Biomechanic and Energetic Effects of a Quasi-Passive Artificial Gastrocnemius on Transtibial Amputee Gait

State-of-the-art transtibial prostheses provide only ankle joint actuation and thus do not provide the biarticular function of the amputated gastrocnemius muscle. We develop a prosthesis that actuates both knee and ankle joints and then evaluate the incremental effects of this prosthesis as compared...

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Main Authors: Michael F. Eilenberg, Ken Endo, Hugh Herr
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Robotics
Online Access:http://dx.doi.org/10.1155/2018/6756027
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author Michael F. Eilenberg
Ken Endo
Hugh Herr
author_facet Michael F. Eilenberg
Ken Endo
Hugh Herr
author_sort Michael F. Eilenberg
collection DOAJ
description State-of-the-art transtibial prostheses provide only ankle joint actuation and thus do not provide the biarticular function of the amputated gastrocnemius muscle. We develop a prosthesis that actuates both knee and ankle joints and then evaluate the incremental effects of this prosthesis as compared to ankle actuation alone. The prosthesis employs a quasi-passive clutched-spring knee orthosis, approximating the largely isometric behavior of the biological gastrocnemius, and utilizes a commercial powered ankle-foot prosthesis for ankle joint functionality. Two participants with unilateral transtibial amputation walk with this prosthesis on an instrumented treadmill, while motion, force, and metabolic data are collected. Data are analyzed to determine differences between the biarticular condition with the activation of the knee orthosis and the monoarticular condition with the orthosis behaving as a free-joint. As hypothesized, the biarticular system is shown to reduce both affected-side knee and hip moment impulse and positive mechanical work in both participants during the late stance knee flexion phase of walking, compared to the monoarticular condition. The metabolic cost of walking is also reduced for both participants. These very preliminary results suggest that biarticular functionality may provide benefits beyond even those of the most advanced monoarticular prostheses.
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spelling doaj-art-b84db526a29c46f1861879e45212a8c62025-02-03T07:25:24ZengWileyJournal of Robotics1687-96001687-96192018-01-01201810.1155/2018/67560276756027Biomechanic and Energetic Effects of a Quasi-Passive Artificial Gastrocnemius on Transtibial Amputee GaitMichael F. Eilenberg0Ken Endo1Hugh Herr2Biomechatronics Group, MIT Media Lab, Massachusetts Institute of Technology, Cambridge, MA 02139, USABiomechatronics Group, MIT Media Lab, Massachusetts Institute of Technology, Cambridge, MA 02139, USABiomechatronics Group, MIT Media Lab, Massachusetts Institute of Technology, Cambridge, MA 02139, USAState-of-the-art transtibial prostheses provide only ankle joint actuation and thus do not provide the biarticular function of the amputated gastrocnemius muscle. We develop a prosthesis that actuates both knee and ankle joints and then evaluate the incremental effects of this prosthesis as compared to ankle actuation alone. The prosthesis employs a quasi-passive clutched-spring knee orthosis, approximating the largely isometric behavior of the biological gastrocnemius, and utilizes a commercial powered ankle-foot prosthesis for ankle joint functionality. Two participants with unilateral transtibial amputation walk with this prosthesis on an instrumented treadmill, while motion, force, and metabolic data are collected. Data are analyzed to determine differences between the biarticular condition with the activation of the knee orthosis and the monoarticular condition with the orthosis behaving as a free-joint. As hypothesized, the biarticular system is shown to reduce both affected-side knee and hip moment impulse and positive mechanical work in both participants during the late stance knee flexion phase of walking, compared to the monoarticular condition. The metabolic cost of walking is also reduced for both participants. These very preliminary results suggest that biarticular functionality may provide benefits beyond even those of the most advanced monoarticular prostheses.http://dx.doi.org/10.1155/2018/6756027
spellingShingle Michael F. Eilenberg
Ken Endo
Hugh Herr
Biomechanic and Energetic Effects of a Quasi-Passive Artificial Gastrocnemius on Transtibial Amputee Gait
Journal of Robotics
title Biomechanic and Energetic Effects of a Quasi-Passive Artificial Gastrocnemius on Transtibial Amputee Gait
title_full Biomechanic and Energetic Effects of a Quasi-Passive Artificial Gastrocnemius on Transtibial Amputee Gait
title_fullStr Biomechanic and Energetic Effects of a Quasi-Passive Artificial Gastrocnemius on Transtibial Amputee Gait
title_full_unstemmed Biomechanic and Energetic Effects of a Quasi-Passive Artificial Gastrocnemius on Transtibial Amputee Gait
title_short Biomechanic and Energetic Effects of a Quasi-Passive Artificial Gastrocnemius on Transtibial Amputee Gait
title_sort biomechanic and energetic effects of a quasi passive artificial gastrocnemius on transtibial amputee gait
url http://dx.doi.org/10.1155/2018/6756027
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