Resting TcPO2 levels decrease during liner wear in persons with a transtibial amputation.

Background: In our clinic, a substantial number of patients present with transtibial residual limb pain of no specific somatic origin. Silicone liner induced tissue compression may reduce blood flow, possibly causing residual limb pain. Thus, as a first step we investigated if the liner itself has an effect on transcutaneous oxygen pressure (TcPO2).

Systematic review of effects of current transtibial prosthetic socket designs--Part 2: Quantitative outcomes.

This review is an attempt to untangle the complexity of transtibial prosthetic socket fit and perhaps find some indication of whether a particular prosthetic socket type might be best for a given situation. In addition, we identified knowledge gaps, thus providing direction for possible future research. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, using medical subject headings and standard key words to search for articles in relevant databases.

Systematic review of effects of current transtibial prosthetic socket designs-Part 1: Qualitative outcomes.

This review is an attempt to untangle the complexity of transtibial prosthetic socket fit, determine the most important characteristic for a successful fitting, and perhaps find some indication of whether a particular prosthetic socket type might be best for a given situation. Further, it is intended to provide directions for future research. We followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and used medical subject headings and standard key words to search for articles in relevant databases.

Development of inexpensive prosthetic feet for high-heeled shoes using simple shoe insole model.

The large majority of prosthetic feet are aimed at low-heeled shoes, with a few models allowing a heel height of up to 5 cm. However, a survey by the American Podiatric Medical Association indicates that most women wear heels over 5 cm; thus, current prosthetic feet limit most female prosthesis users in their choice. Some prosthetic foot components are heel-height adjustable; however, their plantar surface shapes do not change to match the insole shapes of the shoes with different heel heights.

Obstacle course: users' maneuverability and movement efficiency when using Otto Bock C-Leg, Otto Bock 3R60, and CaTech SNS prosthetic knee joints.

The performance and movement efficiency of prosthesis users while traversing a multisectional obstacle course (OC) were evaluated using a crossover design with random allocation of three prosthetic knee joints: the SNS (CaTech; Dayton, Ohio) the C-Leg (Otto Bock; Duderstadt, Germany), and the 3R60 (Otto Bock). Twelve users completed the OC twice with each joint, once without and once with a mental loading task (MLT). The performance was objectively assessed using time measurement from digital video recordings, and the Total Heart Beat Index was used to estimate movement efficiency.

Roll-over shapes of the ankle-foot and knee-ankle-foot systems of able-bodied children.

Background: The roll-over shape is the effective rocker shape that a lower limb system conforms to during a step. The roll-over shape concept has been explored in detail in adults and has been successfully used in the design, evaluation, and alignment of lower limb prostheses and orthoses. No such analysis exists for the pediatric population.

Net external energy of the biologic and prosthetic ankle during gait initiation.

The net external energy of the biologic human ankle joint and of some lower limb prosthetic ankle-foot systems was examined during gait initiation. The purpose of the study was to better understand the ankle's behavior during the acceleration phase of walking for use in the design of improved lower limb prostheses and orthoses. Quantitative gait data were collected from 10 able-bodied subjects and 10 persons with unilateral transtibial amputations during gait initiation.

Roll-over shapes of the able-bodied knee-ankle-foot system during gait initiation, steady-state walking, and gait termination.

A few investigators have described the movement of the center of pressure (COP) of the ground reaction force and the activation patterns of the lower limb muscles during gait initiation and termination. This study examines the effective rocker (roll-over shape) behavior of the knee-ankle-foot (KAF) system during gait initiation, steady-state walking (i.e.

The effects of prosthetic foot roll-over shape arc length on the gait of trans-tibial prosthesis users.

The Shape&Roll prosthetic foot was used to examine the effect of roll-over shape arc length on the gait of 14 unilateral trans-tibial prosthesis users. Simple modifications to the prosthetic foot were used to alter the effective forefoot rocker length, leaving factors such as alignment, limb length, and heel and mid-foot characteristics unchanged. Shortening the roll-over shape arc length caused a significant reduction in the maximum external dorsiflexion moment on the prosthetic side at all walking speeds (p < 0.

Temporal symmetries during gait initiation and termination in nondisabled ambulators and in people with unilateral transtibial limb loss.

This study investigated the temporal characteristics of gait initiation and gait termination. Ten nondisabled adult volunteers and ten people with unilateral transtibial limb loss performed starting and stopping for slow, normal, and fast walking speeds. We used kinematic and anthropomorphic data to determine the body center of mass (BCOM) position of each subject.

The 'shape&roll' prosthetic foot: II. Field testing in El Salvador.

A field test was performed in El Salvador to evaluate the usefulness of the Shape&Roll prosthetic foot, a foot developed for low-income countries, involving 12 participants. Quantitative gait parameters were measured with a Direct Ultrasound Ranging System (DURS). Qualitative information was obtained from questionnaires administered before and after a three-week trial.

The 'shape&roll' prosthetic foot: I. Design and development of appropriate technology for low-income countries.

The Shape&Roll Prosthetic Foot (patent pending) is an artificial foot designed for use in low-income countries, and may also be useful in industrialised nations. Its design is based on the theory that the roll-over shape of a prosthetic foot should mimic that of the non-disabled physiological foot-ankle complex during walking. This article presents the S&R foot including the unique features incorporated into its design.

A simple method for determination of gait events.

Simple and effective methods for determining the timing of gait events are necessary for the proper normalization and statistical analysis of gait data when a variety of gait measurements are available. The approach presented was developed for cases in which overall center of pressure under the body and marker trajectories are being measured over multiple steps. The new method presented uses the relative positioning of the overall center of pressure and an ankle marker in the direction of forward progression for the determination of "heel-contact" and "toe-off" events.