One of the primary benefits of emerging powered prosthetic legs is their ability to facilitate step-over-step stair ascent by providing positive mechanical work. Existing control methods typically have distinct steady-state activity modes for walking and stair ascent, where activity transitions involve discretely switching between controllers and often must be initiated with a particular leg. However, these discrete transitions do not necessarily replicate able-bodied joint biomechanics, which have been shown to continuously adjust over a transition stride. This paper presents a phase-based kinematic controller for a powered knee-ankle prosthesis that enables continuous, biomimetic transitions between walking and stair ascent. The controller tracks joint angles from a data-driven kinematic model that continuously interpolates between the steady-state kinematic models, and it allows both the prosthetic and intact leg to lead the transitions. Results from experiments with two transfemoral amputee participants indicate that knee and ankle kinematics smoothly transition between walking and stair ascent, with comparable or lower root mean square errors compared to variations from able-bodied data.
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http://dx.doi.org/10.1109/iros55552.2023.10341457 | DOI Listing |
Arch Phys Med Rehabil
December 2024
Graduate School of Health Sciences, Morinomiya University of Medical Sciences, Osaka, Japan; Department of Physiotherapy, Morinomiya University of Medical Sciences, Osaka, Japan; Inclusive Medical Sciences Research Institute, Morinomiya University of Medical Sciences, Osaka, Japan; AR-Ex Medical Research Center, Tokyo, Japan. Electronic address:
Objective: To investigate the relationship between impaired gliding in the anterior knee region and anterior knee pain (AKP) in patients after total knee arthroplasty (TKA).
Design: Cross-sectional study.
Setting: Orthopedic hospital PARTICIPANTS: Patients aged >60 years who underwent TKA between June and September 2023 without abnormal components or postoperative infections.
Bone Jt Open
December 2024
St John of God Healthcare, Perth, Australia.
Aims: Unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) have both been shown to be effective treatments for osteoarthritis (OA) of the knee. Many studies have compared the outcomes of the two treatments, but less so with the use of robotics, or individualized TKA alignment techniques. Functional alignment (FA) is a novel technique for performing a TKA and shares many principles with UKA.
View Article and Find Full Text PDFJ Mot Behav
December 2024
Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Cologne, Germany.
Knee osteoarthritis (KOA) is a prevalent and severe condition with versatile effects on human locomotion, including alterations in neuromuscular control. Muscle synergies are understood as functional low-dimensional building blocks within the neuromuscular organization. To examine alterations in muscle synergy patterns during locomotion tasks in the presence of KOA, 40 participants, including 20 with medial KOA (KL-Score ≥ 2), performed level walking, as well as ramp and stair ascent and descent trials at self-selected speeds.
View Article and Find Full Text PDFBioengineering (Basel)
October 2024
Research & Development, Aesculap AG, 78532 Tuttlingen, Germany.
One of the major goals of total knee arthroplasty (TKA) is to restore the physiological function of the knee. In order to select the appropriate TKA design for a specific patient, it would be helpful to understand whether there is an association between passive knee kinematics intraoperatively and during complex activities, such as ascending stairs. Therefore, the primary objective of this study was to compare the anterior-posterior (AP) range of motion during simulated passive flexion and stair ascent at different conditions in the same knees using a six-degrees-of-freedom joint motion simulator, and secondary, to identify whether differences between TKA designs with and without a post-cam mechanism can be detected during both activities, and if one design is superior in recreating the AP translation of the native knee.
View Article and Find Full Text PDFJ Strength Cond Res
November 2024
Department of Movement Sciences, Physical Activity, KU Leuven, Sports and Health Research Group, Leuven, Belgium; and.
Van Roie, E, van Uffelen, J, and Delecluse, C. Stair-climbing versus machine-based resistance exercise to improve muscle power among older adults: a non-inferiority trial. J Strength Cond Res XX(X): 000-000, 2024-Machine-based resistance training (RT) can reduce the age-related loss in muscle power (Pmax).
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