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采用金属丝织物压缩机制、具有主动可变踝关节刚度的低调鞋型踝足矫形器。

Low-Profile, Shoe-Type Ankle-Foot Orthosis with Active Variable Ankle Stiffness via Wire-Fabric Compression Mechanism.

作者信息

Choe Eunbin, Moon Junyoung, Ryu Jaewook, Yang Seungtae, Nasirzadeh Alireza, Kong Sejin, Choi Youngsuk, Lee Giuk

机构信息

School of Mechanical Engineering, Chung-Ang University, Seoul 06974, Republic of Korea.

HUROTICS Inc., Seoul 06912, Republic of Korea.

出版信息

Biomimetics (Basel). 2025 Aug 16;10(8):539. doi: 10.3390/biomimetics10080539.


DOI:10.3390/biomimetics10080539
PMID:40862912
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12383481/
Abstract

Acute ankle sprains frequently lead to chronic ankle instability and muscle atrophy by causing immobilization, which necessitates real-time stiffness modulation for ankle-foot orthoses (AFOs). This paper proposes Active Variable Compression Shoes (AVC-Shoes), an ankle support system inspired by the "heel-lock taping" technique, which employs a wire-fabric compression mechanism to selectively stiffen ankle joints at crucial points in the gait cycle. The experimental results confirmed that AVC-Shoes achieve variable ankle stiffness in all directions, demonstrating dorsiflexion and plantarflexion stiffness ranges of up to 8.3 and 5.9 Nm/rad, respectively. Additionally, preliminary human testing involving three healthy participants revealed that the gastrocnemius muscle activity during the push-off phase in the active compression mode was significantly higher (by 19%) than that in the brace mode. By selectively increasing stiffness at heel strikes, AVC-Shoes represent a promising advancement toward next-generation AFOs capable of stabilizing the ankle while preventing muscle atrophy, which is associated with prolonged brace use.

摘要

急性踝关节扭伤常因导致关节固定而引发慢性踝关节不稳和肌肉萎缩,因此需要对踝足矫形器(AFO)进行实时刚度调节。本文提出了主动可变压缩鞋(AVC-Shoes),这是一种受“足跟锁定贴扎”技术启发的踝关节支撑系统,它采用金属丝织物压缩机制在步态周期的关键节点选择性地增强踝关节的刚度。实验结果证实,AVC-Shoes在各个方向上都能实现可变的踝关节刚度,背屈和跖屈刚度范围分别高达8.3和5.9 Nm/rad。此外,涉及三名健康参与者的初步人体测试表明,主动压缩模式下蹬离阶段腓肠肌的活动比支撑模式下显著更高(高19%)。通过在足跟触地时选择性增加刚度,AVC-Shoes代表了下一代AFO的一个有前景的进展,这种AFO能够稳定踝关节,同时防止与长期使用支撑装置相关联的肌肉萎缩。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/d6bcb78aa142/biomimetics-10-00539-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/0e31523a40f8/biomimetics-10-00539-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/8bceb4c66a72/biomimetics-10-00539-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/f479621e3614/biomimetics-10-00539-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/147f3e51c879/biomimetics-10-00539-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/e4152787c496/biomimetics-10-00539-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/d6bcb78aa142/biomimetics-10-00539-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/0e31523a40f8/biomimetics-10-00539-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/8bceb4c66a72/biomimetics-10-00539-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/f479621e3614/biomimetics-10-00539-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/147f3e51c879/biomimetics-10-00539-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/e4152787c496/biomimetics-10-00539-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f09/12383481/d6bcb78aa142/biomimetics-10-00539-g006.jpg

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Low-Profile, Shoe-Type Ankle-Foot Orthosis with Active Variable Ankle Stiffness via Wire-Fabric Compression Mechanism.

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本文引用的文献

[1]
Design and Validation of Soft Sliding Structure with Adjustable Stiffness for Ankle Sprain Prevention.

IEEE Robot Autom Lett. 2024-2

[2]
The Effects of a Custom-Designed High-Collar Shoe on Muscular Activity, Dynamic Stability, and Leg Stiffness: A Biomimetic Approach Study.

Biomimetics (Basel). 2023-6-27

[3]
Multi-degrees-of-freedom soft robotic ankle-foot orthosis for gait assistance and variable ankle support.

Wearable Technol. 2022

[4]
The Effect of Ankle Foot Orthosis' Design and Degree of Dorsiflexion on Achilles Tendon Biomechanics-Tendon Displacement, Lower Leg Muscle Activation, and Plantar Pressure During Walking.

Front Sports Act Living. 2020-3-17

[5]
Lower limb angular velocity during walking at various speeds.

Gait Posture. 2018-9

[6]
Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains.

Br J Sports Med. 2016-6-3

[7]
Effects of Preventative Ankle Taping on Planned Change-of-Direction and Reactive Agility Performance and Ankle Muscle Activity in Basketballers.

J Sports Sci Med. 2015-11-24

[8]
Effect of lace-up ankle braces on electromyography measures during walking in adults with chronic ankle instability.

Phys Ther Sport. 2015-2

[9]
The impacts of hinged and solid ankle-foot orthoses on standing and walking in children with spastic diplegia.

Iran J Child Neurol. 2013

[10]
Ankle stabilizers affect agility but not vertical jump or dynamic balance performance.

Foot Ankle Spec. 2011-12

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