Biomechanical basis of choosing the rational mass and its distribution throughout the lower limb prosthesis segments

A solution for finding a rational distribution of mass in lower limb prostheses has been considered based on the formal premise favoring the identification of the movements of a prosthetic and an intact leg. For the purpose of simplicity, and analysis has been carried out for only the swing phase, the data about the properties of moving segments being determined without integrating differential equations of motion. At the formation of equations of motion, an assumption that body segments are absolutely rigid and have constant moments of inertia and locations of the center of mass was taken into consideration. Based on independent proportions formed of combinations of the coefficients of equations of motion, a system of three equations has been formulated and solved in relation to the mass values sought: a static radius and a radius of inertia of the prosthesis complex link "shin + foot + footwear." From the six unknowns included in the equations, three values are chosen as mean values determined empirically. The solution of obtained equations results in the following conclusions: the parameters of the mass distribution in a "shin + foot + footwear" complex link depend on the amputation level and the patient's mass. These data, reported in appropriate tables, may be used in prosthetics practice. Recommendations have also been presented with regard to a prosthesic mass relative to the age of the person with amputation and a method of a balancing of prostheses aimed at the achievement of a rational distribution of masses. The analysis of obtained equations has also allowed us to make recommendations about the artificial foot mass. It has been concluded that a reasonable desire to reduce the mass of the prosthetic segments is not an end in itself, but is only the means of a rational distribution by means of balancing. It has been proved that rational prosthetic fitting results in decreased energy costs and overloads are decreased and a normalized gait.