PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Enhancing mobility with knee orthoses: Design considerations and patient needs through case study

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Knee orthoses are critical in many conditions from pain due to arthritis to knee instability during sports. However, there are very serious challenges regarding usability, comfort, and aesthetics in designing knee orthoses. This paper takes a design approach for the knee orthosis specifically targeted toward arthritis patients and young athletes. From these requirements, it became imperative to have a lightweight, skin-friendly device capable of providing real-time feedback through embedded sensors. A bi-modal methodology was adopted: theoretically, the leg and spring fixtures were modeled in SOLIDWORKS to compute muscle forces with and without the use of orthosis; experimentally, three sets of springs and a brace were manufactured and tested. Kinematic and kinetic data were captured using the G-Walk system; EMG measurements were used to evaluate upper leg muscle activity in controlled tests. This study compared knee braces with spring wires of diameters 1.6 mm, 2.0 mm, and 2.25 mm against an unbraced condition during the Squat Jump Test performed with the G-Walk system. All braced conditions reduced dynamic performance; flight height, center of mass, and average concentric speed was reduced by up to 15%, 20%, and 40% respectively. Kinetic analysis indicated stable takeoff force, lower impact force by 10%, and coupled reduction of eccentric phase rate by 80% with increase in concentric phase by 300%. Increased brace stiffness resulted in lower Quadriceps and Patella forces; EMG data indicated the 2.0 mm brace as providing the optimal balance. Some discrepancies were noted against theoretical models.
Słowa kluczowe
Twórcy
  • Prosthetics and Orthotics Engineering Department, College of Engineering, Al-Nahrain University, Iraq
  • Prosthetics and Orthotics Engineering Department, College of Engineering, Al-Nahrain University, Iraq
  • Department of Mechanical Engineering, School of Engineering, University of Birmingham, UK
  • Department of Mechanical Engineering, College of Engineering, Al-Nahrain University, Iraq
  • Prosthetics and Orthotics Engineering Department, College of Engineering, Al-Nahrain University, Iraq
  • Prosthetics and Orthotics Engineering Department, College of Engineering, Al-Nahrain University, Iraq
Bibliografia
  • 1. Bini S. A., et al. Effectiveness of unloader braces for knee osteoarthritis, Osteoarthritis and Cartilage 2011; 19(4): 502–507.
  • 2.López-Silva J. L., et al. Effect of knee sleeves on knee pain and functionality in OA patients, Journal of Rehabilitation Research and Development 2020; 57(6): 947–953.
  • 3. DiGiovanni B. F., et al. The role of orthotic devices in the management of knee pain, Clinical Orthopaedics and Related Research 2005; 439(2): 89–97.
  • 4. Krakowski P., Rejniak A., Sobczyk J., Karpiński R. Cartilage integrity: A review of mechanical and frictional properties and repair approaches in osteoarthritis, Healthcare 2024; 12: 1648. https://doi.org/10.3390/healthcare12161648
  • 5. Yalfani A., Ahadi F., Ahmadi M. Effects of pain exacerbation on postural control in women with patellofemoral pain during single leg squat: a cross-sectional study, Journal of Orthopaedic Surgery and Research 2024; 19: 462.
  • 6. Xiong Z., Zheng W., Wang H., Gao Y., Wang C. Effects of functional strength training on pain, function, and lower extremity biomechanics in patients with patellofemoral pain syndrome: a randomized clinical trial, Journal of Orthopaedic Surgery and Research 2025; 20(1): 50.
  • 7. Berker N., Yalçın S. The help guides to cerebral palsy, 2010.
  • 8. Zhou J., et al. Application of smart knee braces in post-operative rehabilitation: A review, Journal of Rehabilitation Research and Development 2021; 58(6): 423–432.
  • 9. Li S., et al. Customization of knee orthoses using 3D printing technology, Journal of Biomechanics 2020; 52: 11–19.
  • 10. Brophy R. H., et al. Orthotic devices for knee instability in athletes: A review, Sports Medicine 2018; 48(5): 1234–1242.
  • 11. Prentice W. E., Voight M. L. Techniques in musculoskeletal rehabilitation, McGraw-Hill Medical Publishing Division, 2001.
  • 12. Santos S., et al. Design and development of a customized knee positioning orthosis using low-cost 3D printers, Virtual and Physical Prototyping 2017.
  • 13. Esrafilian A., Karimi M. T., Eshraghi A. Design and evaluation of a new type of knee orthosis to align the mediolateral angle of the knee joint with osteoarthritis, Advances in Orthopedics 2012; 2012(1): 104927.
  • 14. Spring A. N., Kofman J., Lemaire E. D. Design and evaluation of an orthotic knee-extension assist, IEEE Transactions on Neural Systems and Rehabilitation Engineering 2012; 20(5).
  • 15. Ma H., Lai W.-Y., Liao W.-H., Tik-Pui Fong D., Chan K.-M. Design and control of a powered knee orthosis for gait assistance, ASME International Conference on Advanced Intelligent Mechatronics, IEEE 2013.
  • 16. Kim K., Yu C.-H., Jeong G.-Y., Heo M., Kwon T. K. Analysis of the assistance characteristics for the knee extension motion of knee orthosis using muscular stiffness force feedback, Journal of Mechanical Science and Technology 2013; 27: 3161–3169.
  • 17. Brand A., Klöpfer-Krämer I., Morgenstern M., Kröger I., Andreas B. M., Thannheimer Müßig J. A., Augat P. Effects of knee orthosis adjustment on biomechanical performance and clinical outcome in patients with medial knee osteoarthritis, Prosthetics and Orthotics International 2017; 41(6): 587–594.
  • 18. Kamada I., Uemura M., Hirai H., Miyazaki F. Efficacy of a knee orthosis that uses an elastic element, In: 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), IEEE 2017: 942–945.
  • 19. Zhu H., Nesler C., Divekar N., Ahmad M. T., Gregg R. D. Design and validation of a partial-assist knee orthosis with compact, backdrivable actuation, IEEE 16th International Conference on Rehabilitation Robotics (ICORR) 2019.
  • 20. Lee D., Kwak E. C., McLain B. J., Kang I., Young A. J. Effects of assistance during early stance phase using a robotic knee orthosis on energetics, muscle activity, and joint mechanics during incline and decline walking, IEEE Transactions on Neural Systems and Rehabilitation Engineering 2020; 28(4): 914–923.
  • 21. Zhu H., et al. Design principles for compact, backdrivable actuation in partial-assist powered knee orthoses, IEEE/ASME Transactions on Mechatronics 2021; 26(6): 3104–3115.
  • 22. Zhou X., Liu X., Liu X., Hao J. H. J., Liu Y., Tang Y. T. Y. Design and evaluation of a wedge-shaped adaptive knee orthosis for the human lower limbs, Frontiers in Bioengineering and Biotechnology 2024; 12: 1439616.
  • 23. Liu K., Ji S., Liu Y., Zhang S., Dai L. Design and optimization of an adaptive knee joint orthosis for biomimetic motion rehabilitation assistance, Biomimetics 2024; 9(2): 98.
  • 24. Karimi M. T., Bahramizadeh M., Khaliliyan H., Ansari M., Batra K., Afolabi A., Ilesanmi O., Szarpak L., Khabbache H., Nucera G., Sitibondo A., Ghaffari F., Sharafatvaziri A., Chirico F. Investigating the effects of knee valgus orthosis on knee joint contact forces among subjects with knee osteoarthritis: A case series study, Journal of Health and Social Sciences 2024; 9(2): 190–200.
  • 25. Petersen W., et al. Patellofemoral pain syndrome, Knee Surgery, Sports Traumatology, Arthroscopy 2014; 22: 2264–2274.
  • 26. Tözeren A. Human body dynamics: classical mechanics and human movement, Springer-Verlag New York, Inc. 2000.
  • 27. Basim N., Kahtan Y. Y. A study of the effect of the difference in energy stored in two prosthetic feet made of carbon fiber amputated below the knee on the efficiency of walking, Al-Nahrain Journal for Engineering Sciences 2024; 27(1).
  • 28. Vayalapra S., et al. Repeatability of inertial measurement units for measuring pelvic mobility in patients undergoing total hip arthroplasty, Sensors 2022; 23(1): 377.
  • 29. Andrenacci I., Boccaccini R., Bolzoni A., Colavolpe G., Costantino C., Federico M., Ugolini A., Vannucci A. A comparative evaluation of inertial sensors for gait and jump analysis, Sensors 2021; 21: 5990.
Uwagi
Opracowanie rekordu ze środków MNiSW, umowa nr POPUL/SP/0154/2024/02 w ramach programu "Społeczna odpowiedzialność nauki II" - moduł: Popularyzacja nauki (2025).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-e729f76a-e4ee-4439-8add-ab9f06a8ed0f
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.