The MyFlex-ζ Foot: A Variable Stiffness ESR Ankle-Foot Prosthesis

Most commercially available foot prostheses are passive ESR feet, which store and release energy to reduce metabolic costs and improve comfort but cannot adjust to varying walking conditions. In contrast, bionic feet adapt to different tasks but are hindered by high weight, power consumption, and co...

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Main Authors: Johnnidel Tabucol, Vera G. M. Kooiman, Marco Leopaldi, Ruud Leijendekkers, Giacomo Selleri, Marcello Mellini, Nico Verdonschot, Magnus Oddsson, Raffaella Carloni, Andrea Zucchelli, Tommaso M. Brugo
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
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Online Access:https://ieeexplore.ieee.org/document/10852407/
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author Johnnidel Tabucol
Vera G. M. Kooiman
Marco Leopaldi
Ruud Leijendekkers
Giacomo Selleri
Marcello Mellini
Nico Verdonschot
Magnus Oddsson
Raffaella Carloni
Andrea Zucchelli
Tommaso M. Brugo
author_facet Johnnidel Tabucol
Vera G. M. Kooiman
Marco Leopaldi
Ruud Leijendekkers
Giacomo Selleri
Marcello Mellini
Nico Verdonschot
Magnus Oddsson
Raffaella Carloni
Andrea Zucchelli
Tommaso M. Brugo
author_sort Johnnidel Tabucol
collection DOAJ
description Most commercially available foot prostheses are passive ESR feet, which store and release energy to reduce metabolic costs and improve comfort but cannot adjust to varying walking conditions. In contrast, bionic feet adapt to different tasks but are hindered by high weight, power consumption, and cost. This paper presents MyFlex-<inline-formula> <tex-math notation="LaTeX">$\zeta $ </tex-math></inline-formula>, an ESR foot with a variable stiffness system, as a compromise between these two categories. MyFlex-<inline-formula> <tex-math notation="LaTeX">$\zeta $ </tex-math></inline-formula> adjusts stiffness by varying the sagittal-plane distance between two key points, altering force interactions within the prosthesis and affecting overall stiffness. Clinical tests with three transfemoral amputees evaluated stiffness variation across two sessions: the first subjective, where participants assessed stiffness settings during different tasks, and the second biomechanical, measuring performance parameters. Two participants selected different stiffness settings for various tasks, while the third, with limited perception of stiffness changes, showed less distinction in outcomes. Greater sagittal-plane rotation and higher energy absorption were observed in most tasks with more compliant settings, although one participant&#x2019;s results were limited due to selecting close stiffness settings. Overall, these findings suggest MyFlex-<inline-formula> <tex-math notation="LaTeX">$\zeta $ </tex-math></inline-formula> offers adaptability and performance improvements over traditional ESR feet. With further actuation and control system development, MyFlex-<inline-formula> <tex-math notation="LaTeX">$\zeta $ </tex-math></inline-formula> could mark significant progress in prosthesis technology.
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spelling doaj-art-a5d8c4b0448149499235e3850f9e33182025-02-06T00:00:08ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102025-01-013365366310.1109/TNSRE.2025.353409610852407The MyFlex-&#x03B6; Foot: A Variable Stiffness ESR Ankle-Foot ProsthesisJohnnidel Tabucol0https://orcid.org/0000-0003-1215-2055Vera G. M. Kooiman1Marco Leopaldi2https://orcid.org/0000-0002-8762-9180Ruud Leijendekkers3https://orcid.org/0000-0002-6158-6901Giacomo Selleri4https://orcid.org/0000-0002-3593-2305Marcello Mellini5Nico Verdonschot6Magnus Oddsson7Raffaella Carloni8https://orcid.org/0000-0002-6051-4332Andrea Zucchelli9https://orcid.org/0000-0002-3466-2913Tommaso M. Brugo10https://orcid.org/0000-0001-9049-2747Department of Industrial Engineering, University of Bologna, Bologna, ItalyOrthopedic Research Laboratory, the Department of Rehabilitation, and the Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Industrial Engineering, University of Bologna, Bologna, ItalyOrthopedic Research Laboratory, the Department of Rehabilitation, the Donders Institute for Brain, Cognition and Behaviour, the Radboud Institute for Health Sciences, and IQ Healthcare, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Industrial Engineering, University of Bologna, Bologna, ItalyDepartment of Industrial Engineering, University of Bologna, Bologna, ItalyOrthopedic Research Laboratory, Radboud University Medical Center, Nijmegen, The Netherlands&#x00D6;ssur, Reykjavik, IcelandFaculty of Science and Engineering, Bernoulli Institute for Mathematics, Computer Science and Artificial Intelligence, Groningen, The NetherlandsDepartment of Industrial Engineering, University of Bologna, Bologna, ItalyDepartment of Industrial Engineering, University of Bologna, Bologna, ItalyMost commercially available foot prostheses are passive ESR feet, which store and release energy to reduce metabolic costs and improve comfort but cannot adjust to varying walking conditions. In contrast, bionic feet adapt to different tasks but are hindered by high weight, power consumption, and cost. This paper presents MyFlex-<inline-formula> <tex-math notation="LaTeX">$\zeta $ </tex-math></inline-formula>, an ESR foot with a variable stiffness system, as a compromise between these two categories. MyFlex-<inline-formula> <tex-math notation="LaTeX">$\zeta $ </tex-math></inline-formula> adjusts stiffness by varying the sagittal-plane distance between two key points, altering force interactions within the prosthesis and affecting overall stiffness. Clinical tests with three transfemoral amputees evaluated stiffness variation across two sessions: the first subjective, where participants assessed stiffness settings during different tasks, and the second biomechanical, measuring performance parameters. Two participants selected different stiffness settings for various tasks, while the third, with limited perception of stiffness changes, showed less distinction in outcomes. Greater sagittal-plane rotation and higher energy absorption were observed in most tasks with more compliant settings, although one participant&#x2019;s results were limited due to selecting close stiffness settings. Overall, these findings suggest MyFlex-<inline-formula> <tex-math notation="LaTeX">$\zeta $ </tex-math></inline-formula> offers adaptability and performance improvements over traditional ESR feet. With further actuation and control system development, MyFlex-<inline-formula> <tex-math notation="LaTeX">$\zeta $ </tex-math></inline-formula> could mark significant progress in prosthesis technology.https://ieeexplore.ieee.org/document/10852407/Amputationbiomechanical testsprosthesis designprosthetic feetvariable stiffness
spellingShingle Johnnidel Tabucol
Vera G. M. Kooiman
Marco Leopaldi
Ruud Leijendekkers
Giacomo Selleri
Marcello Mellini
Nico Verdonschot
Magnus Oddsson
Raffaella Carloni
Andrea Zucchelli
Tommaso M. Brugo
The MyFlex-&#x03B6; Foot: A Variable Stiffness ESR Ankle-Foot Prosthesis
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Amputation
biomechanical tests
prosthesis design
prosthetic feet
variable stiffness
title The MyFlex-&#x03B6; Foot: A Variable Stiffness ESR Ankle-Foot Prosthesis
title_full The MyFlex-&#x03B6; Foot: A Variable Stiffness ESR Ankle-Foot Prosthesis
title_fullStr The MyFlex-&#x03B6; Foot: A Variable Stiffness ESR Ankle-Foot Prosthesis
title_full_unstemmed The MyFlex-&#x03B6; Foot: A Variable Stiffness ESR Ankle-Foot Prosthesis
title_short The MyFlex-&#x03B6; Foot: A Variable Stiffness ESR Ankle-Foot Prosthesis
title_sort myflex x03b6 foot a variable stiffness esr ankle foot prosthesis
topic Amputation
biomechanical tests
prosthesis design
prosthetic feet
variable stiffness
url https://ieeexplore.ieee.org/document/10852407/
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