Developing an Analogue Residual Limb for Comparative DVC Analysis of Transtibial Prosthetic Socket Designs
| Autor: | Joshua Paton, Martin Browne, Alexander Marter, Peter Worsley, Kathryn E. Rankin, Mark Mavrogordato, Joshua Steer, Alexander Dickinson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
Digital image correlation Computer science medicine.medical_treatment 0206 medical engineering 02 engineering and technology micro-CT computer.software_genre Prosthesis Signal lcsh:Technology Article 03 medical and health sciences Voxel amputation medicine General Materials Science lcsh:Microscopy digital volume correlation lcsh:QC120-168.85 lcsh:QH201-278.5 lcsh:T Soft tissue equipment and supplies prosthetic DVC 020601 biomedical engineering body regions Noise lcsh:TA1-2040 lcsh:Descriptive and experimental mechanics lcsh:Electrical engineering. Electronics. Nuclear engineering 0305 other medical science Fiducial marker lcsh:Engineering (General). Civil engineering (General) computer lcsh:TK1-9971 Residual limb Biomedical engineering |
| Zdroj: | Materials, Vol 13, Iss 3955, p 3955 (2020) Materials Volume 13 Issue 18 |
| ISSN: | 1996-1944 |
| Popis: | Personalised prosthetic sockets are fabricated by expert clinicians in a skill- and experience-based process, with research providing tools to support evidence-based practice. We propose that digital volume correlation (DVC) may offer a deeper understanding of load transfer from prosthetic sockets into the residual limb, and tissue injury risk. This study&rsquo s aim was to develop a transtibial amputated limb analogue for volumetric strain estimation using DVC, evaluating its ability to distinguish between socket designs. A soft tissue analogue material was developed, comprising silicone elastomer and sand particles as fiducial markers for image correlation. The material was cast to form an analogue residual limb informed by an MRI scan of a person with transtibial amputation, for whom two polymer check sockets were produced by an expert prosthetist. The model was micro-CT scanned according to (i) an unloaded noise study protocol and (ii) a case study comparison between the two socket designs, loaded to represent two-legged stance. The scans were reconstructed to give 108 µ m voxels. The DVC noise study indicated a 64 vx subvolume and 50% overlap, giving better than 0.32% strain sensitivity, and ~3.5 mm spatial resolution of strain. Strain fields induced by the loaded sockets indicated tensile, compressive and shear strain magnitudes in the order of 10%, with a high signal:noise ratio enabling distinction between the two socket designs. DVC may not be applicable for socket design in the clinical setting, but does offer critical 3D strain information from which existing in vitro and in silico tools can be compared and validated to support the design and manufacture of prosthetic sockets, and enhance the biomechanical understanding of the load transfer between the limb and the prosthesis. |
| Databáze: | OpenAIRE |
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