Design of Lower Limb Prosthesis Transverse Plane Adaptor With Variable Stiffness

2015 ◽  
Vol 9 (3) ◽  
Author(s):  
Corey Pew ◽  
Glenn K. Klute

A lower limb prosthesis is able to restore mobility to patients who have lost a limb; however, no current replacement is as moveable and adaptable as the limb that was lost. Therefore, all amputees suffer from a reduction in function at some level. Movement in the transverse plane of a lower limb prosthesis is often negated in a traditional prosthesis, and those devices that do allow for transverse plane motion are set to a single, fixed stiffness, and incapable of adapting to the varying activities of the user. A prototype device has been created that allows for varying stiffness in the transverse plane of a lower limb prosthesis. The variable stiffness torsion adapter (VSTA) functions by way of a movable pivot lever arm that can actively modify the mechanical advantage between the outer housing and the internal spring. The motion of the pivot is perpendicular to the external torque allowing for low power adjustments of the stiffness. Bench tests were performed and demonstrate the ability of the VSTA to vary torsional stiffness between 0.12 and 0.91 N m/deg over a ±30 deg rotational range of motion. The device also includes a mode for fully locked operation. The VSTA may improve the mobility of lower limb amputees by allowing for activity-dependent transverse plane stiffness.

2019 ◽  
Vol 11 (4) ◽  
Author(s):  
Alexander Agboola-Dobson ◽  
Guowu Wei ◽  
Lei Ren

Recent advancements in powered lower limb prostheses have appeased several difficulties faced by lower limb amputees by using a series-elastic actuator (SEA) to provide powered sagittal plane flexion. Unfortunately, these devices are currently unable to provide both powered sagittal plane flexion and two degrees of freedom (2-DOF) at the ankle, removing the ankle’s capacity to invert/evert, thus severely limiting terrain adaption capabilities and user comfort. The developed 2-DOF ankle system in this paper allows both powered flexion in the sagittal plane and passive rotation in the frontal plane; an SEA emulates the biomechanics of the gastrocnemius and Achilles tendon for flexion while a novel universal-joint system provides the 2-DOF. Several studies were undertaken to thoroughly characterize the capabilities of the device. Under both level- and sloped-ground conditions, ankle torque and kinematic data were obtained by using force-plates and a motion capture system. The device was found to be fully capable of providing powered sagittal plane motion and torque very close to that of a biological ankle while simultaneously being able to adapt to sloped terrain by undergoing frontal plane motion, thus providing 2-DOF at the ankle. These findings demonstrate that the device presented in this paper poses radical improvements to powered prosthetic ankle-foot device (PAFD) design.


2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Jonathan Realmuto ◽  
Glenn Klute ◽  
Santosh Devasia

This article studies the design of passive elastic elements to reduce the actuator requirements for powered ankle prostheses. The challenge is to achieve most of the typically nonlinear ankle response with the passive element so that the active ankle-torque from the actuator can be small. The main contribution of this article is the design of a cam-based lower-limb prosthesis to achieve such a nonlinear ankle response. Results are presented to show that the addition of the cam-based passive element can reduce the peak actuator torque requirement substantially, by ∼74%. Moreover, experimental results are presented to demonstrate that the cam-based design can achieve a desired nonlinear response to within 10%.


2018 ◽  
Vol 43 (3) ◽  
pp. 257-265 ◽  
Author(s):  
Saffran Möller ◽  
David Rusaw ◽  
Kerstin Hagberg ◽  
Nerrolyn Ramstrand

Background: Individuals using a lower-limb prosthesis indicate that they need to concentrate on every step they take. Despite self-reports of increased cognitive demand, there is limited understanding of the link between cognitive processes and walking when using a lower-limb prosthesis. Objective: The objective was to assess cortical brain activity during level walking in individuals using different prosthetic knee components and compare them to healthy controls. It was hypothesized that the least activity would be observed in the healthy control group, followed by individuals using a microprocessor-controlled prosthetic knee and finally individuals using a non-microprocessor-controlled prosthetic knee. Study design: Cross-sectional study. Methods: An optical brain imaging system was used to measure relative changes in concentration of oxygenated and de-oxygenated haemoglobin in the frontal and motor cortices during level walking. The number of steps and time to walk 10 m was also recorded. The 6-min walk test was assessed as a measure of functional capacity. Results: Individuals with a transfemoral or knee-disarticulation amputation, using non-microprocessor-controlled prosthetic knee ( n = 14) or microprocessor-controlled prosthetic knee ( n = 15) joints and healthy controls ( n = 16) participated in the study. A significant increase was observed in cortical brain activity of individuals walking with a non-microprocessor-controlled prosthetic knee when compared to healthy controls ( p < 0.05) and individuals walking with an microprocessor-controlled prosthetic knee joint ( p < 0.05). Conclusion: Individuals walking with a non-microprocessor-controlled prosthetic knee demonstrated an increase in cortical brain activity compared to healthy individuals. Use of a microprocessor-controlled prosthetic knee was associated with less cortical brain activity than use of a non-microprocessor-controlled prosthetic knee. Clinical relevance Increased understanding of cognitive processes underlying walking when using different types of prosthetic knees can help to optimize selection of prosthetic components and provide an opportunity to enhance functioning with a prosthesis.


PM&R ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 344-353 ◽  
Author(s):  
Janis Kim ◽  
Matthew J. Major ◽  
Brian Hafner ◽  
Andrew Sawers

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S1-S1
Author(s):  
Shane R. Wurdeman ◽  
Phillip M. Stevens ◽  
James H. Campbell

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