Evaluation of Kinematic Data and Energy Consumption of Domestic Swing and Stance Phase Control Knee Assembly

OBJECTIVE: This study aimed to evaluate the kinematic data and energy consumption of domestic swing and stance phase (SNS) control knee assembly in transfemoral amputees. METHOD: Five male transfemoral amputees took prosthetic training of more than one week and evaluated with random applying 3 types of knee assembly; mechanical type, pneumatic type, and domestic SNS type. Kinematic data was obtained by the VICON 370 system (Oxford Metrics Ltd., UK.). Energy consumption was measured using a KB1-C (Aerosport Inc, U.S.A). RESULTS: Domestic SNS type showed a significantly increased walking speed, cadence and step length compared with mechanical type and pneumatic type (p<0.05). Domestic SNS type showed a significantly increased maximal hip flexion and extension compared with mechanical type and pneumatic type (p<0.05). Domestic SNS type showed decreased peak knee flexion at swing phase and significantly increased peak knee extension at stance phase compard with mechanical type and pneumatic type (p<0.05). In energy consumption, the domestic SNS type tended to show a lower O2 cost and faster walking speed than the mechanical type and pneumatic type at free-walking. CONCLUSION: We concluded the domestic SNS type had more tendency toward a normal gait pattern and lower energy consumption compared with mechanical type and pneumatic type.

A Study on the Effect of Degree of Freedom of Ankle Motion on Gait of Transfemoral Amputees with SNS Control Prosthesis / 대한정형외과연구학회지

Using three different types of the ankle joint, i.e., the fixed, single-axis, and multi axis type, the gait characteristics of transfemoral amputees were investigated to understand the biomechanics of ankle joint motion during gait of transfemoral amputees with a SNS (swing and stance phase) control prosthesis controlling the flexion-extension of knee in the stance phase unlike conventional swing control prostheses. The socket pressure was measured to explain the resulting gait characteristic of the transfemoral amputees for different ankle joint components. Based on the results from the gait characteristics, socket pressure, knee flexion-extension behavior, and ground reaction vector, the fixed type ankle joint could be considered as the most appropriate ankle joint for the transfemoral amputees using the SNS control prosthesis.

A Study on the Effect of Degree of Freedom of Ankle Motion on Gait of Transfemoral Amputees with SNS Control Prosthesis / 대한정형외과연구학회지

Using three different types of the ankle joint, i.e., the fixed, single-axis, and multi axis type, the gait characteristics of transfemoral amputees were investigated to understand the biomechanics of ankle joint motion during gait of transfemoral amputees with a SNS (swing and stance phase) control prosthesis controlling the flexion-extension of knee in the stance phase unlike conventional swing control prostheses. The socket pressure was measured to explain the resulting gait characteristic of the transfemoral amputees for different ankle joint components. Based on the results from the gait characteristics, socket pressure, knee flexion-extension behavior, and ground reaction vector, the fixed type ankle joint could be considered as the most appropriate ankle joint for the transfemoral amputees using the SNS control prosthesis.