Objective: To compare energy cost and stride characteristics during walking with 3 different types of prostheses in a person with bilateral knee disarticulations.
Design: Single-case study. Setting Pathokinesiology laboratory.
Participant: A subject with bilateral knee disarticulations and bilateral transradial amputations secondary to meningococcemia with purpura fulminans.
Interventions: Not applicable.
Main Outcome Measures: Energy cost, stride characteristics, and motion analysis.
Results: When wearing the C-Leg prostheses, the subject walked the farthest and fastest, with an overall lower rate of oxygen consumption and oxygen cost compared with walking with either of the other prostheses. Gait analysis while the patient was wearing the C-Leg prostheses revealed premature hip extension, absence of knee flexion during loading response, and a rate of swing in the referent range.
Conclusions: Walking in a C-leg was the most efficient method of ambulation for our subject.
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http://dx.doi.org/10.1016/j.apmr.2004.02.028 | DOI Listing |
J Biomech
June 2024
Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, United States; Institute for Robotics and Intelligent Machines, Georgia Institute of Technology, Atlanta, GA, United States.
One of the most significant developments in prosthetic knee technology has been the introduction of the Microprocessor-Controlled Prosthetic Knee (MPK). However, there is a lack of consensus over how different types of MPKs affect performance in different ambulation modes. In this study, we investigated the biomechanical differences in ramp and stair maneuvers when an individual with transfemoral amputation wears three commercial MPKs: the Össur Power Knee, the Össur Rheo Knee and the Ottobock C-Leg 4.
View Article and Find Full Text PDFEur J Phys Rehabil Med
June 2022
CNRF Department of Physical Medicine and Sports Traumatology, University Hospital of Liege, Liege, Belgium -
Introduction: Advanced technologies have made available the development of microprocessor prosthetic knee (MPK) to improve autonomy of patients with lower limb amputation. In the present systematic review, we aimed to evaluate the impact of the use of all types of MPK on patients' functional status and quality of life.
Evidence Acquisition: We conducted this review according to the PRISMA Guidelines on Medline (via Ovid), Scopus and SportDiscuss.
J Neuroeng Rehabil
May 2021
Max Näder Lab for Rehabilitation Technologies and Outcomes Research, Shirley Ryan AbilityLab, Chicago, USA.
Background: Individuals with transfemoral amputations who are considered to be limited community ambulators are classified as Medicare functional classification (MFCL) level K2. These individuals are usually prescribed a non-microprocessor controlled knee (NMPK) with an appropriate foot for simple walking functions. However, existing research suggests that these individuals can benefit from using a microprocessor controlled knee (MPK) and appropriate foot for their ambulation, but cannot obtain one due to insurance policy restrictions.
View Article and Find Full Text PDFProc Inst Mech Eng H
April 2021
Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia.
Electromyography signal has been used widely as input for prosthetic's leg movements. C-Leg, for example, is among the prosthetics devices that use electromyography as the main input. The main challenge facing the industrial party is the position of the electromyography sensor as it is fixed inside the socket.
View Article and Find Full Text PDFGait Posture
July 2020
Department of Medical and Surgical Sciences and Biotechnologies, Sapienza University of Rome, Polo Pontino, Via Franco Faggiana 1668, 04100, Latina, Italy; Movement Analysis Laboratory, Policlinico Italia, Piazza del Campidano, 6, 00162, Rome, Italy.
Background: Subjects with transfemoral amputation (TFA) show an asymmetric gait pattern associated with a decreased ability to recover mechanical energy and an increased metabolic cost of walking.
Research Question: This study aimed to identify the spatio-temporal and kinematic gait variables correlated with mechanical energy values in subjects with TFA and to observe the ability of the identified parameters to discriminate between TFA and controls according to the type of prosthesis.
Methods: The gait of 40 subjects with TFA was evaluated with a motion 3-D optoelectronic system.
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