Continuous relative phases of walking with an articulated passive ankle-foot prosthesis in individuals with a unilateral transfemoral and transtibial amputation

Autor: Elke Lathouwers, Jean-Pierre Baeyens, Bruno Tassignon, Felipe Gomez, Pierre Cherelle, Romain Meeusen, Bram Vanderborght, Kevin De Pauw
Přispěvatelé: Human Physiology and Sports Physiotherapy Research Group, Brussels Heritage Lab, Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physical Therapy, Movement and Sport Sciences, Movement and Nutrition for Health and Performance, Informatics and Applied Informatics, International Relations and Mobility, Robotics & Multibody Mechanics Research Group, Applied Mechanics
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Biomedical engineering
ISSN: 1475-925X
Popis: Background A mechanical ankle–foot prosthesis (Talaris Demonstrator) was developed to improve prosthetic gait in people with a lower-limb amputation. This study aims to evaluate the Talaris Demonstrator (TD) during level walking by mapping coordination patterns based on the sagittal continuous relative phase (CRP). Methods Individuals with a unilateral transtibial amputation, transfemoral amputation and able-bodied individuals completed 6 minutes of treadmill walking in consecutive blocks of 2 minutes at self-selected (SS) speed, 75% SS speed and 125% SS speed. Lower extremity kinematics were captured and hip–knee and knee–ankle CRPs were calculated. Statistical non-parametric mapping was applied and statistical significance was set at 0.05. Results The hip–knee CRP at 75% SS walking speed with the TD was larger in the amputated limb of participants with a transfemoral amputation compared to able-bodied individuals at the beginning and end of the gait cycle (p = 0.009). In people with a transtibial amputation, the knee–ankle CRP at SS and 125% SS walking speeds with the TD were smaller in the amputated limb at the beginning of the gait cycle compared to able-bodied individuals (p = 0.014 and p = 0.014, respectively). Additionally, no significant differences were found between both prostheses. However, visual interpretation indicates a potential advantage of the TD over the individual's current prosthesis. Conclusion This study provides lower-limb coordination patterns in people with a lower-limb amputation and reveals a possible beneficial effect of the TD over the individuals’ current prosthesis. Future research should include a well-sampled investigation of the adaptation process combined with the prolonged effects of the TD.
Databáze: OpenAIRE