Mroz Sarah, Baddour Natalie, Dumond Patrick, Lemaire Edward D
Department of Mechanical Engineering, University of Ottawa, Ottawa, ON, Canada.
Ottawa Hospital Research Institute, Ottawa, ON, Canada.
J Rehabil Assist Technol Eng. 2024 Apr 30;11:20556683241248584. doi: 10.1177/20556683241248584. eCollection 2024 Jan-Dec.
Prosthetic technology has advanced with the development of powered prostheses to enhance joint function and movement in the absence of native anatomy. However, there are no powered solutions available for hip-level amputees, and most existing hip prostheses are mounted to the front of the prosthetic socket, thereby limiting range of motion. This research introduces a novel laterally mounted powered hip joint (LMPHJ) that augments user movement. The LMPHJ is mounted on the lateral side of the prosthetic socket, positioning the hip joint closer to the anatomical center of rotation while ensuring user safety and stability. The motor and electronics are located in the thigh area, maintaining a low profile while transmitting the required hip moment to the mechanical joint center of rotation. A prototype was designed and manufactured, and static testing was complete by modifying the loading conditions defined in the ISO 15032:2000 standard to failure test levels for a 100 kg person, demonstrating the joint's ability to withstand everyday loading conditions. Functional testing was conducted using a prosthesis simulator that enabled able-bodied participants to successfully walk with the powered prosthesis on level ground. This validates the mechanical design for walking and indicates the LMPHJ is ready for evaluation in the next phase with hip disarticulation amputee participants.
随着动力假肢的发展,假肢技术不断进步,以增强在缺乏原生解剖结构的情况下的关节功能和运动能力。然而,目前尚无适用于髋关节离断截肢者的动力解决方案,并且大多数现有的髋关节假肢安装在假肢接受腔的前部,从而限制了运动范围。本研究介绍了一种新型的侧向安装动力髋关节(LMPHJ),可增强用户的运动能力。LMPHJ安装在假肢接受腔的侧面,使髋关节更靠近解剖学旋转中心,同时确保用户的安全和稳定性。电机和电子设备位于大腿部位,在将所需的髋关节力矩传递到机械关节旋转中心的同时保持较低的外形。设计并制造了一个原型,并通过将ISO 15032:2000标准中定义的加载条件修改为100公斤体重者的失效测试水平来完成静态测试,证明了该关节承受日常加载条件的能力。使用假肢模拟器进行了功能测试,使健全的参与者能够穿着动力假肢在平地上成功行走。这验证了行走的机械设计,并表明LMPHJ已准备好在下一阶段与髋关节离断截肢参与者进行评估。