Prosthesis Design for Bilateral Hip Disarticulation Management

2014 ◽  
Vol 664 ◽  
pp. 423-428
Author(s):  
Mauricio Plaza Torres ◽  
William Aperador

Hip disarticulation is an amputation through the hip joint capsule, removing the entire lower extremity, with closure of the remaining musculature over the exposed acetabulum. Tumors of the distal and proximal femur were treated by total femur resection; a hip disarticulation sometimes is performance for massive trauma with crush injuries to the lower extremity. This article discusses the design a system for rehabilitation of a patient with bilateral hip disarticulations. The prosthetics designed allowed the patient to do natural gait suspended between parallel articulate crutches with the body weight support between the crutches. The care of this patient was a challenge due to bilateral amputations at such a high level and the special needs of a patient mobility.

2018 ◽  
Vol 99 (3) ◽  
pp. 258-265
Author(s):  
Carol A Miller ◽  
Dawn M Hayes ◽  
Bailey E Brooks ◽  
Katie Y Sloan ◽  
Phillip G Sloan

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Zhendong Song ◽  
Wei Chen ◽  
Wenbing Wang ◽  
Guoqing Zhang

This paper proposes a body weight support (BWS) system with a series elastic actuator (SEA) to facilitate walking assistance and motor relearning during gait rehabilitation. This system comprises the following: a mobile platform that ensures movement of the system on the ground, a BWS mechanism with an SEA that is capable of providing the desired unloading force, and a pelvic brace to smooth the pelvis motions. The control of the body weight support is realized by an active weight-offload method, and a dynamic model of the BWS system with offload mass of a human is conducted to simulate the control process and optimize the parameters. Preliminary results demonstrate that the BWS system can provide the desired support force and vertical motion of the pelvis.


2016 ◽  
Vol 32 (1) ◽  
pp. 69-77 ◽  
Author(s):  
Audrey R.C. Elias ◽  
Curt D. Hammill ◽  
Ryan L. Mizner

Though essential to athletic performance, the ability to land from a jump often remains limited following injury. While recommended, jump training is difficult to include in rehabilitation programs due to high impact forces. Body weight support (BWS) is frequently used in rehabilitation of gait following neurological and orthopedic injury, and may also allow improved rehabilitation of high-impact tasks. There is a differential effect of BWS on walking and running gaits, and the effect of BWS on movements with relatively large vertical displacement is unknown. The current study evaluates the effect of BWS on a replicable singleleg hopping task. We posited that progressive BWS would decrease limb loading while maintaining the joint kinematics of the task. Twenty-eight participants repetitively hopped on and off a box at each of four BWS levels. Peak vertical ground reaction forces decreased by 22.5% between 0% and 30% BWS (P < .001). Average hip, knee, and ankle internal moments decreased by 0.5 N·m/kg each. Slight kinematic changes across BWS levels were clinically insignificant. The high level of task specificity evidenced by consistent kinematics coupled with a similar reduction of internal moment at each joint suggests that BWS may be a useful strategy for rehabilitation of jumping tasks.


2015 ◽  
Vol 1765 ◽  
pp. 45-50
Author(s):  
Ing. Mauricio Plaza Torres ◽  
Ing. William Aperador

ABSTRACTTumors of the distal and proximal femur are treated by total femur resection. A hip disarticulation sometimes is a result of massive trauma with crush injuries to the lower extremity. This article discusses a system designed for patient rehabilitation with bilateral hip disarticulations. The prosthetics designed allowed a patient to attain natural gait suspended between parallel articulate crutches with the body weight supported between the crutches. The design is patent pending and it could be used in people with a simple ankle sprain, people with partial immobilizations in inferior members, or people with bilateral hip disarticulation. The final design system allows patients with bilateral hip replacement or partial immobilizations to attain mobility in a natural way.


2014 ◽  
Vol 30 (4) ◽  
pp. 290-295 ◽  
Author(s):  
Lissa Lumi Takano ◽  
Hércules Ribeiro Leite ◽  
Ana Lucia Rosso ◽  
Maurice Vincent ◽  
Clynton Lourenço Corrêa

2020 ◽  
Vol 10 (13) ◽  
pp. 4685
Author(s):  
Van-Thuc Tran ◽  
Kota Sasaki ◽  
Shin-ichiroh Yamamoto

In recent years, the Body Weight Support system has been considered to be an indispensable component in gait training systems, which be used to improve the ability to walk of hemiplegic, stroke, and spinal cord injury patients. Previous studies investigated the influence of the Body Weight Support system on gait parameters were based on the implementation with healthy subjects or patients with high assistance. Consequently, the influences of the Body Weight Support systems on gait rehabilitation in clinical practice are still unclear and need further investigation. In this study, we investigated the effects of the two Body Weight Support systems, the active body weight support system and the Counter Weight system, on an abnormal gait, which was generated by restriction of the right knee joint and 3 kg-weight on the right ankle joint. Both Body Weight Support systems improve the gait parameters of the abnormal gait such as the center of mass, the center of pressure, margin of stability, and step parameters. The active Body Weight Support system with the unloading force modulation showed more advanced and better behavior in comparison with the Counter Weight system. The results suggested the applicability of two Body Weight Support systems in clinical practice as a recovered gait intervention.


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