Motor disorders are diseases affecting the muscle function of the human body. A frequently occurring motor disorder affects the lower leg muscles resulting in a pathological gait called foot drop. Patients have a higher risk of stumbling and falling. The most common treatment is the use of a passive ankle-foot-orthosis (AFO). However, the compensation of foot drop is only limited due to the non possible support of all rotational directions of the ankle joint. Therefore, a newly developed concept for a passive AFO is currently in work. To ensure a best possible treatment of the patient, the provided support by the AFO and required support by the patient have to be in accordance. Thus, in this contribution a method is presented that integrates model order reduced finite element analysis for computing the provided support of the AFO and musculoskeletal human models for representing the patients' gait behaviour. With the method, the design of the force generating structures of the AFO can be realized regarding the patients' requirements. The presented method is further evaluated with a specific use case. The main focus lies here in the principal functionality of the method and the provision of valid results.
The individualization of patient-specific ankle joint orthoses is becoming increasingly important and can be ideally realized by means of additive manufacturing. However, currently, there are no functional additively manufactured fiber-reinforced products that are used in the field of orthopedic treatment. In this paper, an approach as to how additively manufactured orthopedic products can be designed and produced quickly and flexibly in the future is presented. This is demonstrated using the example of a solid ankle–foot orthosis. For this purpose, test results on PETG-CF15, which were determined in a previous work, were integrated into a material map for an FEA simulation. Therewith, the question can be answered as to whether production parameters that were determined at the test specimen level can also be adapted to real, usable components. Furthermore, gait recordings were used as loading conditions to obtain exact results for the final product. In order to perfectly adapt the design of the splint to the user, a 3D scan of a foot was performed to obtain a perfect design space for topology optimization. This resulted in a patient-specific and stiffness-optimized product. Subsequently, it was demonstrated that the orthosis could be manufactured using fused layer modelling. Finally, a comparison between the conventional design and the consideration of AM-specific properties was made. On this basis, it can be stated that the wearing comfort of the patient-specific design is very good, but the tightening of the splint still needs to be improved.
Only by using accurate material data can precise simulation results be achieved. This principle also and especially applies in the field of crash simulation. However, in the simulation of short-fibre reinforced thermoplastics, material parameters are usually used that originate from the material testing of as-new samples. In order to get closer to the condition on the roads, where not only new vehicles are driving, the influence of service loads on the crashworthiness has to be investigated. This paper reports on studies of PBT GF30, a polybutylene terephthalate reinforced with 30% glass fibres, in which fatigue damage was induced in the material by cyclic loading. The residual strength was then determined in a high-speed experiment and compared with the strength of virgin samples. In order to enable the usability of the findings in the simulation, a modified failure criterion was implemented that takes the previous fatigue damage into account. The prediction quality of the simulation model was compared with the experimental findings and it can be concluded that there is good agreement.
With increasing life expectancy, the risk of diseases of the central nervous system, such as cancer, strokes, etc., also increases. Strokes often result in injury to the sciatic nerve, which is responsible for controlling the calf muscles (plantar and dorsal flexors). A so-called ankle joint orthosis (AFO) helps to support the pathological gait and to avoid foot drop during gait. Passive orthoses are of particular importance for research, as they do not require additional incoming energy from outside to the orthotic system. However, current passive orthoses are often not personalized. On the one hand, because they usually have only a temporary muscle-building function and, on the other hand, because the individual design process is computationally time consuming and thus expensive. This paper presents a possibility to pre-dimension and pre-design passive orthoses fast and cost-efficiently by reducing the complexity of the model based on volume-optimized truss elements. Therefor a traditional high calculation intensive design procedure is compared with the complexity reduced model to show its effectiviness and the similarity of the results.
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