scholarly journals Computer Assisted Optimization of Prosthetic Socket Design for the Lower Limb Amputees Using 3-D Scan

Author(s):  
Fee von Waldenfels ◽  
Stefan Raith ◽  
Maximilian Eder ◽  
Alexander Volf ◽  
Jalil Jalali ◽  
...  
2018 ◽  
Vol 43 (1) ◽  
pp. 80-87 ◽  
Author(s):  
Robert Gailey ◽  
Anat Kristal ◽  
Jennifer Lucarevic ◽  
Shane Harris ◽  
Brooks Applegate ◽  
...  

Background: Prosthetic socket fit is an important element associated with successful ambulation and use of a prosthesis. Prosthetists and rehabilitation clinicians would benefit from an assessment tool that discriminates between and quantifies the multiple determinants that influence the lower limb amputee’s performance and satisfaction of a prosthetic socket. Objectives: To determine the internal consistency of the comprehensive lower limb amputee socket survey, a new self-report measure of prosthetic socket satisfaction that quantifies suspension, stability, comfort, and appearance. Study design: Cross-sectional sample of active amputees. Methods: Interviews were conducted with prosthetists, physical therapists, and lower limb amputees to identify clinical concerns and common activities influencing socket fit. An expert panel of five clinicians reviewed the items and constructed the original version of the comprehensive lower limb amputee socket survey which was then administered to a convenience sample of 47 active lower limb amputees. Item analysis and Cronbach’s alpha were used to determine the final version of the comprehensive lower limb amputee socket survey. Results: Following item raw score-to-total score correlation with Cronbach’s alpha for comprehensive lower limb amputee socket survey determinants, internal consistency improved when nine questions were eliminated. Conclusion: The comprehensive lower limb amputee socket survey is a self-report measure of prosthetic socket satisfaction with very good internal consistency. Clinical relevance When socket problems occur, the ability to determine the specific cause can reduce modification time, enhance socket fit, and promote patient satisfaction. A standardized multi-dimensional assessment measure of socket satisfaction enables prosthetists to quantify the multiple determinants of socket satisfaction, improve patient communication, and demonstrate the value of socket interventions.


Author(s):  
Kathleen J. Bates ◽  
Glenn K. Klute

Heat and perspiration inside the prosthesis cause discomfort and adherence problems for lower limb amputees. To bench test new prosthetic socket interventions, we developed a thermal residual limb manikin (TRLM) and used it to compare two novel cooling technologies: (1) a vacuum pump which provides ventilation across the skin (FLOW) and (2) a liquid cooling sleeve (SLEEVE). Power to maintain TRLM core temperature was measured to indicate cooling effectiveness. Power increased by 7% and 8% after 90 minutes of convective cooling and evaporative cooling, respectively, with the FLOW system. Power increased by 28% with the SLEEVE system.


2016 ◽  
Vol 852 ◽  
pp. 558-563
Author(s):  
Divya Singh ◽  
Richa Pandey

A prosthetic replaces any missing human body part visibly and also aims to resume the normal functionality of the part. Reverse engineering extracts information from a present model or available design and develops a new model using advanced CAD tools. Nowadays the reverse engineered part can be combined with rapid prototyping by various software and integration of CAD-CAM platforms. In this paper, a new method to reverse engineer the residual limb information for lower limb amputees, in order to use it for analyzing and developing a prosthetic socket by scanning and developing a CAD model is proposed. Along this are discussed, the advantages and challenges. This work falls in the emerging field of interdisciplinary engineering, combining medical and advanced mechanical engineering on a humanitarian platform


2017 ◽  
Vol 2017 ◽  
pp. 1-15 ◽  
Author(s):  
Thilina H. Weerakkody ◽  
Thilina Dulantha Lalitharatne ◽  
R. A. R. C. Gopura

The human foot consists of complex sets of joints. The adaptive nature of the human foot enables it to be stable on any uneven surface. It is important to have such adaptive capabilities in the artificial prosthesis to achieve most of the essential movements for lower-limb amputees. However, many existing lower-limb prostheses lack the adaptive nature. This paper reviews lower-limb adaptive foot prostheses. In order to understand the design concepts of adaptive foot prostheses, the biomechanics of human foot have been explained. Additionally, the requirements and design challenges are investigated and presented. In this review, adaptive foot prostheses are classified according to actuation method. Furthermore, merits and demerits of present-day adaptive foot prostheses are presented based on the hardware construction. The hardware configurations of recent adaptive foot prostheses are analyzed and compared. At the end, potential future developments are highlighted.


2013 ◽  
Vol 10 (1) ◽  
pp. 98 ◽  
Author(s):  
John G Buckley ◽  
Alan R De Asha ◽  
Louise Johnson ◽  
Clive B Beggs

2017 ◽  
Vol 17 (7) ◽  
pp. 2182-2190 ◽  
Author(s):  
Armando Ferreira ◽  
Vitor Correia ◽  
Emilia Mendes ◽  
Claudia Lopes ◽  
Jose Filipe Vilela Vaz ◽  
...  

2012 ◽  
Vol 32 (9) ◽  
pp. 3211-3220 ◽  
Author(s):  
E. L. Simoes ◽  
I. Bramati ◽  
E. Rodrigues ◽  
A. Franzoi ◽  
J. Moll ◽  
...  

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