• Title/Summary/Keyword: Amputees

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Effect of Eversion Characteristics on Knee and Ankle Joint of Trans-tibial Amputees (인공의족의 외반 특성이 하퇴절단자의 무릎과 발목에 미치는 영향)

  • Bae, Tae-Soo;Chang, Yun-Hee;Kim, Shin-Ki;Mun, Mu-Seung
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.33 no.9
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    • pp.886-891
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    • 2009
  • One of the important functions of prosthetic foot is the foot inversion-eversion which is so important when walking on uneven surfaces. The aim of our study was to evaluate the effect of foot eversion angle especially on knee and ankle joint for transtibial amputees by motion analysis. The experimental data were collected from three transtibial amputees and then ten healthy individuals. To simulate walking on side sloping ground, we used custom-made slope (5, 10, 15 degrees). Motion analysis was performed by 3-dimensional motion analyzer for 6 dynamic prosthetic feet. The results showed that knee abduction moments of amputated leg were decreased but those of sound leg were mainly increased as foot eversion angle increased. And ankle abduction moments of sound leg were inconsistent in magnitude and tendency between control and experimental group. Therefore foot eversioncharacteristics should be considered to develop advanced prosthetic foot.

Design and Analysis of a Wrist Rotation Module Prototype for Partial Hand Amputees: Effects on Upper Limb Movement (부분 손 절단자를 위한 프로토 타입의 손목 회전 모듈 디자인 제안과 상지 움직임의 영향 분석)

  • Seoyoung Choi;Wonwoo Cho;Keehoon Kim
    • The Journal of Korea Robotics Society
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    • v.18 no.4
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    • pp.367-375
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    • 2023
  • Most partial hand amputees experience limited wrist movement, which hinders the efficient functioning of upper limb, affecting hand-to-use coordination and the usability of the prosthetic hand. This limitation can lead to secondary musculoskeletal issues due to repetitive compensatory movement patterns. However, current partial hand prosthetic lack rotational wrist movement due to challenges in accommodating various hand shapes and limited space. In our study, we proposed a prosthetic hand with a wrist rotation module for partial hand amputees, aiming to reduce compensatory movement. To validate the proposed wrist rotation module, we conducted motion analysis during reach-to-grasp task. Furthermore, during the Jebsen-Taylor hand function test, we evaluated both the effect on upper limb movement and the usability of the prosthetic hand, comparing configurations with and without the wrist rotation module. The results showed that the prosthetic hand equipped with rotational wrist movements reduces compensatory movements and promotes efficient upper limb movement patterns. This finding highlights the value of incorporating a wrist rotation module in prosthetic hands to improve upper limb movement for partial hand amputees.

Analysis of Joint Moment in the Intact Limb With Uni-Transfemoral Amputee During Level Walking (편측 대퇴절단자의 보행 시 건측 하지 관절 모멘트 분석)

  • Chang, Yun-Hee;Lee, Wan-Hee
    • Physical Therapy Korea
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    • v.15 no.2
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    • pp.64-72
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    • 2008
  • The purpose of this study was to determine the differences in joint moment in the intact limb of uni-transfemoral amputees and to identify the implications of knee osteoarthritis. As an experimental method, three-dimensional gait analysis was performed on 10 uni-transfemoral amputees and 10 healthy males. Kinematics and kinetics at the hip, knee, and ankle joint were calculated. As a statistical method, independent t-tests were conducted to perform a comparison between the transfemoral amputee group and the control group. The results showed that the external knee adduction moment increased in the transfemoral amputee group (.22 Nm/kg) compared with that of the control group (.13 Nm/kg) at terminal stance (p=.008). External knee flexion moment also increased in the transfemoral amputee group (.24 Nm/kg) but this difference was not statistically significant. External hip flexion moment increased in the transfemoral amputee group (1.35 Nm/kg) compared with that of the control group (.45 Nm/kg) at initial stance, and external hip extension moment decreased in the transfemoral amputee group (-.26 Nm/kg) compared with that of the control group (-.76 Nm/kg) at terminal stance. Although external ankle plantarflexion moment of the transfemoral amputee group increased, it was not found to be statistically significant. The results suggest that the intact limb joint moment of the uni-transfemoral amputees during walking can be different from that of healthy subjects. In conclusion, it was found that there is a link between the increase of external knee adduction moment and the prevalence of knee osteoarthritis in uni-transfemoral amputees. This result is expected to provide some objective data for rehabilitation programs related to knee osteoarthritis in transfemoral amputees.

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The Reliability of the K-PEQ(Korean Prosthesis Evaluation Questionnaire) in Lower Extremity Amputees (절단장애인을 위한 한국어 의지평가 설문지의 신뢰도)

  • Seong, Woo-Sung;Kim, Jang-Hwan;Jeong, Dong-Hun
    • Journal of Digital Contents Society
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    • v.19 no.7
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    • pp.1405-1412
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    • 2018
  • Korean-PEQ (prosthesis evaluation questionnaire) was developed and verified its validity research but, evaluating its reliability applied to the lower extremity amputees have not been conducted. The aim of this study was to apply the Korean-PEQ for lower extremity amputees to evaluate the reliability. As a result, all of the items responding of Korean-PEQ shown to less than 15% ceiling effect and floor effect. therefore, the results were shown to be appropriate. Korean-PEQ reliability of each region of intra-class coefficient was shown to .719(95% CI .600~.811)~920(95%CI .890~.945) and the inter-region reliability was higher as 0.958. Item internal consistency Cronbach's ${\alpha}$ values are shown as higher .910.

A Study of the Myoelectronic Hand for a Hand Amputee (상지절단 장애인용 전동의수에 관한 연구)

  • Kim, Myung-Hoe;Jang, Dae-Jin
    • Journal of Korean Physical Therapy Science
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    • v.9 no.2
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    • pp.133-141
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    • 2002
  • This purpose of this study was to design the effect of recovering of a hand amputees by Myoelectronic hand. It was designed with 2 degree of freedom in the laboratory. Myoelectronic hand had only one degree of freedom and one movement until now. Also this myoelectronic hand had multi-joint and it could move widely. Wire was used in transmission. Myoelectronic hand data was obtained by analyzing hand anatomically and measuring and that data was applied when it was designed. PID controller of Myoelectronic hand was used to it. Displacement control was applied the first link. Experiment was accomplished in Tip grasp, Power grasp and Hook grasp modes. Displacement control was good in low frequency. Velocity control was applied to each mode. The objective of the study was to develop more better multifunction myoelectronic control strategies. A myoelectronic hand with a hand amputees could do some jobs such as grasping materials, lifting weighting, holding cup and etc. As a result of this study, all subjects with hand amputees significantly improved in ADL. Further studies were needed to evaluate the effect of a myoelectronic hand with more precise laboratory equipment.

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A Musculoskeletal Model for Biomechanical Analysis of Transfemoral Amputees Climbing Stairs

  • Bae, Tae-Soo;Kim, Shin-Ki;Mun, Mu-Seong
    • International Journal of Precision Engineering and Manufacturing
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    • v.9 no.1
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    • pp.30-33
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    • 2008
  • Understanding the characteristics of amputee gait is key in developing more advanced prostheses. The aim of this study was to quantitatively analyze a stair-climbing task for transfemoral amputees with a prosthesis and to predict the muscle forces and joint moments at musculoskeletal joints using a dynamic analysis. A three-dimensional musculoskeletal model of the lower extremities was constructed from a gait analysis using transformation software for two transfemoral amputees and ten healthy people. The measured ground reaction forces and kinematical data of each joint from the gait analysis were used as input data for an inverse dynamic analysis. Dynamic analyses of an transfemoral amputee climbing stairs were performed using musculoskeletal models. The results showed that the summed muscle forces of the hip extensor of an amputated leg were greater than those of a sound leg. The opposite was true at the hip abductor and knee flexor of an amputated leg. We also found that higher moments at the hip and knee joints of the sound leg were required to overcome the flexion moment caused by the body weight and amputated leg. Dynamic analyses using musculoskeletal models may be a useful means to predict muscle forces and joint moments for specific motion tasks related to rehabilitation therapy.

Biomechanical Effect on Knee Adduction Moment by Lateral Wedge Insole in Transfemoral Amputee (외측웨지인솔이 대퇴절단자의 무릎내전모멘트에 미치는 영향)

  • Chang, Yun-Hee;Lee, Wan-Hee
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.2
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    • pp.239-244
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    • 2012
  • The prevalence of knee osteoarthritis was higher people with lower limb amputation. This was identified that transfemoral amputees have a greater external knee adduction moment than ablebodied subjects by biomechanical studies. Therefore, they need rehabilitative intervention for prevention and reduction of knee osteoarthritis. The purpose of this study was to determine the effect of lateral wedge insole used in the treatment of knee osteoarthritis. This study was participated in fourteen unilateral transfemoral amputees and we were analyzed the difference gait variables between without lateral wedge insole and with $5^{\circ}$ and $10^{\circ}$ lateral wedge insole during gait. Our results showed that step length ratio was more symmetrical and, hip adduction and ankle inversion angle were more close to normal value, and knee adduction moment was decreased as the wedge angle increases. We proposed that these data would be utilized conservative treatment of knee osteoarthritis in lower limb amputees.

Comparisons of Kinematic Factors and Stiffnesses of the Lower-limb Joints between Transfemoral Amputees and Normal Adults (대퇴절단자와 정상인 걸음걸이의 운동학적 요인과 발목관절 강성 비교)

  • Yi, Jae-Hoon;Lee, Jung-Ho;Hah, Chong-Ku
    • Korean Journal of Applied Biomechanics
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    • v.23 no.1
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    • pp.77-83
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    • 2013
  • The purpose of this study was to compare kinematic variables and stiffnesses of ankle joints between normal person and transfemoral amputee gait in order to develop or fit prosthetic leg. Twenty subjects (ten normal persons and ten transfemoral amputees) participated in this experiment, and walked three trials at a self-selected pace. The gait motions were captured with Vicon system and variables were calculated with Visual-3D. The velocity, stride length, stride width, cycle time, double limb support time and right swing time of gaits were statistically significant. Because coefficients of variability of normal persons on velocity, double limb support time and swing time were greater than transfemoral amputees, normal persons controlled these gait variables effectively. The stiffnesses of ankle joints were not statistically significant, but patterns of stiffnesses of ankle joints during three rockers were absolutely different. The negative correlations between stiffnesses of ankle joints and cycle time and swing time were presented. These differences suggest that developing and fitting prosthetic leg were demanded. Further studies should develop fitting program and simulator of prosthetic leg.