Parametric Evaluation of Hindfoot and Forefoot Properties and Their Effect on the Angular Stiffness of Prosthetic Feet

Author(s):  
Peter G. Adamczyk ◽  
Michelle Roland ◽  
Michael E. Hahn

Prosthetic foot stiffness has been recognized as an important factor in optimizing the walking performance of amputees [1–3]. Commercial feet are available in a range of stiffness categories and geometries. The stiffness of linear displacements of the hindfoot and forefoot for several commercially available feet have been reported to be within a range of 27–68 N/mm [4] and 28–76 N/mm [5], respectively, but these values are most relevant only to the earliest and latest portions of stance phase, when linear compression or rebound naturally occur. In contrast, mid-stance kinetics are more related to the angular stiffness of the foot, which describes the ankle torque produced by angular progression of the lower limb over the foot during this phase. Little data is available regarding the angular stiffness of any commercially available feet. The variety of geometries between manufacturers and models of prosthetic feet makes a direct calculation of effective angular stiffness challenging due to changes in moment arms based on loading condition, intricacies of deformation mechanics of the structural components, and mechanical interaction between hindfoot and forefoot components. Thus, modeling the interaction between hindfoot stiffness, forefoot stiffness, and keel geometries and their combined effect on the angular stiffness of the foot may be a useful tool for correlating functional outcomes with stiffness characteristics of various feet. To understand how each of these factors affects angular stiffness, we developed a foot that can parametrically adjust each of these factors independently. The objective of this study was to mathematically model, design, and experimentally validate a prosthetic foot that has independent hindfoot and forefoot components, allowing for parametric adjustment of stiffness characteristics and keel geometry in future studies of amputee gait.

Author(s):  
Michelle Roland ◽  
Peter G. Adamczyk ◽  
Michael E. Hahn

The calculated roll-over shape and respective radius of intact and prosthetic feet has been shown to be a useful measure of lower limb function during walking [1–2]. Hansen et al [3] reported that the roll-over radius, R, is constant over a range of speeds for the intact foot-ankle system. It may be assumed that the prosthetic foot R would also be constant with increased walking speed. Similarly, the angular stiffness of prosthetic feet is not likely to change with walking speed, as the material stiffness remains unchanged. However, the effective angular stiffness of the intact ankle may increase with the plantar flexor moment during the stance phase of gait, which typically increases in magnitude with walking speed.


Sensors ◽  
2020 ◽  
Vol 20 (20) ◽  
pp. 5758
Author(s):  
Nicola Petrone ◽  
Gianfabio Costa ◽  
Gianmario Foscan ◽  
Antonio Gri ◽  
Leonardo Mazzanti ◽  
...  

Knowledge of loads acting on running specific prostheses (RSP), and in particular on running prosthetic feet (RPF), is crucial for evaluating athletes’ technique, designing safe feet, and biomechanical modelling. The aim of this work was to develop a J-shaped and a C-shaped wearable instrumented running prosthetic foot (iRPF) starting from commercial RPF, suitable for load data collection on the track. The sensing elements are strain gauge bridges mounted on the foot in a configuration that allows decoupling loads parallel and normal to the socket-foot clamp during the stance phase. The system records data on lightweight athlete-worn loggers and transmits them via Wi-Fi to a base station for real-time monitoring. iRPF calibration procedure and static and dynamic validation of predicted ground-reaction forces against those measured by a force platform embedded in the track are reported. The potential application of this wearable system in estimating determinants of sprint performance is presented.


2013 ◽  
Vol 135 (10) ◽  
Author(s):  
Peter G Adamczyk ◽  
Michelle Roland ◽  
Michael E. Hahn

Lower limb amputee gait during stance phase is related to the angular stiffness of the prosthetic foot, which describes the dependence of ankle torque on angular progression of the shank. However, there is little data on angular stiffness of prosthetic feet, and no method to directly measure it has been described. The objective of this study was to derive and evaluate a method to estimate the angular stiffness of prosthetic feet using a simple linear compression test. Linear vertical compression tests were performed on nine configurations of an experimental multicomponent foot (with known component stiffness properties and geometry), which allowed for parametric adjustment of hindfoot and forefoot stiffness properties and geometries. Each configuration was loaded under displacement control at distinct pylon test angles. Angular stiffness was calculated as a function of the pylon angle, normal force, and center of pressure (COP) rate of change with respect to linear displacement. Population root mean square error (RMSE) between the measured and predicted angular stiffness values for each configuration of the multicomponent foot was calculated to be 4.1 N-m/deg, dominated by a bias of the estimated values above the predicted values of 3.8 ± 1.6 N-m/deg. The best-fit line to estimated values was approximately parallel to the prediction, with R2 = 0.95. This method should be accessible for a variety of laboratories to estimate angular stiffness of experimental and commercially available prosthetic feet with minimal equipment.


1990 ◽  
Vol 14 (3) ◽  
pp. 117-124 ◽  
Author(s):  
H. W. L. Van Jaarsveld ◽  
H. J. Grootenboer ◽  
J. De Vries ◽  
H. F. J. M. Koopman

A prosthetic foot is an important element of a prosthesis, although it is not always fully recognized that the properties of the foot, along with the prosthetic knee joint and the socket, are in part responsible for the stability and metabolic energy cost during walking. The stiffness and the hysteresis, which are the topics of this paper, are not properly prescribed, but could be adapted to improve the prosthetic walking performance. The shape is strongly related to the cosmetic appearance and so can not be altered to effect these improvements. Because detailed comparable data on foot stiffness and hysteresis, which are necessary to quantify the differences between different types of feet, are absent in literature, these properties were measured by the authors in a laboratory setup for nine different prosthetic feet, bare and with two different shoes. One test cycle consisted of measurements of load deformation curves in 66 positions, representing the range from heel strike to toe-off. The hysteresis is defined by the energy loss as a part of the total deformation energy. Without shoes significant differences in hysteresis between the feet exist, while with sport shoes the differences in hysteresis between the feet vanish for the most part. Applying a leather shoe leads to an increase of hysteresis loss for all tested feet. The stiffness turned out to be non-constant, so mean stiffness is used. Because very little is known about the optimal values of stiffness and hysteresis, and substantial differences in stiffness between different feet and shoes exist, further investigation into the importance of stiffness and hysteresis to the walking quality of a foot is necessary. Footwear counts too for this quality because it modifies the variation in stiffness among the feet.


2017 ◽  
Vol 42 (2) ◽  
pp. 198-207 ◽  
Author(s):  
Matthew J Major ◽  
Joel Scham ◽  
Michael Orendurff

Background:Prosthetic feet are prescribed based on their mechanical function and user functional level. Subtle changes to the stiffness and hysteresis of heel, midfoot, and forefoot regions can influence the dynamics and economy of gait in prosthesis users. However, the user’s choice of shoes may alter the prosthetic foot-shoe system mechanical characteristics, compromising carefully prescribed and rigorously engineered performance of feet.Objectives:Observe the effects of footwear on the mechanical properties of the prosthetic foot-shoe system including commonly prescribed prosthetic feet.Study design:Repeated-measures, Mechanical characterization.Methods:The stiffness and energy return was measured using a hydraulic-driven materials test machine across combinations of five prosthetic feet and four common shoes as well as a barefoot condition.Results:Heel energy return decreased by an average 4%–9% across feet in all shoes compared to barefoot, with a cushioned trainer displaying the greatest effect. Foot designs that may improve perceived stability by providing low heel stiffness and rapid foot-flat were compromised by the addition of shoes.Conclusion:Shoes altered prosthesis mechanical characteristics in the sagittal and frontal planes, suggesting that shoe type should be controlled or reported in research comparing prostheses. Understanding of how different shoes could alter certain gait-related characteristics of prostheses may aid decisions on footwear made by clinicians and prosthesis users.Clinical relevanceShoes can alter function of the prosthetic foot-shoe system in unexpected and sometimes undesirable ways, often causing similar behavior across setups despite differences in foot design, and prescribing clinicians should carefully consider these effects on prosthesis performance.


Author(s):  
Kathryn M. Olesnavage ◽  
Amos G. Winter

This paper presents an analysis of the rollover shape and energy storage and return in a prosthetic foot made from a compliant cantilevered beam. The rollover shape of a prosthetic foot is defined as the path of the center of pressure along the bottom of the foot during stance phase of gait, from heel strike to toe off. This path is rotated into the reference frame of the ankle-knee segment of the leg, which is held fixed. In order to achieve correct limb loading and gait kinematics, it is important that a prosthetic foot both mimic the physiological rollover shape and maximize energy storage and return. The majority of prosthetic feet available on the market are cantilever beam-type feet that emulate ankle dorsiflexion through beam bending. In this study, we show analytically that a prosthetic foot consisting of a beam with constant or monotonically decreasing cross-section cannot replicate physiological rollover shape; the foot is either too stiff when the ground reaction force (GRF) acts near the ankle, or too compliant when the GRF acts near the toe. A rigid constraint is required to prevent the foot from over-deflecting. Using finite element analysis (FEA), we investigated how closely a cantilever beam with constrained maximum deflection could mimic physiological rollover shape and energy storage/return during stance phase. A constrained beam with constant cross-section is able to replicate physiological rollover shape with R2 = 0.86. The ratio of the strain energy stored and returned by the beam compared to the ideal energy storage and return is 0.504. This paper determines that there is a trade off between rollover shape and energy storage and return in cantilever beam-type prosthetic feet. The method and results presented in this paper demonstrate a useful tool in early stage prosthetic foot design that can be used to predict the rollover shape and energy storage of any type of prosthetic foot.


Author(s):  
Hyeon-Seok Cho ◽  
Gyoo-Suk Kim ◽  
Sung-Jae Kang ◽  
Jei-Chung Ryu ◽  
Mu-Sung Mun

2020 ◽  
Vol 44 (4) ◽  
pp. 225-233
Author(s):  
Michael Ernst ◽  
Björn Altenburg ◽  
Thomas Schmalz

Background: Energy-storage and return feet incorporate various design features including split toes. As a potential improvement, an energy-storage and return foot with a dedicated ankle joint was recently introduced allowing for easily accessible inversion/eversion movement. However, the adaptability of energy-storage and return feet to uneven ground and the effects on biomechanical and clinical parameters have not been investigated in detail. Objectives: To investigate the design-related ability of prosthetic feet to adapt to cross slopes and derive a theoretical model. Study design: Mechanical testing and characterization. Methods: Mechanical adaptation to cross slopes was investigated for six prosthetic feet measured by a motion capture system. A theoretical model linking the measured data with adaptations is proposed. Results: The type and degree of adaptation depends on the foot design, for example, stiffness, split toe or continuous carbon forefoot, and additional ankle joint. The model used shows high correlations with the measured data for all feet. Conclusions: The ability of prosthetic feet to adapt to uneven ground is design-dependent. The split-toe feet adapted better to cross slopes than those with continuous carbon forefeet. Joints enhance this further by allowing for additional inversion and eversion. The influence on biomechanical and clinical parameters should be assessed in future studies. Clinical relevance Knowing foot-specific ability to adapt to uneven ground may help in selecting an appropriate prosthetic foot for persons with a lower limb amputation. Faster and more comprehensive adaptations to uneven ground may lower the need for compensations and therefore increase user safety.


Proceedings ◽  
2020 ◽  
Vol 49 (1) ◽  
pp. 74 ◽  
Author(s):  
Nicola Petrone ◽  
Gianfabio Costa ◽  
Gianmario Foscan ◽  
Antonio Gri ◽  
Rosanne Boekestijn ◽  
...  

The knowledge of loads acting on Running Specific Prostheses (RSP), and in particular, on Running Prosthetic Feet (RPF) is crucial for evaluating the athlete’s running technique, designing RPF, and developing models of the runners. The aim of this work was to develop a set of instrumented RPF (iRPF) suitable for track data collection of start, sprinting, and whole run-in and take-off of long jump. The system allows measuring with a portable data logger forces acting on the foot clamp on multiple steps of the athlete without modifying the RSP behavior: The method involves strain gauge bridges applied to each RPF in a configuration that allows decoupling the loads parallel and normal to the foot clamp during the stance phase. Comparison with literature data and validation against force platform data gave confirmation of the validity of the method in the estimation of determinants of sprint performance.


2013 ◽  
Vol 135 (8) ◽  
Author(s):  
Elliott J. Rouse ◽  
Levi J. Hargrove ◽  
Eric J. Perreault ◽  
Michael A. Peshkin ◽  
Todd A. Kuiken

The mechanical properties of human joints (i.e., impedance) are constantly modulated to precisely govern human interaction with the environment. The estimation of these properties requires the displacement of the joint from its intended motion and a subsequent analysis to determine the relationship between the imposed perturbation and the resultant joint torque. There has been much investigation into the estimation of upper-extremity joint impedance during dynamic activities, yet the estimation of ankle impedance during walking has remained a challenge. This estimation is important for understanding how the mechanical properties of the human ankle are modulated during locomotion, and how those properties can be replicated in artificial prostheses designed to restore natural movement control. Here, we introduce a mechatronic platform designed to address the challenge of estimating the stiffness component of ankle impedance during walking, where stiffness denotes the static component of impedance. The system consists of a single degree of freedom mechatronic platform that is capable of perturbing the ankle during the stance phase of walking and measuring the response torque. Additionally, we estimate the platform's intrinsic inertial impedance using parallel linear filters and present a set of methods for estimating the impedance of the ankle from walking data. The methods were validated by comparing the experimentally determined estimates for the stiffness of a prosthetic foot to those measured from an independent testing machine. The parallel filters accurately estimated the mechatronic platform's inertial impedance, accounting for 96% of the variance, when averaged across channels and trials. Furthermore, our measurement system was found to yield reliable estimates of stiffness, which had an average error of only 5.4% (standard deviation: 0.7%) when measured at three time points within the stance phase of locomotion, and compared to the independently determined stiffness values of the prosthetic foot. The mechatronic system and methods proposed in this study are capable of accurately estimating ankle stiffness during the foot-flat region of stance phase. Future work will focus on the implementation of this validated system in estimating human ankle impedance during the stance phase of walking.


Sign in / Sign up

Export Citation Format

Share Document