影响转腿假肢摇摆阶段地面清理的因素 - 一项生物力学研究
Thomas Maximilian Köhler1, Barbara Pobatschnig2, Malte Bellmann3
1Clinical Research and Services, Research Biomechanics, Ottobock SE & Co. KGaA, Göttingen, Germany.
Gait & posture
|August 30, 2025
概括
适当的腿假肢安装对于足够的地面距离 (GC) 和防止跌倒至关重要. 假肢对齐和膝盖摆动控制显著影响GC,并减少像跳跃这样的补偿运动.
科学领域:
- 生物力学
- 假肢和整形
- 步态分析
背景情况:
- 在假肢侧摆动时,足够的地面空距对于截肢者来说是必不可少的,以防止倒和跌倒.
- 足够的GC可能会导致补偿运动,对步态生物力学产生负面影响.
研究的目的:
- 调查不同的假肢部件和对齐如何影响假肢侧面GC在水平行走.
- 鉴定因足够的GC而被截肢的人使用的补偿策略.
主要方法:
- 八名腿部截肢者参与了这项研究.
- 测试了三个膝关节 (单心,两个多心) 和两个假肢 (有/没有被动背部曲).
- 假肢对齐 (膝盖/脚位置,假肢长度) 是不同的,在不同速度行走时收集动力学/动力学数据.
主要成果:
- 在较高的膝盖屈曲,前膝盖位置和后脚位置时观察到GC的增加.
- 假肢膝关节摆动阶段控制对GC产生了比多中心膝关节几何学更大的影响.
- 被动脚背部曲改善了GC,但制造商推的前脚位置否定了这一好处.
- 假肢缩短不一致地影响了GC,但对骨盆和骨干的稳定性产生了负面影响.
- 顶是主要的补偿策略,
结论:
- 假肢对齐和膝盖摆动阶段控制是影响腿部截肢者的关键因素.
- 优化假肢的安装可以帮助减少不自然的补偿策略,提高步行安全.
- 这些发现为专家提供了更好的假肢设计和安装方法.
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