DOI QR코드

DOI QR Code

Development of the Active Ankle Foot Orthosis to Induce the Normal Gait for the Paralysis Patients

마비 환자의 정상적 보행을 위한 능동형 단하지 보조기 개발

  • Hwang, Sung-Jae (Department of Biomedical Engineering, Yonsei University) ;
  • Kim, Jung-Yoon (Department of Biomedical Engineering, Yonsei University) ;
  • Hwang, Seon-Hong (Department of Biomedical Engineering, Yonsei University) ;
  • Park, Sun-Woo (Department of Biomedical Engineering, Yonsei University) ;
  • Yi, Jin-Bock (Department of Biomedical Engineering, Yonsei University) ;
  • Kim, Young-Ho (Department of Biomedical Engineering, Yonsei University,Institute of Medical Engineering, Yonsei University)
  • 황성재 (연세대학교 의공학과) ;
  • 김정윤 (연세대학교 의공학과) ;
  • 황선홍 (연세대학교 의공학과) ;
  • 박선우 (연세대학교 의공학과) ;
  • 이진복 (연세대학교 의공학과) ;
  • 김영호 (연세대학교 의공학과,연세의료공학연구원)
  • Published : 2007.05.31

Abstract

In this study, we developed an active ankle-foot orthosis(AAFO) which can control dorsi/ plantar flexion of the ankle joint to prevent foot drop and toe drag during walking. 3D gait analyses were performed on five healthy subjects under three different gait conditions: the normal gait without AFO, the SAFO gait with the conventional plastic AFO, and the AAFO gait with the developed AFO. As a result, the developed AAFO preeminently induced the normal gait compared to the SAFO. Additionally, AAFO prevented foot drop by proper plantarflexion during loading response and provided enough plantarflexion moment as a driving force to walk forward by sufficient push-off during pre-swing. AAFO also could prevent toe drag by proper dorsiflexion during swing phase. These results indicate that the developed AAFO may have more clinical benefits to treat foot drop and toe drag, compared to conventional AFOs, and also may be useful in patients with other orthotic devices.

Keywords

References

  1. 김연희, 장인수, 김봉옥, 편마비 환자에서 Plastic Ankle Foot Orthosis (AFO)의 사용, 대한재활의학회지, 8권, 50-54, 1984
  2. Ahn, S. C., Development and Evaluation of an Active Ankle-Foot Orthosis for the Prevention of Foot Drop, MSc Thesis, Yonsei univ., 9-13, 2005
  3. Ahn, S. C., Hwang, S. J., Kang, S. J. and Kim, Y. H., Development of a portable gait phase detection system for patients with gait disorders, J. Biomed. Eng. Res., 26(3), 145-150, 2005
  4. Bohannon, R. W., Walking after stroke: comfortable versus maximal safe speed, Int Rehab Research, 15, 246-248, 1992 https://doi.org/10.1097/00004356-199209000-00009
  5. Burridge, J. H., Taylor, P. N., Hagan, S. A., Wood, D. E. and Swain, I. D., The effects of common peroneal stimulation on the effort and speed of walking, A randomized controlled trial with chronic hemiplegic patients, Clin Rehab, 11, 111-121, 1997
  6. Burridge, J. H., Wood, D. E., Taylor P. N. and McLellan D. L., Indices to describe different muscle activation patterns, identified during treadmill walking, in people with spastic drop-foot, Medical Eng and Phys, 23, 427-434, 2001 https://doi.org/10.1016/S1350-4533(01)00061-3
  7. Carlson, W. E., Vaughar, C. L., Damiano, D. L. and Abel, M. F., Orthotic management of gait in spastic diplegia, Amer J Phys Rehab, 76, 219-225, 1997 https://doi.org/10.1097/00002060-199705000-00012
  8. Carr, J. H., Shepherd R. B., Nordholm, L. and Lynne, D., Investigation of a new motor assessment scale for strike patients, Arch Phys Med Rehabil, 65, 175-180, 1985
  9. Lehmann, J. F., Condon, M., de Lateur, B. J. and Price, R., Gait abnormalities in peroneal nerve paralysis and their corrections by orthosis: A biomechanical study, Arch Phys Med Rehab, 67, 380-386, 1986
  10. Sackley, C. M., Baguley, B. I., Gent, S. and Hodson, P., The use of a balance performance monitor in the treatment after stroke, Physiother, 78, 907-913, 1992 https://doi.org/10.1016/S0031-9406(10)60498-1
  11. Winter D. A., Biomechanics and Motor Control of Human Movement, $2^{nd}$ ed. Wiley-Interscience Publication, 1990

Cited by

  1. The effects of a powered ankle exoskeleton for plantarflexion torque assistance for the elderly vol.14, pp.2, 2013, https://doi.org/10.1007/s12541-013-0042-x