。然后,将一个HDP分别安装在一名截肢者和HDPTS上,以获取行走过程中HDP的髋关节和膝关节角度。比较预期轨迹与计划轨迹的均方根误差(RMSE)、截肢者测试与HDPTS测试之间的关节角度,以验证HDPTS用于假肢评估的可行性和准确性。
预期轨迹值与计划轨迹值之间的RMSE小于1.20毫米(<0.19%)。截肢者测试与HDPTS测试之间髋关节和膝关节角度的RMSE分别为2.18°(1.8%)和3.13°(5.92%)。
发现HDPTS在髋关节轨迹再现方面准确,在用于假肢评估的步态模拟方面可行,这可能会补充用于假肢设计的截肢者测试,从而提高假肢测试的安全性和开发效率。