scholarly journals Energetic consequences of using a prosthesis with adaptive ankle motion during slope walking in persons with a transtibial amputation

2013 ◽  
Vol 38 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Benjamin J Darter ◽  
Jason M Wilken

Background:Technological advances in prosthetic design include the use of microprocessors that adapt device performance based on user motion. The Proprio ankle unit prepositions the foot to adjust for walking on slopes and increases foot clearance during swing to minimize gait deviations.Study design:Comparative analysis.Objectives:To investigate the effect of a prosthesis with adaptive ankle motion on physiological gait performance during slope walking.Methods:Six persons with a unilateral transtibial amputation completed treadmill walking tests at three slopes (−5°, 0°, and 5°). The participants were tested wearing a customary device, active Proprio (Pon), and an identical inactivated Proprio (Poff).Results:Metabolic energy expenditure, energy cost for walking, and rating of walking difficulty were not statistically different between the Pon and Poff for all tested slopes. However, for slope descent, energy expenditure and energy cost for walking improved significantly by an average of 10%–14% for both the Pon and Poff compared to the customary limb. Rating of walking difficulty also showed an improvement with slope descent for both the Pon and Poff compared to the customary device. An improvement with slope ascent was found for Pon compared to the customary limb only.Conclusions:Adaptive ankle motion provided no meaningful physiological benefit during slope walking. The Proprio was, however, less demanding than the customary device for slope descent. Differences in the mechanical properties of the prosthetic feet likely contributed to the changes.Clinical relevanceWhile the adaptive ankle motion did not affect metabolic energy expenditure or energy cost for walking, the results suggest close attention should be paid to the mechanical properties of the foot component. Assessment of gait on nonlevel surfaces is recommended to better understand the implications of different prosthetic design features.

2006 ◽  
Vol 22 (02) ◽  
pp. 66-71
Author(s):  
Yasuhisa Okumoto

This report focuses on welding work for the assembly of large steel structures as an example of physical jobs. Task simulations using a digital human model, including metabolic energy expenditure analysis, have been carried out using the biomechanical approach for typical welding postures. Moreover, necessary rest time to recover from fatigue has been studied, and the optimal work cycle in a day was examined. As a result, it can be concluded that the flat position for welding, the most widely applied posture, requires the greatest energy expenditure, whereas the overhead position is requires the least. Furthermore, it is concluded that the rule of taking short breaks and often is preferable from the viewpoint of recovery from fatigue, especially for work where the consumption of energy is large. Finally, an optimal work cycle is proposed.


2019 ◽  
Vol 184 (7-8) ◽  
pp. e281-e287
Author(s):  
Caitlin E Mahon ◽  
Benjamin J Darter ◽  
Christopher L Dearth ◽  
Brad D Hendershot

Abstract Introduction Temporal-spatial symmetry allows for optimal metabolic economy in unimpaired human gait. The gait of individuals with unilateral transfemoral amputation is characterized by temporal-spatial asymmetries and greater metabolic energy expenditure. The objective of this study was to determine whether temporal-spatial asymmetries account for greater metabolic energy expenditure in individuals with unilateral transfemoral amputation. Materials and Methods The relationship between temporal-spatial gait asymmetry and metabolic economy (metabolic power normalized by walking speed) was retrospectively examined in eighteen individuals with transfemoral amputation walking at a self-selected velocity overground. Pearson’s product-moment correlations were used to assess the relationship between: (1) step time symmetry and metabolic economy and (2) step length symmetry and metabolic economy. The retrospective analysis of this data was approved by the Walter Reed National Military Medical Center Institutional Review Board and all individuals provided written consent. Additional insights on this relationship are presented through a case series describing the temporal-spatial and metabolic responses of two individuals with transfemoral amputation who completed a split-belt treadmill walking test. Results For the cohort of individuals, there was no significant relationship between metabolic economy and either step time asymmetry or step length asymmetry. However, the case series showed a positive relationship between step length asymmetry and metabolic power as participants adapted to split-belt treadmill walking. Conclusion There is mixed evidence for the relationship between temporal-spatial asymmetries and metabolic energy expenditure. This preliminary study may suggest optimal metabolic energy expenditure in individuals with transfemoral amputation occurs at an individualized level of symmetry and resultant deviations incur a metabolic penalty. The results of this study support the idea that addressing only temporal-spatial gait asymmetries in individuals with transfemoral amputation through rehabilitation may not improve metabolic economy. Nevertheless, future prospective research is necessary to confirm these results and implications for clinical practice.


2011 ◽  
Vol 278 (1718) ◽  
pp. 2654-2661 ◽  
Author(s):  
R. L. Nudds ◽  
L. P. Folkow ◽  
J. J. Lees ◽  
P. G. Tickle ◽  
K.-A. Stokkan ◽  
...  

Svalbard rock ptarmigans were walked and run upon a treadmill and their energy expenditure measured using respirometry. The ptarmigan used three different gaits: a walking gait at slow speeds (less than or equal to 0.75 m s −1 ), grounded running at intermediate speeds (0.75 m s −1 < U < 1.67 m s −1 ) and aerial running at high speeds (greater than or equal to 1.67 m s −1 ). Changes of gait were associated with reductions in the gross cost of transport (COT; J kg −1 m −1 ), providing the first evidence for energy savings with gait change in a small crouched-postured vertebrate. In addition, for the first time (excluding humans) a decrease in absolute metabolic energy expenditure (rate of O 2 consumption) in aerial running when compared with grounded running was identified. The COT versus U curve varies between species and the COT was cheaper during aerial running than grounded running, posing the question of why grounded running should be used at all. Existing explanations (e.g. stability during running over rocky terrain) amount to just so stories with no current evidence to support them. It may be that grounded running is just an artefact of treadmill studies. Research investigating the speeds used by animals in the field is sorely needed.


1969 ◽  
Vol 47 (4) ◽  
pp. 471-481 ◽  
Author(s):  
Michael Aleksiuk ◽  
Ian McTaggart Cowan

The beaver (Castor canadensis Kuhl) is subjected to a seasonally fluctuating energy regime in the northern portion of its distribution. During the summer the animal has free access to an abundant food supply in the form of growing plant material, while the winter food supply is limited to a store of cached saplings. The summer and winter periods are 4 and 8 months long respectively.In the Mackenzie Delta. Northwest Territories, growth was found to be rapid in the summer and absent in the winter, A winter weight loss characterized immature animals. Fat was deposited in the autumn, maintained during the winter, and mobilized in the spring. Animals were lean during the summer. Thyroid gland weights were high in the summer and low in the winter. It was concluded from these data that metabolic energy expenditure is high during the summer and low during the winter. This annual pattern is an inherent property of northern beavers. The adaptive significance of the pattern. is believed to be that energy expenditure is attuned to environmental energy availability.


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