Evaluation of the Working Mechanism of a Newly Developed Powered Ankle-Foot Orthosis.

Ankle-foot orthoses (AFOs) are commonly prescribed to children with cerebral palsy (CP). The conventional AFO successfully controls the first and second ankle rocker, but it fails to correct the third ankle rocker, which negatively effects push-off power. The current study evaluated a new powered AFO (PAFO) design, developed to address the shortcomings of the conventional AFO.

Effectiveness of robotic exoskeletons for improving gait in children with cerebral palsy: A systematic review.

Background: Robotic exoskeletons have been developed to assist locomotion and address gait abnormalities in children with cerebral palsy (CP). These wearable assistive devices provide powered assistance to the lower-extremity joints, as well as support and stability.

Research Question: Does exoskeleton-assisted walking improve gait in children with CP?

Methods: The PRISMA guidelines were used to conduct this systematic review.

Rehabilitation Supported by Technology: Protocol for an International Cocreation and User Experience Study.

Background: Living labs in the health and well-being domain have become increasingly common over the past decade but vary in available infrastructure, implemented study designs, and outcome measures. The Horizon 2020 Project Virtual Health and Wellbeing Living Lab Infrastructure aims to harmonize living lab procedures and open living lab infrastructures to facilitate and promote research activities in the health and well-being domain in Europe and beyond. This protocol will describe the design of a joint research activity, focusing on the use of innovative technology for both rehabilitation interventions and data collection in a rehabilitation context.

A digital workflow for personalized design of the interface parts integrated in a powered ankle foot orthosis (PAFO).

The use of actuated exoskeletons in gait rehabilitation increased significantly in recent years. Although most of these exoskeletons are produced with a generic cuff, at the foot and ankle there are a lot of bony prominences and a limited amount of soft tissue, making it less comfortable . Furthermore, a proper alignment of the actuation systems is essential for the correct functioning of the exoskeleton.

Evaluation of the influence of cyclic loading on a laser sintered transtibial prosthetic socket using Digital Image Correlation (DIC).

People with a transtibial amputation worldwide rely on their prosthetic socket to regain their mobility. Patient comfort is largely affected by the weight and strength of these prosthetic sockets. The use of additive manufacturing could give the prosthetist a range of new design possibilities when designing a prosthetic socket.

Using a texture analyser to objectively quantify foot orthoses.

Background And Aim: Foot orthoses alter the kinematics and kinetics in gait. With the increasing importance of evidence based practice and with the permanent development of subtractive manufacturing and introduction of additive manufacturing, there is a growing need for quantification of orthoses parameters. We describe a measurement method and protocol to quantify different parameters of a foot orthosis.

Gait assessment during the initial fitting of customized selective laser sintering ankle foot orthoses in subjects with drop foot.

Background: Recently, additive fabrication has been proposed as a feasible engineering method for manufacturing of customized ankle foot orthoses (AFOs). Consequently, studies on safety, comfort and effectiveness are now carried out to assess the performance of such devices.

Objective: Evaluate the clinical performance of customized (selective laser sintering) SLS-AFOs on eight subjects with unilateral drop foot gait and compare to clinically accepted (polypropylene) PP-AFOs.

Influence of implant design on the biomechanical environment of immediately placed implants: computed tomography-based nonlinear three-dimensional finite element analysis.

Purpose: To evaluate the influence of different implant designs on the biomechanical environment of immediately placed implants.

Materials And Methods: Computed tomography (CT)-based finite element models comprising a maxillary central incisor socket and four commercially available internal-connection implants (SIN SW, 3i Certain, Nobel Replace, and ITI Standard) of comparable diameters and lengths were constructed. Biomechanical scenarios of immediate placement, immediate loading, and delayed loading protocols were simulated.

Influence of implant connection type on the biomechanical environment of immediately placed implants - CT-based nonlinear, three-dimensional finite element analysis.

Purpose: The purpose of the present study was to evaluate the biomechanical environment of immediately placed implants, before and after osseointegration, by comparing three different implant-abutment connection types.

Materials And Methods: A computer tomography-based finite element model of an upper central incisor extraction socket was constructed containing implants with either external hex, internal hex, or Morse-taper connection. Frictional contact elements were used in the bone, implant, abutment, and abutment screw interfaces in the immediately placed simulations.

Resonance frequency analysis of implants in the guinea pig model: influence of boundary conditions and orientation of the transducer.

The goal of this study was to identify the parameters that must be controlled during in vivo resonance frequency measurements with a custom Osstell transducer for custom implants in the guinea pig animal model. A numerical study and in vitro measurements were performed to determine the influence of the boundary conditions as well as the transducer orientation on the resonance frequency measured by the custom Osstell transducer. In the reported guinea pig model, the type of boundary condition, the orientation of the transducer (parallel or perpendicular to the long axis of the bone) and the length of the modelled bone have a large influence on the resonance frequency values.

Individualised, micro CT-based finite element modelling as a tool for biomechanical analysis related to tissue engineering of bone.

Load-bearing tissues, like bone, can be replaced by engineered tissues or tissue constructs. For the success of this treatment, a profound understanding is needed of the mechanical properties of both the native bone tissue and the construct. Also, the interaction between mechanical loading and bone regeneration and adaptation should be well understood.