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J Biomech Eng ; 138(12)2016 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-27429248

RESUMO

Our research aims to design low-cost, high-performance, passive prosthetic knees for developing countries. In this study, we determine optimal stiffness, damping, and engagement parameters for a low-cost, passive prosthetic knee that consists of simple mechanical elements and may enable users to walk with the normative kinematics of able-bodied humans. Knee joint power was analyzed to divide gait into energy-based phases and select mechanical components for each phase. The behavior of each component was described with a polynomial function, and the coefficients and polynomial order of each function were optimized to reproduce the knee moments required for normative kinematics of able-bodied humans. Sensitivity of coefficients to prosthesis mass was also investigated. The knee moments required for prosthesis users to walk with able-bodied normative kinematics were accurately reproduced with a mechanical system consisting of a linear spring, two constant-friction dampers, and three clutches (R2=0.90 for a typical prosthetic leg). Alterations in upper leg, lower leg, and foot mass had a large influence on optimal coefficients, changing damping coefficients by up to 180%. Critical results are reported through parametric illustrations that can be used by designers of prostheses to select optimal components for a prosthetic knee based on the inertial properties of the amputee and his or her prosthetic leg.


Assuntos
Aceleração , Cotos de Amputação/fisiopatologia , Cotos de Amputação/cirurgia , Membros Artificiais , Marcha , Articulação do Joelho/fisiopatologia , Prótese do Joelho , Amputados/reabilitação , Simulação por Computador , Desenho Assistido por Computador , Módulo de Elasticidade , Desenho de Equipamento , Análise de Falha de Equipamento , Fricção , Modelos Biológicos , Viscosidade
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