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Amudhan K, Vasanthanathan A, Thilak JAJ. Computational assessment of carbon fabric reinforced polymer made prosthetic knee: Mechanics, finite element simulations and experimental evaluation. Int J Numer Method Biomed Eng 2024:e3827. [PMID: 38623951 DOI: 10.1002/cnm.3827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 03/04/2024] [Accepted: 04/05/2024] [Indexed: 04/17/2024]
Abstract
A prosthetic knee is designed to replace the functionality of an anatomical knee in transfemoral amputees. The purpose of a prosthetic knee is to restore mobility and compensate amputees for their impairment. In the present research numerical modelling and simulation of a carbon fabric reinforced polymer made polycentric prosthetic knee with four-bar mechanism was performed. Virtual prototyping with computer-aided design and computer-aided engineering software ensured geometric and structural stability of the knee design. The linkage mechanism, instantaneous centre's location and trajectory were investigated using multibody dynamics and analytical formulations. Computational simulations with a non-linear finite element model were employed with joints, contact formulations and an orthotropic material model to predict the displacement, stress formulated and life of the knee prosthesis under static and cyclic loading conditions. Finite element analysis assessed the strength and durability of knee in accordance to standards. Maximum Principal stress of 155 MPa and life expectancy of 3.1 × 106 cycles were determined for the composite knee through numerical simulations ensuring a safe design. Experimental testing was also conducted as per standards and the percentage error was estimated to be 2.52%, thereby establishing the validity of the finite element model deployed. This type of simulation-based approach can be implemented to efficiently and affordably design and prototype a prosthetic knee with desired functioning criteria.
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Affiliation(s)
- Kannan Amudhan
- Department of Mechanical Engineering, Mepco Schlenk Engineering College, Sivakasi, India
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Mohanty RK, Mohanty RC, Sabut S, Pandey M. Conformity assessment with structural strength requirements of mechanical polycentric prosthetic knee used for amputee rehabilitation. Comput Methods Biomech Biomed Engin 2022; 26:764-776. [PMID: 35712871 DOI: 10.1080/10255842.2022.2088233] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Prosthetic restoration is an important component of amputee rehabilitation which may be subjected to a static load of nearly five times of amputees' body weight and is continuously administered to cyclic or fatigue loads during its function. This study presents a structural strength analysis of polycentric mechanical prosthetic knee commonly used in National Institutes in India by finite element simulation and its experimental validation. Static and fatigue analyses have been performed to ensure its structural integrity as per the ISO 10328:2006 standard. Accurate dimensioning of knee components have been obtained using coordinate measuring machine and the 3 D CAD model has been generated by CATIA V5 from the 2 D geometry. The model is imported to the ANSYS 20.1 workbench to study stress distribution in the knee for ensuring its safety performance. The selection of reference planes, application of calculated loads, and position of load line have been done as per the ISO test procedure. Static and cyclic loadings of 4130 N and 1230 N are applied at the top and the bottom plate is given with translational constraints to limit its movement in any direction. Results indicate that the prosthetic knee model is moderately strong enough to outstrip the static strength test. However, the calculated strain and predicted fatigue life during the cyclic test suggest that this knee unit has poor fatigue strength. Validation results with an average error percentage of 3.44 and 10 show higher reliability based on previous study results and experimental tests, respectively.
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Affiliation(s)
- Rajesh Kumar Mohanty
- Ph.D Scholar, Centurion University of Technology and Management, Bhubaneswar, India.,Department of Prosthetics and Orthotics, Swami Vivekanand National Institute of Rehabilitation Training and Research, Cuttack, India
| | - R C Mohanty
- Department of Mechanical Engineering, Centurion University of Technology and Management, Bhubaneswar, India
| | - Sukanta Sabut
- School of Electronics Engineering, Kalinga Institute of Industrial Technology, Bhubaneswar, India
| | - Mukundjee Pandey
- Department of Mechanical Engineering, Centurion University of Technology and Management, Bhubaneswar, India
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Alzeer AM, Bhaskar Raj N, Shahine EM, Nadiah WA. Impacts of Microprocessor-Controlled Versus Non-microprocessor-Controlled Prosthetic Knee Joints Among Transfemoral Amputees on Functional Outcomes: A Comparative Study. Cureus 2022; 14:e24331. [PMID: 35607529 PMCID: PMC9123402 DOI: 10.7759/cureus.24331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/20/2022] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Selecting a prosthetic knee mechanism is an important part of transfemoral (TF) amputee rehabilitation. Prosthetic knee joint selection depends on the users' gait and their energy consumption. This study compares the feedback of transfemoral prosthesis users based on the prosthetic knee design self-reporting responses using the Prosthetic Evaluation Questionnaire (PEQ) outcome measure. OBJECTIVE This study aims to assess the impact of using a microprocessor-controlled prosthetic knee (MCPK) compared with a non-microprocessor-controlled prosthetic knee (NMCPK); feedback on the amputee usage can improve the clinical decision for proper prosthetic knee joint selection. METHODS This is a cross-sectional study with a total of 76 adult unilateral transfemoral amputees classified into two groups. The participants in the first group (38) used the MCPK (Genium, Otto Bock, Minneapolis, MN, USA), and the participants in the second group (38) used the NMCPK (hydraulic and total knee joints). Enrolment was based on a sequence of appointments where all participants answered the PEQ, with different subscale questions including utility (UT), sounds (SO), appearance (AP), residual limb health (RL), frustration (FR), perceived response (PR), social burden (SB), ambulation (AM), and quality of life (QoL). PEQ was filled out during the follow-up appointments at the prosthetic clinic through a visual analog scale (VAS). All data entered into a database were analyzed. RESULT The MCPK participants have significantly improved utility, appearance, ambulation, and total PEQ score, the same results as the male participants. Middle-adulthood (25-40 years) MCPK participants have a significant p-value in the score of utility, frustration, ambulation, and total PEQ score compared to early-adulthood (18-24 years) and late-adulthood (41-60 years) participants. Also, there was a significant improvement in the p-value in ambulation scores in participants using MCPK with amputations caused by diseases compared to amputations caused by trauma and congenital cause. CONCLUSION Transfemoral amputee prosthesis utility, natural gait, and ambulation improved when using MCPK compared to when using NMCPK during prosthetic rehabilitation.
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Affiliation(s)
- Abdallah M Alzeer
- School of Rehabilitation Science, Universiti Sultan Zainal Abidin, Kuala Terengganu, MYS
- Prosthetics and Orthotics, Sultan Bin Abdul Aziz Humanitarian City, Riyadh, SAU
| | - Naresh Bhaskar Raj
- School of Rehabilitation Science, Universiti Sultan Zainal Abidin, Kuala Terengganu, MYS
| | - Enas M Shahine
- Medical Affairs, Sultan Bin Abdul Aziz Humanitarian City, Riyadh, SAU
| | - Wan-Arfah Nadiah
- Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Terengganu, MYS
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Sun Y, Huang R, Zheng J, Dong D, Chen X, Bai L, Ge W. Design and Speed-Adaptive Control of a Powered Geared Five-Bar Prosthetic Knee Using BP Neural Network Gait Recognition. Sensors (Basel) 2019; 19:s19214662. [PMID: 31717856 PMCID: PMC6864863 DOI: 10.3390/s19214662] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/10/2019] [Revised: 10/14/2019] [Accepted: 10/24/2019] [Indexed: 11/16/2022]
Abstract
To improve the multi-speed adaptability of the powered prosthetic knee, this paper presented a speed-adaptive neural network control based on a powered geared five-bar (GFB) prosthetic knee. The GFB prosthetic knee is actuated via a cylindrical cam-based nonlinear series elastic actuator that can provide the desired actuation for level-ground walking, and its attitude measurement is realized by two inertial sensors and one load cell on the prosthetic knee. To improve the performance of the control system, the motor control and the attitude measurement of the GFB prosthetic knee are run in parallel. The BP neural network uses input data from only the GFB prosthetic knee, and is trained by natural and artificially modified various gait patterns of different able-bodied subjects. To realize the speed-adaptive control, the prosthetic knee speed and gait cycle percentage are identified by the Gaussian mixture model-based gait classifier. Specific knee motion control instructions are generated by matching the neural network predicted gait percentage with the ideal walking gait. Habitual and variable speed level-ground walking experiments are conducted via an able-bodied subject, and the experimental results show that the neural network control system can handle both self-selected walking and variable speed walking with high adaptability.
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Affiliation(s)
- Yuanxi Sun
- State Key Laboratory of Mechanical Transmission, Chongqing University, Chongqing 400044, China; (R.H.); (X.C.); (L.B.)
- Correspondence:
| | - Rui Huang
- State Key Laboratory of Mechanical Transmission, Chongqing University, Chongqing 400044, China; (R.H.); (X.C.); (L.B.)
| | - Jia Zheng
- School of Advanced Manufacturing Engineering, Chongqing University of Posts and Telecommunications, Chongqing 400065, China;
| | - Dianbiao Dong
- School of Mechanical Engineering, Northwestern Polytechnical University, Xi’an 710072, China; (D.D.); (W.G.)
- Department of Mechanical Engineering, Vrije Universiteit Brussel, 1050 Brussels, Belgium
| | - Xiaohong Chen
- State Key Laboratory of Mechanical Transmission, Chongqing University, Chongqing 400044, China; (R.H.); (X.C.); (L.B.)
| | - Long Bai
- State Key Laboratory of Mechanical Transmission, Chongqing University, Chongqing 400044, China; (R.H.); (X.C.); (L.B.)
| | - Wenjie Ge
- School of Mechanical Engineering, Northwestern Polytechnical University, Xi’an 710072, China; (D.D.); (W.G.)
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Cao W, Yu H, Zhao W, Li J, Wei X. Target of physiological gait: Realization of speed adaptive control for a prosthetic knee during swing flexion. Technol Health Care 2017; 26:133-144. [PMID: 29060946 DOI: 10.3233/thc-170981] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Prosthetic knee is the most important component of lower limb prosthesis. Speed adaptive for prosthetic knee during swing flexion is the key method to realize physiological gait. OBJECTIVE This study aims to discuss the target of physiological gait, propose a speed adaptive control method during swing flexion and research the damping adjustment law of intelligent hydraulic prosthetic knee. METHODS According to the physiological gait trials of healthy people, the control target during swing flexion is defined. A new prosthetic knee with fuzzy logical control during swing flexion is designed to realize the damping adjustment automatically. The function simulation and evaluation system of intelligent knee prosthesis is provided. Speed adaptive control test of the intelligent prosthetic knee in different velocities are researched. RESULTS The maximum swing flexion of the knee angle is set between sixty degree and seventy degree as the target of physiological gait. Preliminary experimental results demonstrate that the prosthetic knee with fuzzy logical control is able to realize physiological gait under different speeds. The faster the walking, the bigger the valve closure percentage of the hydraulic prosthetic knee. CONCLUSIONS The proposed fuzzy logical control strategy and intelligent hydraulic prosthetic knee are effective for the amputee to achieve physiological gait.
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Affiliation(s)
- Wujing Cao
- Rehabilitation Engineering and Technology Institute, University of Shanghai for Science and Technology, Shanghai, China.,Shanghai Engineering Research Center of Assistive Devices, Shanghai, China.,Key Laboratory of Neural-functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Shanghai, China
| | - Hongliu Yu
- Rehabilitation Engineering and Technology Institute, University of Shanghai for Science and Technology, Shanghai, China.,Shanghai Engineering Research Center of Assistive Devices, Shanghai, China.,Key Laboratory of Neural-functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Shanghai, China
| | - Weiliang Zhao
- Rehabilitation Engineering and Technology Institute, University of Shanghai for Science and Technology, Shanghai, China
| | - Jin Li
- Rehabilitation Engineering and Technology Institute, University of Shanghai for Science and Technology, Shanghai, China
| | - Xiaodong Wei
- Rehabilitation Engineering and Technology Institute, University of Shanghai for Science and Technology, Shanghai, China
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Schlatterer D. CORR Insights ®: False-positive Cultures After Native Knee Aspiration: True or False. Clin Orthop Relat Res 2017; 475:1844-1846. [PMID: 28078636 PMCID: PMC5449325 DOI: 10.1007/s11999-017-5234-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2016] [Accepted: 01/05/2017] [Indexed: 01/31/2023]
Affiliation(s)
- Daniel Schlatterer
- 0000 0000 9290 0794grid.414027.4Wellstar at, Atlanta Medical Center, 303 Parkway Dr. NE, Atlanta, GA 30312 USA
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Möller S, Hagberg K, Samulesson K, Ramstrand N. Perceived self-efficacy and specific self-reported outcomes in persons with lower-limb amputation using a non-microprocessor-controlled versus a microprocessor-controlled prosthetic knee. Disabil Rehabil Assist Technol 2017; 13:220-225. [PMID: 28366038 DOI: 10.1080/17483107.2017.1306590] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE To measure self-efficacy in a group of individuals who have undergone a lower-limb amputation and investigate the relationship between self-efficacy and prosthetic-specific outcomes including prosthetic use, mobility, amputation-related problems and global health. A second purpose was to examine if differences exist in outcomes based upon the type of prosthetic knee unit being used. METHOD Cross-sectional study using the General Self-Efficacy (GSE) Scale and the Questionnaire for Persons with a Transfemoral Amputation (Q-TFA). Forty-two individuals participated in the study. Twenty-three used a non-microprocessor-controlled prosthetic knee joint (non-MPK) and 19 used a microprocessor-controlled prosthetic knee joint (MPK). RESULTS The study sample had quite high GSE scores (32/40). GSE scores were significantly correlated to the Q-TFA prosthetic use, mobility and problem scores. High GSE scores were related to higher levels of prosthetic use, mobility, global scores and negatively related to problem score. No significant difference was observed between individuals using a non-MPK versus MPK joints. CONCLUSIONS Individuals with high self-efficacy used their prosthesis to a higher degree and high self-efficacy was related to higher level of mobility, global scores and fewer problems related to the amputation in individuals who have undergone a lower-limb amputation and were using a non-MPK or MPK knee. Implications for rehabilitation Perceived self-efficacy has has been shown to be related to quality of life, prosthetic mobility and capability as well as social activities in daily life. Prosthetic rehabilitation is primary focusing on physical improvement rather than psychological interventions. More attention should be directed towards the relationship between self-efficacy and prosthetic related outcomes during prosthetic rehabilitation after a lower-limb amputation.
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Affiliation(s)
- Saffran Möller
- a School of Health and Welfare , Jönköping University, Jönköping , Sweden
| | - Kerstin Hagberg
- b Department of Prosthetics and Orthotics , Sahlgrenska University Hospital , Gothenburg , Sweden.,c Advanced Reconstruction of Extremities , Sahlgrenska University Hospital , Gothenburg , Sweden.,d Department of Orthopaedics, Institute of Clinical Sciences , Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital , Gothenburg , Sweden
| | - Kersti Samulesson
- e Department of Rehabilitation Medicine and Department of Medical and Health Sciences , Linköoping University , Linköping , Sweden
| | - Nerrolyn Ramstrand
- a School of Health and Welfare , Jönköping University, Jönköping , Sweden
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Häggström E, Hagberg K, Rydevik B, Brånemark R. Vibrotactile evaluation: osseointegrated versus socket-suspended transfemoral prostheses. ACTA ACUST UNITED AC 2015; 50:1423-34. [PMID: 24699977 DOI: 10.1682/jrrd.2012.08.0135] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Revised: 06/18/2013] [Indexed: 11/05/2022]
Abstract
This study investigated detection thresholds of vibrometric stimuli in patients with transfemoral amputation supplied with osseointegrated (OI) and socket-suspended prostheses. It included 17 patients tested preoperatively with socket-suspended prostheses and after 2 yr with OI prostheses and a control group (n = 17) using socket-suspended prostheses, evaluated once. Assessments on the prosthetic and intact feet were conducted at six frequencies (8, 16, 32, 64, 125, and 250 Hz). Furthermore, measurements were conducted to investigate how vibrometric signals are transmitted through a test prosthesis. The results showed that the OI group had improved ability to detect vibrations through the prosthesis at 125 Hz (p = 0.01) at follow-up compared with the preoperative measurement. Compared with the control group, the OI group at follow-up had better ability to detect high frequency vibrations through the prosthesis (125 Hz, p = 0.02; 250 Hz, p = 0.03). The vibrometric signal transmitted through the test prosthesis was reduced at 8, 125, and 250 Hz but was amplified at 16, 32, and 64 Hz. Differences between the OI and the control groups were found in the highest frequencies in which the test prosthesis showed reduction of the vibrometric signal. The study provides insight into the mechanisms of vibration transmission between the exterior and bone-anchored as well as socket-suspended amputation prostheses.
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Affiliation(s)
- Eva Häggström
- Department of Prosthetics and Orthotics, University of Gothenburg, Sahlgrenska University Hospital, Falkenbergsgatan 3, SE 412 85 Gothenburg, Sweden.
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