Calculated functional joint center positions are highly variable in individuals with unilateral transtibial amputation walking with identical prosthetic ankle-foot devices

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alan R. De Asha ◽  
Cleveland T. Barnett
Keyword(s):  
Transtibial Amputation ◽  
Joint Center

A walking bout reveals altered foot thermodynamics associated with unilateral transtibial amputation among individuals with type 2 diabetes

2020 ◽  
pp. 030936462096864
Author(s):  
Kyle R Leister ◽  
Shane R Wurdeman
Keyword(s):  
Type 2 Diabetes ◽  
Temperature Change ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Rate Of Change ◽  
Peak Temperature ◽  
Cross Sectional ◽  
Contralateral Limb ◽  
Transtibial Amputation

Background: Increased foot temperature among individuals with type 2 diabetes can be predictive of diabetic foot ulcer development. A combination of physiological and mechanical deficiencies may contribute to elevations in intact foot temperature during gait for individuals with type 2 diabetes and transtibial amputation. Objective: This study evaluated plantar foot temperature differences between individuals with type 2 diabetes with and without transtibial amputation. We hypothesized that individuals with transtibial amputation maintain increased foot temperature compared to those without amputation. Study Design: Cross-sectional, case control. Methods: A sample of 16 participants with type 2 diabetes and transtibial amputation, and 16 age- and sex-matched participants with type 2 diabetes without amputation were recruited. Foot temperatures were measured during resting, walking, and cooldown periods. Peak temperature, mean temperature, and rate of temperature change were analyzed for each period, and compared between cohorts. Results: Participants with amputation exhibited increased mean foot temperature while at rest and during walking. Participants without amputation exhibited increased rate of change of foot temperature during walking. No differences in peak temperature or rate of temperature change were observed during the baseline or cooldown periods. Conclusion: The current findings of altered foot temperature for individuals with transtibial amputation and type 2 diabetes suggest a possible reason for the high rates of contralateral limb ulceration and amputation among this population.

Stability as a constraint in sagittal plane human force exertion modeling

1998 ◽  
Vol 1 (1) ◽  
pp. 23-39
Author(s):  
Carter J. Kerk ◽  
Don B. Chaffin ◽  
W. Monroe Keyserling
Keyword(s):  
Muscle Strength ◽  
Ankle Joint ◽  
Coefficient Of Friction ◽  
Sagittal Plane ◽  
Biomechanical Model ◽  
Whole Body ◽  
The Stability ◽  
Joint Center ◽  
Static Conditions ◽  
Stability Limits

The stability constraints of a two-dimensional static human force exertion capability model (2DHFEC) were evaluated with subjects of varying anthropometry and strength capabilities performing manual exertions. The biomechanical model comprehensively estimated human force exertion capability under sagittally symmetric static conditions using constraints from three classes: stability, joint muscle strength, and coefficient of friction. Experimental results showed the concept of stability must be considered with joint muscle strength capability and coefficient of friction in predicting hand force exertion capability. Information was gained concerning foot modeling parameters as they affect whole-body stability. Findings indicated that stability limits should be placed approximately 37 % the ankle joint center to the posterior-most point of the foot and 130 % the distance from the ankle joint center to the maximal medial protuberance (the ball of the foot). 2DHFEC provided improvements over existing models, especially where horizontal push/pull forces create balance concerns.

scholarly journals A simple, anatomically based correction to the conventional ankle joint center

2008 ◽  
Vol 23 (10) ◽  
pp. 1299-1302 ◽  
Author(s):  
Dustin A. Bruening ◽  
Ashlie N. Crewe ◽  
Frank L. Buczek
Keyword(s):  
Ankle Joint ◽  
Joint Center

Energy expenditure in people with transtibial amputation walking with crossover and energy storing prosthetic feet: A randomized within-subject study

2018 ◽  
Vol 62 ◽  
pp. 349-354 ◽  
Author(s):  
Cody L. McDonald ◽  
Patricia A. Kramer ◽  
Sara J. Morgan ◽  
Elizabeth G. Halsne ◽  
Sarah M. Cheever ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
Transtibial Amputation ◽  
Prosthetic Feet

A NEW TECHNIQUE ESTIMATING LOCATION OF MEAN JOINT CENTERS OF ROTATION WITH ASSOCIATED DISPERSIONS AND ASSESSING TO FUNCTIONAL COORDINATE SYSTEM OF MOVING LIMB SEGMENTS

2006 ◽  
Vol 06 (04) ◽  
pp. 373-384
Author(s):  
ERIC BERTHONNAUD ◽  
JOANNÈS DIMNET
Keyword(s):  
Numerical Technique ◽  
New Technique ◽  
Helical Axis ◽  
Joint Movement ◽  
Time Step ◽  
Data Set ◽  
Minimization Procedure ◽  
A New Technique ◽  
Joint Center

Joint centers are obtained from data treatment of a set of markers placed on the skin of moving limb segments. Finite helical axis (FHA) parameters are calculated between time step increments. Artifacts associated with nonrigid body movements of markers entail ill-determination of FHA parameters. Mean centers of rotation may be calculated over the whole movement, when human articulations are likened to spherical joints. They are obtained using numerical technique, defining point with minimal amplitude, during joint movement. A new technique is presented. Hip, knee, and ankle mean centers of rotation are calculated. Their locations depend on the application of two constraints. The joint center must be located next to the estimated geometric joint center. The geometric joint center may migrate inside a cube of possible location. This cube of error is located with respect to the marker coordinate systems of the two limb segments adjacent to the joint. Its position depends on the joint and the patient height, and is obtained from a stereoradiographic study with specimen. The mean position of joint center and corresponding dispersion are obtained through a minimization procedure. The location of mean joint center is compared with the position of FHA calculated between different sequential steps: time sequential step, and rotation sequential step where a minimal rotation amplitude is imposed between two joint positions. Sticks are drawn connecting adjacent mean centers. The animation of stick diagrams allows clinical users to estimate the displacements of long bones (femur and tibia) from the whole data set.

Changes in the corticospinal tract after wearing prosthesis in bilateral transtibial amputation

2017 ◽  
Vol 41 (5) ◽  
pp. 507-511
Author(s):  
Sang Yoon Lee ◽  
Si Hyun Kang ◽  
Don-Kyu Kim ◽  
Kyung Mook Seo ◽  
Hee Joon Ro ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Diffusion Tensor Imaging ◽  
Magnetic Resonance ◽  
Primary Motor Cortex ◽  
Corticospinal Tract ◽  
Diffusion Tensor ◽  
Brain Magnetic Resonance Imaging ◽  
Resonance Imaging ◽  
Transtibial Amputation

Background:After amputation, the brain is known to be reorganized especially in the primary motor cortex. We report a case to show changes in the corticospinal tract in a patient with serial bilateral transtibial amputations using diffusion tensor imaging.Case Description and Methods:A 78-year-old man had a transtibial amputation on his left side in 2008 and he underwent a right transtibial amputation in 2011. An initial brain magnetic resonance imaging with a diffusion tensor imaging was performed before starting rehabilitation on his right transtibial prosthesis, and a follow-up magnetic resonance imaging with diffusion tensor imaging was performed 2 years after this.Findings and Outcomes:In the initial diffusion tensor imaging, the number of fiber lines in his right corticospinal tract was larger than that in his left corticospinal tract. At follow-up diffusion tensor imaging, there was no definite difference in the number of fiber lines between both corticospinal tracts.Conclusion:We found that side-to-side corticospinal tract differences were equalized after using bilateral prostheses.Clinical relevanceThis case report suggests that diffusion tensor imaging tractography could be a useful method to understand corticomotor reorganization after using prosthesis in transtibial amputation.

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