With over 30 million people worldwide in need of assistive devices, there is a great need for low-cost, high performance prosthetic technologies in the developing world. A majority of the hydraulic dampers used in prosthetic knee designs are highly specialized, expensive, require regular maintenance, and are incompatible for use with low-cost, single-axis prosthetic knees popular in developing countries. In this study, optimal damping coefficients were computed based on a theoretical analysis of gait, specifically during the transition from the stance to swing phase of human walking when a large damping torque is needed at the knee. A novel rotary hydraulic damper prototype was designed using high-viscosity silicone oil and a concentric meshing of fins for shearing the oil. The prototype was validated experimentally to provide the desired damping torque profile. For preliminary, user-centric validation of the prototype, a gait study on one above-knee amputee in India was conducted with four different damping magnitudes. Feedback from the subject validated the optimal damping torque magnitude predicted for minimizing gait deviations and for enabling able-bodied knee kinematics. The new rotary hydraulic damper design is novel, passive, and compatible with low-cost, single-axis knee prostheses.

We systematically investigate in-vivo the effect of increasing prosthetic knee flexion damping on key features of the swing phase of individuals with transfemoral amputation during walking. Five experienced prosthesis users walked using a prototype device in a motion capture laboratory. A range of interchangeable hydraulic rotary dampers was used to progressively modify swing phase flexion resistance in isolation. Toe clearance (TC; vertical distance toe to floor), effective leg length (ELL; distance hip to toe), and knee flexion angle during swing phase were computed, alongside the sensitivities of vertical toe position to angular displacements at the hip, knee and ankle. Key features of these profiles were compared across 5 damping conditions. With higher damping, knee extension occurred earlier in swing phase, promoting greater symmetry. However, with implications for toe catch, minimum TC reduced, and minimum TC and maximum ELL occurred earlier; temporally closer to mid-swing, when the limb must pass the stance limb. Further, TC became less sensitive to changes in hip flexion, suggesting a lesser ability to control toe clearance without employing proximal or contralateral compensations. There is a trade-off between key features related to gait safety when selecting an appropriate resistance for a mechanical prosthetic knee. In addition to highlighting broader implications surrounding swing phase damping selection for the optimization of mechanical knees, this work reveals design considerations that may be of utility in the formulation of control strategies for computerized devices.

With over 30 million people worldwide requiring assistive devices, there is a great need for affordable prosthetic technologies that can enable kinematics close to able-bodied gait. Passive prosthetic knees designed for low-income users have primarily focused on stability and affordability, often at the cost of the high biomechanical performance that is required to replicate able-bodied kinematics. We present the design and preliminary testing of two distinct mechanisms that are novel for passive prosthetic knee applications: the stability module and the damping module. These mechanisms are designed to enable users of single-axis, passive prostheses to walk with close to able-bodied kinematics on level-ground, specifically during the transition from the stance phase to the swing phase of the gait cycle. The stability module was implemented with a latch mounted on a virtual axis of a four-bar linkage, which can be engaged during early stance for stability and disengaged during late stance to initiate knee flexion. The damping module was implemented with a concentric stack of stationary and rotating pairs of plates that shear thin films of high-viscosity silicone oil. For preliminary user-centric validation, a prototype prosthetic knee with the stability module and two dampers (with varying damping coefficients) was tested on a single participant. The stability module enabled smooth transition from stance to swing with timely initiation of knee flexion. An increase in the damping coefficient was found to decrease the peak knee flexion close to the able-bodied range (58-70 deg).

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