A compact and cost-effective gait simulator to advance prosthesis development with reduced reliance on human subject testing: Development, validation and application.

Gait simulators play a crucial role in assessing the performance of physical prototypes of prosthetic knees, validating numerical simulation findings, and reducing dependency on user trials during prosthesis development. However, their practical application is limited because of substantial capital investment required for sophisticated high degrees-of-freedom (DOF) system development on one side and insufficient DOF for accurate simulation on the other. In this study, we evaluated the minimum DOF of thigh segment that a gait simulator should have to test the performance of prosthetic knees in a cost-effective manner. Initially, numerical simulations of swing phase of prosthetic leg with IITM polycentric knee (IPK) using 3D gait data and with different arrested DOF of the thigh were performed to identify the essential DOF of gait simulator. By comparing different cases of arrested DOF with the six-DOF ideal case, it was revealed that only sagittal plane movements, namely flexion-extension, vertical translation, and horizontal translation, are sufficient to test prosthetic knees. Subsequently, a compact and modular gait simulator was developed. Hardware-in-loop simulations of the IPK using the gait simulator were used to demonstrate its effectiveness in assessing the performance of prosthetic knees, which validated the ability of the IPK to extend completely without an extension assist before heel contact. Additionally, it was exposed that the IPK's extension stop needs redesigning to effectively absorb the impact energy when the knee extends completely before heel contact. These findings emphasize the significance of a cost-effective gait simulator in prosthesis development and reduce dependency on user trials.