多中心外假肢膝关节 - 在摇摆阶段缩短的程度
T M Köhler1, M Bellmann1, S Blumentritt2
1Clinical Research and Services, Research Biomechanics, Ottobock SE & Co. KGaA, Göttingen, Germany.
Canadian prosthetics & orthotics journal
|August 24, 2023
概括
多中心膝关节并不总是提供更好的地面空距. 使用单心膝关节的优化对齐和摆动控制可以提供优越的地面空距,挑战了关于多心设计的假设.
科学领域:
- 假肢学和生物力学
- 整形外科工程 整形外科工程
背景情况:
- 与单心设计相比,多心膝关节通常被认为在摇摆阶段提供更高的地面空距.
- 这种感知优势归因于下腿段 (LLS) 的几何缩短.
研究的目的:
- 批判性地评估多中心膝关节是否能显著提高地面空距.
- 为了确定假肢对齐对实现的地面空距程度的影响.
主要方法:
- 在静止装置上测试了11个多中心和2个单中心的膝关节.
- 在膝盖曲时测量了LLS缩短和由此产生的地面空距.
- 确保整体的假肢高度和制造商推的前后对齐.
主要成果:
- 观察到LLS缩短至14.7毫米,其中一个关节延长4.4毫米.
- 测量了高达25.4毫米的地面空距差异.
- 一个单心膝关节在地面空距方面超过了8个多心设计.
结论:
- 在摇摆阶段显著缩短不是多中心膝关节的普遍特征.
- 单心膝关节,具有优化的对齐和摆动阶段控制,可以比一些多心设计实现更大的地面空距.
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