Evaluating the Effect of an Amputee’s Physical Parameters of Pressure on a Lower-Limb Prosthetic Socket Using a Fuzzy-Logic-Based Model

2020 ◽  
pp. 167-189
Author(s):  
Vimal Kumar Pathak ◽  
Chitresh Nayak ◽  
Deepak Rajendra Unune
2018 ◽  
Vol 43 (1) ◽  
pp. 80-87 ◽  
Author(s):  
Robert Gailey ◽  
Anat Kristal ◽  
Jennifer Lucarevic ◽  
Shane Harris ◽  
Brooks Applegate ◽  
...  

Background: Prosthetic socket fit is an important element associated with successful ambulation and use of a prosthesis. Prosthetists and rehabilitation clinicians would benefit from an assessment tool that discriminates between and quantifies the multiple determinants that influence the lower limb amputee’s performance and satisfaction of a prosthetic socket. Objectives: To determine the internal consistency of the comprehensive lower limb amputee socket survey, a new self-report measure of prosthetic socket satisfaction that quantifies suspension, stability, comfort, and appearance. Study design: Cross-sectional sample of active amputees. Methods: Interviews were conducted with prosthetists, physical therapists, and lower limb amputees to identify clinical concerns and common activities influencing socket fit. An expert panel of five clinicians reviewed the items and constructed the original version of the comprehensive lower limb amputee socket survey which was then administered to a convenience sample of 47 active lower limb amputees. Item analysis and Cronbach’s alpha were used to determine the final version of the comprehensive lower limb amputee socket survey. Results: Following item raw score-to-total score correlation with Cronbach’s alpha for comprehensive lower limb amputee socket survey determinants, internal consistency improved when nine questions were eliminated. Conclusion: The comprehensive lower limb amputee socket survey is a self-report measure of prosthetic socket satisfaction with very good internal consistency. Clinical relevance When socket problems occur, the ability to determine the specific cause can reduce modification time, enhance socket fit, and promote patient satisfaction. A standardized multi-dimensional assessment measure of socket satisfaction enables prosthetists to quantify the multiple determinants of socket satisfaction, improve patient communication, and demonstrate the value of socket interventions.


2021 ◽  
Author(s):  
Florence M Mbithi ◽  
Joshua Steer ◽  
Andrew J Chipperfield ◽  
Alexander Dickinson

Purpose: To perform activities of daily living (ADL), people with lower limb amputation depend on the prosthetic socket for stability and proprioceptive feedback. Poorly fitting sockets can cause discomfort, pain, limb tissue injuries, limited device usage, and potential rejection. Semi-passively controlled adjustable socket technologies exist, but these depend upon the user’s perception to determine safe interfacial pressure levels. This paper presents a framework for automatic control of an adjustable transtibial prosthetic socket that enables active adaptation of residuum-socket interfacial loading through localized actuators, based on soft tissue injury risk estimation. Method: Using finite element analysis, local interfacial pressure vs. compressive tissue strain relationships were estimated for three anatomical actuator locations, for tissue injury risk assessment within a control structure. Generalized Predictive Control of multiple actuators was implemented to maintain interfacial pressure within estimated safe and functional limits. Results: Controller simulation predicted satisfactory dynamic performance in several scenarios, based on previous related studies. Actuation rates of 0.06 – 1.51kPa/s with 0.67% maximum overshoot, and 0.75 – 1.58kPa/s were estimated for continuous walking, and for a demonstrative loading sequence of ADL, respectively. Conclusion: The developed platform could be useful for extending recent efforts in adjustable lower limb prosthetic socket design, particularly for individuals with residuum sensory impairment.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250466
Author(s):  
Fahd Saeed Alakbari ◽  
Mysara Eissa Mohyaldinn ◽  
Mohammed Abdalla Ayoub ◽  
Ali Samer Muhsan ◽  
Ibnelwaleed A. Hussein

Sand management is essential for enhancing the production in oil and gas reservoirs. The critical total drawdown (CTD) is used as a reliable indicator of the onset of sand production; hence, its accurate prediction is very important. There are many published CTD prediction correlations in literature. However, the accuracy of most of these models is questionable. Therefore, further improvement in CTD prediction is needed for more effective and successful sand control. This article presents a robust and accurate fuzzy logic (FL) model for predicting the CTD. Literature on 23 wells of the North Adriatic Sea was used to develop the model. The used data were split into 70% training sets and 30% testing sets. Trend analysis was conducted to verify that the developed model follows the correct physical behavior trends of the input parameters. Some statistical analyses were performed to check the model’s reliability and accuracy as compared to the published correlations. The results demonstrated that the proposed FL model substantially outperforms the current published correlations and shows higher prediction accuracy. These results were verified using the highest correlation coefficient, the lowest average absolute percent relative error (AAPRE), the lowest maximum error (max. AAPRE), the lowest standard deviation (SD), and the lowest root mean square error (RMSE). Results showed that the lowest AAPRE is 8.6%, whereas the highest correlation coefficient is 0.9947. These values of AAPRE (<10%) indicate that the FL model could predicts the CTD more accurately than other published models (>20% AAPRE). Moreover, further analysis indicated the robustness of the FL model, because it follows the trends of all physical parameters affecting the CTD.


Author(s):  
Andrea Vitali ◽  
Daniele Regazzoni ◽  
Caterina Rizzi ◽  
Giorgio Colombo

Additive Manufacturing (AM) is not only an innovative approach of fabrication but it fosters a new paradigm to design products. The possibility to confer inhomogeneous properties to the product provides an important design key. This paper concerns the design and manufacture of medical devices that require a high level of customization. We focus the attention on lower limb prosthesis and in particular on the prosthetic socket. The proposed method is centered on the virtual modeling of patient’s residual limb and the virtual process is highly integrated and the data flow is as fluid as possible. Three main phases can be identified: design, validation and manufacture of the socket. Firstly, the technician uses the Socket Modeling Assistant (SMA) tool to design the socket shape. Then, a numerical simulation is run to check pressure distribution and validate the socket shape. Finally, a multi-material 3D printer is used to build the socket. Preliminary results are presented and conclusions are drawn concerning the challenge of multi-material 3D printing of the socket.


2018 ◽  
Vol 18 (08) ◽  
pp. 1840024
Author(s):  
MONAN WANG ◽  
RONGPENG LI ◽  
JUNTONG JING

Living body or corpse could be replaced with the virtual human tissue model for biomechanical experimental study, which effectively avoids the non-reusability, great social controversy, huge costs and difficulty in extracting parameters, and finally, the accurate analysis results are obtained. Unlike the previous lower limb models, the finite element models of hip and thigh were established based on the concept of muscle group in this paper. The cortical bones of hip bone and femur were set as *MAT_PIECEWISE_LINEAR_ PLASTICITY. The material of cancellous bone was set as *MAT_ELASTIC_PLASTIC_ WITH_DAMAGE_FAILURE. The material of articular cartilage was set as *MAT_ISOTROPIC_ELASTIC. The materials of muscle and fat were set as *MAT_VISCOELASTIC. The accuracy of the finite element model was verified by dynamic three-point bending experiment of the thighs. Mechanical simulation was carried out to the stump-prosthetic socket and the comfort of socks by the established model. The simulation results were all between the upper and lower bounds of the experimental results in the dynamic three-point bending experiment of the thighs where the loads were separately applied to one-third of the distal end of thighs and the middle part of thighs. The simulation results of the stump-prosthetic socket example show that the optimal elastic modulus of silicone pad is 2.5[Formula: see text]MPa. Simulation results of socks comfort show that the distribution of stress and deformation of the anterior and posterior thighs is different when the human lower limbs are in stockings. The established simulation model meets the accuracy requirement and can replace the living body or corpse to carry out biomechanical experimental study. The finite element simulation results converge, and the time to complete a finite element calculation is less than or equal to 10[Formula: see text]min.


2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Mohammad Reza Safari ◽  
Philip Rowe ◽  
Arjan Buis

Lower limb prosthetic socket shape and volume consistency can be quantified using MRI technology. Additionally, MRI images of the residual limb could be used as an input data for CAD-CAM technology and finite element studies. However, the accuracy of MRI when socket casting materials are used has to be defined. A number of six, 46 mm thick, cross-sections of an animal leg were used. Three specimens were wrapped with Plaster of Paris (POP) and the other three with commercially available silicone interface liner. Data was obtained by utilising MRI technology and then the segmented images compared to corresponding calliper measurement, photographic imaging, and water suspension techniques. The MRI measurement results were strongly correlated with actual diameter, surface area, and volume measurements. The results show that the selected scanning parameters and the semiautomatic segmentation method are adequate enough, considering the limit of clinical meaningful shape and volume fluctuation, for residual limb volume and the cross-sectional surface area measurements.


2005 ◽  
Vol 2004.17 (0) ◽  
pp. 93-94 ◽  
Author(s):  
Hiroshi OCHIAI ◽  
Tomohiko KIHARA ◽  
Hiroshi OTSUKA ◽  
Hiroyuki KOYAMA ◽  
Shin-ichiroh YAMAMOTO ◽  
...  

2020 ◽  
pp. 1-19
Author(s):  
Cezary Kulis ◽  
Jarosław Müller

The aim of the research was to design and validate the prototype of a device developed to improve the quality of indoor air by supporting the natural ventilation in building. A CO2 sensor and thermo-hygrometer were used to measure the physical parameters of the indoor air. The developed device is based on the Raspberry Pi single-board-computer (SBC) and optical sensors. The prototype casing was made using 3D printing technology. The software was written using the Python 2.7 programming language. The key algorithm of control uses fuzzy logic. The effectiveness of the developed device has been confirmed. The use of the device enabled improvement of the indoor air quality. The presented device may be a solution to improve the indoor air quality by supporting the ventilation system.


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