TPress
1.
Houdijk, H.; Wezenberg, D.; Hak, L.; Cutti, A. G.
In: J. NeuroEng. Rehabil., Bd. 15, 2018, ISSN: 1743-0003.
Abstract | Links | Schlagwörter: adult, article, biomechanics, controlled study, energy storing and return prosthetic feet, gait, human, kinematics, leg amputation, leg prosthesis, male, mobilization, priority journal, solid ankle cushioned heel feet, step length, walking speed
@article{Houdijk2018,
title = {Energy storing and return prosthetic feet improve step length symmetry while preserving margins of stability in persons with transtibial amputation},
author = {H. Houdijk and D. Wezenberg and L. Hak and A. G. Cutti},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L623754871&from=export},
doi = {10.1186/s12984-018-0404-9},
issn = {1743-0003},
year = {2018},
date = {2018-01-01},
journal = {J. NeuroEng. Rehabil.},
volume = {15},
address = {H. Houdijk, Department of Human Movement Sciences, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 9, Amsterdam, Netherlands},
abstract = {Background: Energy storing and return (ESAR) feet are generally preferred over solid ankle cushioned heel (SACH) feet by people with a lower limb amputation. While ESAR feet have been shown to have only limited effect on gait economy, other functional benefits should account for this preference. A simple biomechanical model suggests that enhanced gait stability and gait symmetry could prove to explain part of the difference in the subjective preference between both feet. Aim: To investigate whether increased push-off power with ESAR feet increases center of mass velocity at push off and enhance intact step length and step length symmetry while preserving the margin of stability during walking in people with a transtibial prosthesis. Methods: Fifteen people with a unilateral transtibial amputation walked with their prescribed ESAR foot and a SACH foot at a fixed walking speed (1.2 m/s) over a level walkway while kinematic and kinetic data were collected. Push-off work generated by the foot, center of mass velocity, step length, step length symmetry and backward margin of stability were assessed and compared between feet. Results: Push-off work was significantly higher when using the ESAR foot compared to the SACH foot. Simultaneously, center of mass velocity at toe-off was higher with ESAR compared to SACH, and intact step length and step length symmetry increased without reducing the backward margin of stability. Conclusion: Compared to the SACH foot, the ESAR foot allowed an improvement of step length symmetry while preserving the backward margin of stability at community ambulation speed. These benefits may possibly contribute to the subjective preference for ESAR feet in people with a lower limb amputation.},
keywords = {adult, article, biomechanics, controlled study, energy storing and return prosthetic feet, gait, human, kinematics, leg amputation, leg prosthesis, male, mobilization, priority journal, solid ankle cushioned heel feet, step length, walking speed},
pubstate = {published},
tppubtype = {article}
}
Background: Energy storing and return (ESAR) feet are generally preferred over solid ankle cushioned heel (SACH) feet by people with a lower limb amputation. While ESAR feet have been shown to have only limited effect on gait economy, other functional benefits should account for this preference. A simple biomechanical model suggests that enhanced gait stability and gait symmetry could prove to explain part of the difference in the subjective preference between both feet. Aim: To investigate whether increased push-off power with ESAR feet increases center of mass velocity at push off and enhance intact step length and step length symmetry while preserving the margin of stability during walking in people with a transtibial prosthesis. Methods: Fifteen people with a unilateral transtibial amputation walked with their prescribed ESAR foot and a SACH foot at a fixed walking speed (1.2 m/s) over a level walkway while kinematic and kinetic data were collected. Push-off work generated by the foot, center of mass velocity, step length, step length symmetry and backward margin of stability were assessed and compared between feet. Results: Push-off work was significantly higher when using the ESAR foot compared to the SACH foot. Simultaneously, center of mass velocity at toe-off was higher with ESAR compared to SACH, and intact step length and step length symmetry increased without reducing the backward margin of stability. Conclusion: Compared to the SACH foot, the ESAR foot allowed an improvement of step length symmetry while preserving the backward margin of stability at community ambulation speed. These benefits may possibly contribute to the subjective preference for ESAR feet in people with a lower limb amputation.
2.
Kistenberg, R. S.
Prosthetic choices for people with leg and arm amputations Artikel
In: Phys. Med. Rehabil. Clin. North Am., Bd. 25, Nr. 1, S. 93–115, 2014, ISSN: 1558-1381.
Abstract | Links | Schlagwörter: anatomy, ankle prosthesis, arm amputation, arm movement, arm prosthesis, biomechanics, bone regeneration, C-leg, Delrin, elbow prosthesis, equipment design, finger amputation, functional status, Genium, hand amputation, health care access, Helix3D, hemipelvectomy, hip prosthesis, human, iLIMB Hand, Kevlar, kinematics, knee prosthesis, leg amputation, leg movement, leg prosthesis, microprocessor, motor control, orthopedic shoe, patient preference, physical activity, Power Knee, priority journal, prosthesis complication, public health service, quality of life, rehabilitation care, review, shoulder prosthesis, surgical technique, surgical technology, suspension, thumb amputation
@article{Kistenberg2014,
title = {Prosthetic choices for people with leg and arm amputations},
author = {R. S. Kistenberg},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L370343297&from=export},
doi = {10.1016/j.pmr.2013.10.001},
issn = {1558-1381},
year = {2014},
date = {2014-01-01},
journal = {Phys. Med. Rehabil. Clin. North Am.},
volume = {25},
number = {1},
pages = {93–115},
address = {R.S. Kistenberg, Georgia Institute of Technology, School of Applied Physiology, 555 14th Street, Atlanta, GA 30318, United States},
abstract = {New technology and materials have advanced prosthetic designs to enable people who rely on artificial limbs to achieve feats never dreamed before. However, the latest and the greatest technology is not appropriate for everyone. The aim of this article is to present contemporary options that are available for people who rely on artificial limbs to enhance their quality of life for mobility and independence. © 2014 Elsevier Inc.},
keywords = {anatomy, ankle prosthesis, arm amputation, arm movement, arm prosthesis, biomechanics, bone regeneration, C-leg, Delrin, elbow prosthesis, equipment design, finger amputation, functional status, Genium, hand amputation, health care access, Helix3D, hemipelvectomy, hip prosthesis, human, iLIMB Hand, Kevlar, kinematics, knee prosthesis, leg amputation, leg movement, leg prosthesis, microprocessor, motor control, orthopedic shoe, patient preference, physical activity, Power Knee, priority journal, prosthesis complication, public health service, quality of life, rehabilitation care, review, shoulder prosthesis, surgical technique, surgical technology, suspension, thumb amputation},
pubstate = {published},
tppubtype = {article}
}
New technology and materials have advanced prosthetic designs to enable people who rely on artificial limbs to achieve feats never dreamed before. However, the latest and the greatest technology is not appropriate for everyone. The aim of this article is to present contemporary options that are available for people who rely on artificial limbs to enhance their quality of life for mobility and independence. © 2014 Elsevier Inc.
3.
Chitragari, G.; Mahler, D. B.; Sumpio, B. J.; Blume, P. A.; Sumpio, B. E.
Prosthetic options available for the diabetic lower limb amputee Artikel
In: Clin. Podiatr. Med. Surg., Bd. 31, Nr. 1, S. 174–185, 2014, ISSN: 1558-2302.
Abstract | Links | Schlagwörter: ankle prosthesis, below knee prosthesis, C-leg, dermatitis, diabetes mellitus, diabetic patient, fluid control knee, gait, human, Hydraulic knee, iWALK, joint stability, knee function, leg amputation, leg prosthesis, Manual locking Knee, microprocessor knee, mobilization, partial foot amputation, patellar tendon bearing socket, peripheral neuropathy, Polycentric knee, Power Knee, priority journal, Proprio foot, review, Rheo leg, sensory feedback, Single-axis knee, skin abrasion, synovial bursa, total surface bearing socket, treatment indication
@article{Chitragari2014,
title = {Prosthetic options available for the diabetic lower limb amputee},
author = {G. Chitragari and D. B. Mahler and B. J. Sumpio and P. A. Blume and B. E. Sumpio},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L370343216&from=export},
doi = {10.1016/j.cpm.2013.09.008},
issn = {1558-2302},
year = {2014},
date = {2014-01-01},
journal = {Clin. Podiatr. Med. Surg.},
volume = {31},
number = {1},
pages = {174–185},
address = {B.E. Sumpio, Yale University School of Medicine, 333 Cedar Street, BB 204, New Haven, CT 06520-8062, United States},
abstract = {Although the rate of lower limb amputation in patients with diabetes is decreasing, amputation still remains a major complication of diabetes. Prosthetics have been long used to help amputees ambulate. The last decade has seen many advances in prostheses with the enhanced understanding of the mechanics of ambulation and improved use of technology. This review describes the different types of prosthetic options available for below knee, ankle, and foot amputees, emphasizing the latest advances in prosthetic design. © 2014 Elsevier Inc.},
keywords = {ankle prosthesis, below knee prosthesis, C-leg, dermatitis, diabetes mellitus, diabetic patient, fluid control knee, gait, human, Hydraulic knee, iWALK, joint stability, knee function, leg amputation, leg prosthesis, Manual locking Knee, microprocessor knee, mobilization, partial foot amputation, patellar tendon bearing socket, peripheral neuropathy, Polycentric knee, Power Knee, priority journal, Proprio foot, review, Rheo leg, sensory feedback, Single-axis knee, skin abrasion, synovial bursa, total surface bearing socket, treatment indication},
pubstate = {published},
tppubtype = {article}
}
Although the rate of lower limb amputation in patients with diabetes is decreasing, amputation still remains a major complication of diabetes. Prosthetics have been long used to help amputees ambulate. The last decade has seen many advances in prostheses with the enhanced understanding of the mechanics of ambulation and improved use of technology. This review describes the different types of prosthetic options available for below knee, ankle, and foot amputees, emphasizing the latest advances in prosthetic design. © 2014 Elsevier Inc.
4.
Portnoy, S.; Kristal, A.; Gefen, A.; Siev-Ner, I.
In: Gait Posture, Bd. 35, Nr. 1, S. 121–125, 2012, ISSN: 1879-2219.
Abstract | Links | Schlagwörter: adult, article, biomechanics, C-walk, calculation, clinical article, conventional energy stored prosthetic foot, decubitus, Espirit, foot orthosis, human, hydraulic energy stored prosthetic foot, leg amputation, leg prosthesis, male, mechanical stress, parameters, Pathfinder, priority journal, tissue injury, transtibial amputation, Trias, Trustep, Venture, walking
@article{Portnoy2012,
title = {Outdoor dynamic subject-specific evaluation of internal stresses in the residual limb: Hydraulic energy-stored prosthetic foot compared to conventional energy-stored prosthetic feet},
author = {S. Portnoy and A. Kristal and A. Gefen and I. Siev-Ner},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L51635905&from=export},
doi = {10.1016/j.gaitpost.2011.08.021},
issn = {1879-2219},
year = {2012},
date = {2012-01-01},
journal = {Gait Posture},
volume = {35},
number = {1},
pages = {121–125},
address = {S. Portnoy, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel},
abstract = {The prosthetic foot plays an important role in propelling, breaking, balancing and supporting body loads while the amputee ambulates on different grounds. It is therefore important to quantify the effect of the prosthetic foot mechanism on biomechanical parameters, in order to prevent pressure ulcers and deep tissue injury. Our aim was to monitor the internal stresses in the residuum of transtibial amputation (TTA) prosthetic-users ambulating on different terrains, which the amputees encounter during their daily activities, i.e. paved floor, grass, ascending and descending stairs and slope. We specifically aimed to compare between the internal stresses in the TTA residuum of amputees ambulating with a novel hydraulic prosthetic foot compared to conventional energy storage and return (ESR) prosthetic feet. Monitoring of internal stresses was accomplished using a portable subject-specific real-time internal stress monitor. We found significant decrease (p<. 0.01) in peak internal stresses and in the loading rate of the amputated limb, while walking with the hydraulic foot, compared to walking with ESR feet. The loading rate calculated while ambulating with the hydraulic foot was at least three times lower than the loading rate calculated while ambulating with the ESR foot. Although the average decrease in internal stresses was ∼2-fold larger when replacing single-toe ESR feet with the hydraulic foot than when replacing split-toed ESR feet with the hydraulic foot, the differences were statistically insignificant. Our findings suggest that using a hydraulic prosthetic foot may protect the distal tibial end of the TTA residuum from high stresses, therefore preventing pressure-related injury and pain. © 2011 Elsevier B.V.},
keywords = {adult, article, biomechanics, C-walk, calculation, clinical article, conventional energy stored prosthetic foot, decubitus, Espirit, foot orthosis, human, hydraulic energy stored prosthetic foot, leg amputation, leg prosthesis, male, mechanical stress, parameters, Pathfinder, priority journal, tissue injury, transtibial amputation, Trias, Trustep, Venture, walking},
pubstate = {published},
tppubtype = {article}
}
The prosthetic foot plays an important role in propelling, breaking, balancing and supporting body loads while the amputee ambulates on different grounds. It is therefore important to quantify the effect of the prosthetic foot mechanism on biomechanical parameters, in order to prevent pressure ulcers and deep tissue injury. Our aim was to monitor the internal stresses in the residuum of transtibial amputation (TTA) prosthetic-users ambulating on different terrains, which the amputees encounter during their daily activities, i.e. paved floor, grass, ascending and descending stairs and slope. We specifically aimed to compare between the internal stresses in the TTA residuum of amputees ambulating with a novel hydraulic prosthetic foot compared to conventional energy storage and return (ESR) prosthetic feet. Monitoring of internal stresses was accomplished using a portable subject-specific real-time internal stress monitor. We found significant decrease (p<. 0.01) in peak internal stresses and in the loading rate of the amputated limb, while walking with the hydraulic foot, compared to walking with ESR feet. The loading rate calculated while ambulating with the hydraulic foot was at least three times lower than the loading rate calculated while ambulating with the ESR foot. Although the average decrease in internal stresses was ∼2-fold larger when replacing single-toe ESR feet with the hydraulic foot than when replacing split-toed ESR feet with the hydraulic foot, the differences were statistically insignificant. Our findings suggest that using a hydraulic prosthetic foot may protect the distal tibial end of the TTA residuum from high stresses, therefore preventing pressure-related injury and pain. © 2011 Elsevier B.V.
2018
Houdijk, H.; Wezenberg, D.; Hak, L.; Cutti, A. G.
In: J. NeuroEng. Rehabil., Bd. 15, 2018, ISSN: 1743-0003.
Abstract | Links | Schlagwörter: adult, article, biomechanics, controlled study, energy storing and return prosthetic feet, gait, human, kinematics, leg amputation, leg prosthesis, male, mobilization, priority journal, solid ankle cushioned heel feet, step length, walking speed
@article{Houdijk2018,
title = {Energy storing and return prosthetic feet improve step length symmetry while preserving margins of stability in persons with transtibial amputation},
author = {H. Houdijk and D. Wezenberg and L. Hak and A. G. Cutti},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L623754871&from=export},
doi = {10.1186/s12984-018-0404-9},
issn = {1743-0003},
year = {2018},
date = {2018-01-01},
journal = {J. NeuroEng. Rehabil.},
volume = {15},
address = {H. Houdijk, Department of Human Movement Sciences, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 9, Amsterdam, Netherlands},
abstract = {Background: Energy storing and return (ESAR) feet are generally preferred over solid ankle cushioned heel (SACH) feet by people with a lower limb amputation. While ESAR feet have been shown to have only limited effect on gait economy, other functional benefits should account for this preference. A simple biomechanical model suggests that enhanced gait stability and gait symmetry could prove to explain part of the difference in the subjective preference between both feet. Aim: To investigate whether increased push-off power with ESAR feet increases center of mass velocity at push off and enhance intact step length and step length symmetry while preserving the margin of stability during walking in people with a transtibial prosthesis. Methods: Fifteen people with a unilateral transtibial amputation walked with their prescribed ESAR foot and a SACH foot at a fixed walking speed (1.2 m/s) over a level walkway while kinematic and kinetic data were collected. Push-off work generated by the foot, center of mass velocity, step length, step length symmetry and backward margin of stability were assessed and compared between feet. Results: Push-off work was significantly higher when using the ESAR foot compared to the SACH foot. Simultaneously, center of mass velocity at toe-off was higher with ESAR compared to SACH, and intact step length and step length symmetry increased without reducing the backward margin of stability. Conclusion: Compared to the SACH foot, the ESAR foot allowed an improvement of step length symmetry while preserving the backward margin of stability at community ambulation speed. These benefits may possibly contribute to the subjective preference for ESAR feet in people with a lower limb amputation.},
keywords = {adult, article, biomechanics, controlled study, energy storing and return prosthetic feet, gait, human, kinematics, leg amputation, leg prosthesis, male, mobilization, priority journal, solid ankle cushioned heel feet, step length, walking speed},
pubstate = {published},
tppubtype = {article}
}
Background: Energy storing and return (ESAR) feet are generally preferred over solid ankle cushioned heel (SACH) feet by people with a lower limb amputation. While ESAR feet have been shown to have only limited effect on gait economy, other functional benefits should account for this preference. A simple biomechanical model suggests that enhanced gait stability and gait symmetry could prove to explain part of the difference in the subjective preference between both feet. Aim: To investigate whether increased push-off power with ESAR feet increases center of mass velocity at push off and enhance intact step length and step length symmetry while preserving the margin of stability during walking in people with a transtibial prosthesis. Methods: Fifteen people with a unilateral transtibial amputation walked with their prescribed ESAR foot and a SACH foot at a fixed walking speed (1.2 m/s) over a level walkway while kinematic and kinetic data were collected. Push-off work generated by the foot, center of mass velocity, step length, step length symmetry and backward margin of stability were assessed and compared between feet. Results: Push-off work was significantly higher when using the ESAR foot compared to the SACH foot. Simultaneously, center of mass velocity at toe-off was higher with ESAR compared to SACH, and intact step length and step length symmetry increased without reducing the backward margin of stability. Conclusion: Compared to the SACH foot, the ESAR foot allowed an improvement of step length symmetry while preserving the backward margin of stability at community ambulation speed. These benefits may possibly contribute to the subjective preference for ESAR feet in people with a lower limb amputation.
2014
Kistenberg, R. S.
Prosthetic choices for people with leg and arm amputations Artikel
In: Phys. Med. Rehabil. Clin. North Am., Bd. 25, Nr. 1, S. 93–115, 2014, ISSN: 1558-1381.
Abstract | Links | Schlagwörter: anatomy, ankle prosthesis, arm amputation, arm movement, arm prosthesis, biomechanics, bone regeneration, C-leg, Delrin, elbow prosthesis, equipment design, finger amputation, functional status, Genium, hand amputation, health care access, Helix3D, hemipelvectomy, hip prosthesis, human, iLIMB Hand, Kevlar, kinematics, knee prosthesis, leg amputation, leg movement, leg prosthesis, microprocessor, motor control, orthopedic shoe, patient preference, physical activity, Power Knee, priority journal, prosthesis complication, public health service, quality of life, rehabilitation care, review, shoulder prosthesis, surgical technique, surgical technology, suspension, thumb amputation
@article{Kistenberg2014,
title = {Prosthetic choices for people with leg and arm amputations},
author = {R. S. Kistenberg},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L370343297&from=export},
doi = {10.1016/j.pmr.2013.10.001},
issn = {1558-1381},
year = {2014},
date = {2014-01-01},
journal = {Phys. Med. Rehabil. Clin. North Am.},
volume = {25},
number = {1},
pages = {93–115},
address = {R.S. Kistenberg, Georgia Institute of Technology, School of Applied Physiology, 555 14th Street, Atlanta, GA 30318, United States},
abstract = {New technology and materials have advanced prosthetic designs to enable people who rely on artificial limbs to achieve feats never dreamed before. However, the latest and the greatest technology is not appropriate for everyone. The aim of this article is to present contemporary options that are available for people who rely on artificial limbs to enhance their quality of life for mobility and independence. © 2014 Elsevier Inc.},
keywords = {anatomy, ankle prosthesis, arm amputation, arm movement, arm prosthesis, biomechanics, bone regeneration, C-leg, Delrin, elbow prosthesis, equipment design, finger amputation, functional status, Genium, hand amputation, health care access, Helix3D, hemipelvectomy, hip prosthesis, human, iLIMB Hand, Kevlar, kinematics, knee prosthesis, leg amputation, leg movement, leg prosthesis, microprocessor, motor control, orthopedic shoe, patient preference, physical activity, Power Knee, priority journal, prosthesis complication, public health service, quality of life, rehabilitation care, review, shoulder prosthesis, surgical technique, surgical technology, suspension, thumb amputation},
pubstate = {published},
tppubtype = {article}
}
New technology and materials have advanced prosthetic designs to enable people who rely on artificial limbs to achieve feats never dreamed before. However, the latest and the greatest technology is not appropriate for everyone. The aim of this article is to present contemporary options that are available for people who rely on artificial limbs to enhance their quality of life for mobility and independence. © 2014 Elsevier Inc.
Chitragari, G.; Mahler, D. B.; Sumpio, B. J.; Blume, P. A.; Sumpio, B. E.
Prosthetic options available for the diabetic lower limb amputee Artikel
In: Clin. Podiatr. Med. Surg., Bd. 31, Nr. 1, S. 174–185, 2014, ISSN: 1558-2302.
Abstract | Links | Schlagwörter: ankle prosthesis, below knee prosthesis, C-leg, dermatitis, diabetes mellitus, diabetic patient, fluid control knee, gait, human, Hydraulic knee, iWALK, joint stability, knee function, leg amputation, leg prosthesis, Manual locking Knee, microprocessor knee, mobilization, partial foot amputation, patellar tendon bearing socket, peripheral neuropathy, Polycentric knee, Power Knee, priority journal, Proprio foot, review, Rheo leg, sensory feedback, Single-axis knee, skin abrasion, synovial bursa, total surface bearing socket, treatment indication
@article{Chitragari2014,
title = {Prosthetic options available for the diabetic lower limb amputee},
author = {G. Chitragari and D. B. Mahler and B. J. Sumpio and P. A. Blume and B. E. Sumpio},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L370343216&from=export},
doi = {10.1016/j.cpm.2013.09.008},
issn = {1558-2302},
year = {2014},
date = {2014-01-01},
journal = {Clin. Podiatr. Med. Surg.},
volume = {31},
number = {1},
pages = {174–185},
address = {B.E. Sumpio, Yale University School of Medicine, 333 Cedar Street, BB 204, New Haven, CT 06520-8062, United States},
abstract = {Although the rate of lower limb amputation in patients with diabetes is decreasing, amputation still remains a major complication of diabetes. Prosthetics have been long used to help amputees ambulate. The last decade has seen many advances in prostheses with the enhanced understanding of the mechanics of ambulation and improved use of technology. This review describes the different types of prosthetic options available for below knee, ankle, and foot amputees, emphasizing the latest advances in prosthetic design. © 2014 Elsevier Inc.},
keywords = {ankle prosthesis, below knee prosthesis, C-leg, dermatitis, diabetes mellitus, diabetic patient, fluid control knee, gait, human, Hydraulic knee, iWALK, joint stability, knee function, leg amputation, leg prosthesis, Manual locking Knee, microprocessor knee, mobilization, partial foot amputation, patellar tendon bearing socket, peripheral neuropathy, Polycentric knee, Power Knee, priority journal, Proprio foot, review, Rheo leg, sensory feedback, Single-axis knee, skin abrasion, synovial bursa, total surface bearing socket, treatment indication},
pubstate = {published},
tppubtype = {article}
}
Although the rate of lower limb amputation in patients with diabetes is decreasing, amputation still remains a major complication of diabetes. Prosthetics have been long used to help amputees ambulate. The last decade has seen many advances in prostheses with the enhanced understanding of the mechanics of ambulation and improved use of technology. This review describes the different types of prosthetic options available for below knee, ankle, and foot amputees, emphasizing the latest advances in prosthetic design. © 2014 Elsevier Inc.
2012
Portnoy, S.; Kristal, A.; Gefen, A.; Siev-Ner, I.
In: Gait Posture, Bd. 35, Nr. 1, S. 121–125, 2012, ISSN: 1879-2219.
Abstract | Links | Schlagwörter: adult, article, biomechanics, C-walk, calculation, clinical article, conventional energy stored prosthetic foot, decubitus, Espirit, foot orthosis, human, hydraulic energy stored prosthetic foot, leg amputation, leg prosthesis, male, mechanical stress, parameters, Pathfinder, priority journal, tissue injury, transtibial amputation, Trias, Trustep, Venture, walking
@article{Portnoy2012,
title = {Outdoor dynamic subject-specific evaluation of internal stresses in the residual limb: Hydraulic energy-stored prosthetic foot compared to conventional energy-stored prosthetic feet},
author = {S. Portnoy and A. Kristal and A. Gefen and I. Siev-Ner},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L51635905&from=export},
doi = {10.1016/j.gaitpost.2011.08.021},
issn = {1879-2219},
year = {2012},
date = {2012-01-01},
journal = {Gait Posture},
volume = {35},
number = {1},
pages = {121–125},
address = {S. Portnoy, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel},
abstract = {The prosthetic foot plays an important role in propelling, breaking, balancing and supporting body loads while the amputee ambulates on different grounds. It is therefore important to quantify the effect of the prosthetic foot mechanism on biomechanical parameters, in order to prevent pressure ulcers and deep tissue injury. Our aim was to monitor the internal stresses in the residuum of transtibial amputation (TTA) prosthetic-users ambulating on different terrains, which the amputees encounter during their daily activities, i.e. paved floor, grass, ascending and descending stairs and slope. We specifically aimed to compare between the internal stresses in the TTA residuum of amputees ambulating with a novel hydraulic prosthetic foot compared to conventional energy storage and return (ESR) prosthetic feet. Monitoring of internal stresses was accomplished using a portable subject-specific real-time internal stress monitor. We found significant decrease (p<. 0.01) in peak internal stresses and in the loading rate of the amputated limb, while walking with the hydraulic foot, compared to walking with ESR feet. The loading rate calculated while ambulating with the hydraulic foot was at least three times lower than the loading rate calculated while ambulating with the ESR foot. Although the average decrease in internal stresses was ∼2-fold larger when replacing single-toe ESR feet with the hydraulic foot than when replacing split-toed ESR feet with the hydraulic foot, the differences were statistically insignificant. Our findings suggest that using a hydraulic prosthetic foot may protect the distal tibial end of the TTA residuum from high stresses, therefore preventing pressure-related injury and pain. © 2011 Elsevier B.V.},
keywords = {adult, article, biomechanics, C-walk, calculation, clinical article, conventional energy stored prosthetic foot, decubitus, Espirit, foot orthosis, human, hydraulic energy stored prosthetic foot, leg amputation, leg prosthesis, male, mechanical stress, parameters, Pathfinder, priority journal, tissue injury, transtibial amputation, Trias, Trustep, Venture, walking},
pubstate = {published},
tppubtype = {article}
}
The prosthetic foot plays an important role in propelling, breaking, balancing and supporting body loads while the amputee ambulates on different grounds. It is therefore important to quantify the effect of the prosthetic foot mechanism on biomechanical parameters, in order to prevent pressure ulcers and deep tissue injury. Our aim was to monitor the internal stresses in the residuum of transtibial amputation (TTA) prosthetic-users ambulating on different terrains, which the amputees encounter during their daily activities, i.e. paved floor, grass, ascending and descending stairs and slope. We specifically aimed to compare between the internal stresses in the TTA residuum of amputees ambulating with a novel hydraulic prosthetic foot compared to conventional energy storage and return (ESR) prosthetic feet. Monitoring of internal stresses was accomplished using a portable subject-specific real-time internal stress monitor. We found significant decrease (p<. 0.01) in peak internal stresses and in the loading rate of the amputated limb, while walking with the hydraulic foot, compared to walking with ESR feet. The loading rate calculated while ambulating with the hydraulic foot was at least three times lower than the loading rate calculated while ambulating with the ESR foot. Although the average decrease in internal stresses was ∼2-fold larger when replacing single-toe ESR feet with the hydraulic foot than when replacing split-toed ESR feet with the hydraulic foot, the differences were statistically insignificant. Our findings suggest that using a hydraulic prosthetic foot may protect the distal tibial end of the TTA residuum from high stresses, therefore preventing pressure-related injury and pain. © 2011 Elsevier B.V.
2018
Houdijk, H.; Wezenberg, D.; Hak, L.; Cutti, A. G.
In: J. NeuroEng. Rehabil., Bd. 15, 2018, ISSN: 1743-0003.
@article{Houdijk2018,
title = {Energy storing and return prosthetic feet improve step length symmetry while preserving margins of stability in persons with transtibial amputation},
author = {H. Houdijk and D. Wezenberg and L. Hak and A. G. Cutti},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L623754871&from=export},
doi = {10.1186/s12984-018-0404-9},
issn = {1743-0003},
year = {2018},
date = {2018-01-01},
journal = {J. NeuroEng. Rehabil.},
volume = {15},
address = {H. Houdijk, Department of Human Movement Sciences, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 9, Amsterdam, Netherlands},
abstract = {Background: Energy storing and return (ESAR) feet are generally preferred over solid ankle cushioned heel (SACH) feet by people with a lower limb amputation. While ESAR feet have been shown to have only limited effect on gait economy, other functional benefits should account for this preference. A simple biomechanical model suggests that enhanced gait stability and gait symmetry could prove to explain part of the difference in the subjective preference between both feet. Aim: To investigate whether increased push-off power with ESAR feet increases center of mass velocity at push off and enhance intact step length and step length symmetry while preserving the margin of stability during walking in people with a transtibial prosthesis. Methods: Fifteen people with a unilateral transtibial amputation walked with their prescribed ESAR foot and a SACH foot at a fixed walking speed (1.2 m/s) over a level walkway while kinematic and kinetic data were collected. Push-off work generated by the foot, center of mass velocity, step length, step length symmetry and backward margin of stability were assessed and compared between feet. Results: Push-off work was significantly higher when using the ESAR foot compared to the SACH foot. Simultaneously, center of mass velocity at toe-off was higher with ESAR compared to SACH, and intact step length and step length symmetry increased without reducing the backward margin of stability. Conclusion: Compared to the SACH foot, the ESAR foot allowed an improvement of step length symmetry while preserving the backward margin of stability at community ambulation speed. These benefits may possibly contribute to the subjective preference for ESAR feet in people with a lower limb amputation.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Background: Energy storing and return (ESAR) feet are generally preferred over solid ankle cushioned heel (SACH) feet by people with a lower limb amputation. While ESAR feet have been shown to have only limited effect on gait economy, other functional benefits should account for this preference. A simple biomechanical model suggests that enhanced gait stability and gait symmetry could prove to explain part of the difference in the subjective preference between both feet. Aim: To investigate whether increased push-off power with ESAR feet increases center of mass velocity at push off and enhance intact step length and step length symmetry while preserving the margin of stability during walking in people with a transtibial prosthesis. Methods: Fifteen people with a unilateral transtibial amputation walked with their prescribed ESAR foot and a SACH foot at a fixed walking speed (1.2 m/s) over a level walkway while kinematic and kinetic data were collected. Push-off work generated by the foot, center of mass velocity, step length, step length symmetry and backward margin of stability were assessed and compared between feet. Results: Push-off work was significantly higher when using the ESAR foot compared to the SACH foot. Simultaneously, center of mass velocity at toe-off was higher with ESAR compared to SACH, and intact step length and step length symmetry increased without reducing the backward margin of stability. Conclusion: Compared to the SACH foot, the ESAR foot allowed an improvement of step length symmetry while preserving the backward margin of stability at community ambulation speed. These benefits may possibly contribute to the subjective preference for ESAR feet in people with a lower limb amputation.
2014
Kistenberg, R. S.
Prosthetic choices for people with leg and arm amputations Artikel
In: Phys. Med. Rehabil. Clin. North Am., Bd. 25, Nr. 1, S. 93–115, 2014, ISSN: 1558-1381.
@article{Kistenberg2014,
title = {Prosthetic choices for people with leg and arm amputations},
author = {R. S. Kistenberg},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L370343297&from=export},
doi = {10.1016/j.pmr.2013.10.001},
issn = {1558-1381},
year = {2014},
date = {2014-01-01},
journal = {Phys. Med. Rehabil. Clin. North Am.},
volume = {25},
number = {1},
pages = {93–115},
address = {R.S. Kistenberg, Georgia Institute of Technology, School of Applied Physiology, 555 14th Street, Atlanta, GA 30318, United States},
abstract = {New technology and materials have advanced prosthetic designs to enable people who rely on artificial limbs to achieve feats never dreamed before. However, the latest and the greatest technology is not appropriate for everyone. The aim of this article is to present contemporary options that are available for people who rely on artificial limbs to enhance their quality of life for mobility and independence. © 2014 Elsevier Inc.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
New technology and materials have advanced prosthetic designs to enable people who rely on artificial limbs to achieve feats never dreamed before. However, the latest and the greatest technology is not appropriate for everyone. The aim of this article is to present contemporary options that are available for people who rely on artificial limbs to enhance their quality of life for mobility and independence. © 2014 Elsevier Inc.
Chitragari, G.; Mahler, D. B.; Sumpio, B. J.; Blume, P. A.; Sumpio, B. E.
Prosthetic options available for the diabetic lower limb amputee Artikel
In: Clin. Podiatr. Med. Surg., Bd. 31, Nr. 1, S. 174–185, 2014, ISSN: 1558-2302.
@article{Chitragari2014,
title = {Prosthetic options available for the diabetic lower limb amputee},
author = {G. Chitragari and D. B. Mahler and B. J. Sumpio and P. A. Blume and B. E. Sumpio},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L370343216&from=export},
doi = {10.1016/j.cpm.2013.09.008},
issn = {1558-2302},
year = {2014},
date = {2014-01-01},
journal = {Clin. Podiatr. Med. Surg.},
volume = {31},
number = {1},
pages = {174–185},
address = {B.E. Sumpio, Yale University School of Medicine, 333 Cedar Street, BB 204, New Haven, CT 06520-8062, United States},
abstract = {Although the rate of lower limb amputation in patients with diabetes is decreasing, amputation still remains a major complication of diabetes. Prosthetics have been long used to help amputees ambulate. The last decade has seen many advances in prostheses with the enhanced understanding of the mechanics of ambulation and improved use of technology. This review describes the different types of prosthetic options available for below knee, ankle, and foot amputees, emphasizing the latest advances in prosthetic design. © 2014 Elsevier Inc.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Although the rate of lower limb amputation in patients with diabetes is decreasing, amputation still remains a major complication of diabetes. Prosthetics have been long used to help amputees ambulate. The last decade has seen many advances in prostheses with the enhanced understanding of the mechanics of ambulation and improved use of technology. This review describes the different types of prosthetic options available for below knee, ankle, and foot amputees, emphasizing the latest advances in prosthetic design. © 2014 Elsevier Inc.
2012
Portnoy, S.; Kristal, A.; Gefen, A.; Siev-Ner, I.
In: Gait Posture, Bd. 35, Nr. 1, S. 121–125, 2012, ISSN: 1879-2219.
@article{Portnoy2012,
title = {Outdoor dynamic subject-specific evaluation of internal stresses in the residual limb: Hydraulic energy-stored prosthetic foot compared to conventional energy-stored prosthetic feet},
author = {S. Portnoy and A. Kristal and A. Gefen and I. Siev-Ner},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L51635905&from=export},
doi = {10.1016/j.gaitpost.2011.08.021},
issn = {1879-2219},
year = {2012},
date = {2012-01-01},
journal = {Gait Posture},
volume = {35},
number = {1},
pages = {121–125},
address = {S. Portnoy, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel},
abstract = {The prosthetic foot plays an important role in propelling, breaking, balancing and supporting body loads while the amputee ambulates on different grounds. It is therefore important to quantify the effect of the prosthetic foot mechanism on biomechanical parameters, in order to prevent pressure ulcers and deep tissue injury. Our aim was to monitor the internal stresses in the residuum of transtibial amputation (TTA) prosthetic-users ambulating on different terrains, which the amputees encounter during their daily activities, i.e. paved floor, grass, ascending and descending stairs and slope. We specifically aimed to compare between the internal stresses in the TTA residuum of amputees ambulating with a novel hydraulic prosthetic foot compared to conventional energy storage and return (ESR) prosthetic feet. Monitoring of internal stresses was accomplished using a portable subject-specific real-time internal stress monitor. We found significant decrease (p<. 0.01) in peak internal stresses and in the loading rate of the amputated limb, while walking with the hydraulic foot, compared to walking with ESR feet. The loading rate calculated while ambulating with the hydraulic foot was at least three times lower than the loading rate calculated while ambulating with the ESR foot. Although the average decrease in internal stresses was ∼2-fold larger when replacing single-toe ESR feet with the hydraulic foot than when replacing split-toed ESR feet with the hydraulic foot, the differences were statistically insignificant. Our findings suggest that using a hydraulic prosthetic foot may protect the distal tibial end of the TTA residuum from high stresses, therefore preventing pressure-related injury and pain. © 2011 Elsevier B.V.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
The prosthetic foot plays an important role in propelling, breaking, balancing and supporting body loads while the amputee ambulates on different grounds. It is therefore important to quantify the effect of the prosthetic foot mechanism on biomechanical parameters, in order to prevent pressure ulcers and deep tissue injury. Our aim was to monitor the internal stresses in the residuum of transtibial amputation (TTA) prosthetic-users ambulating on different terrains, which the amputees encounter during their daily activities, i.e. paved floor, grass, ascending and descending stairs and slope. We specifically aimed to compare between the internal stresses in the TTA residuum of amputees ambulating with a novel hydraulic prosthetic foot compared to conventional energy storage and return (ESR) prosthetic feet. Monitoring of internal stresses was accomplished using a portable subject-specific real-time internal stress monitor. We found significant decrease (p<. 0.01) in peak internal stresses and in the loading rate of the amputated limb, while walking with the hydraulic foot, compared to walking with ESR feet. The loading rate calculated while ambulating with the hydraulic foot was at least three times lower than the loading rate calculated while ambulating with the ESR foot. Although the average decrease in internal stresses was ∼2-fold larger when replacing single-toe ESR feet with the hydraulic foot than when replacing split-toed ESR feet with the hydraulic foot, the differences were statistically insignificant. Our findings suggest that using a hydraulic prosthetic foot may protect the distal tibial end of the TTA residuum from high stresses, therefore preventing pressure-related injury and pain. © 2011 Elsevier B.V.