In this study, an ideal electromechanical KAFO, satisfying stability in the stance and knee flexion in the swing phase during walking, was developed. Biomechanical evaluations were performed on four polio patients by means of three-dimensional gait analyses and energy consumption studies. From the three-dimensional gait analysis on poliomyelitis patients, a considerable amount of knee flexion during the swing phase was observed in controlled-knee gait, which resulted in approximately 33% less energy consumption than in locked-knee gait. The developed electromechanical KAFO in this study was helpful in poliomyelitis patients having partial or complete paralysis of the lower extremity, providing both stability in the stance and free swinging of the knee. This unit was efficient in the transfer of energy.
Walking with the knee joint locked increases the amplitude of pelvic tilt and results in an unnatural gait. This paper introduces a powered gait orthosis with a moveable knee joint designed to improve the gait speed of patients with spinal cord injury (SCI). The unlockable knee joint powered gait orthosis (UKJ-PGO) uses a gas spring cylinder and a solenoid locking device to enable flexion of the joint, while the rigidity of the hip-joint device is enhanced using air muscles. A gait analysis was conducted to evaluate the performance of the UKJ-PGO, and the kinematic parameters obtained were compared with those of a standard PGO. In the gait of SCI patients using the UKJ-PGO, the new knee-joint device enabled flexion during the swing phase and showed a decrease in pelvic tilt compared with the standard PGO gait. As greater flexion was possible at the knee joint, the duration of the stance phase substantially decreased to near to the normal value, and the duration of the swing phase increased accordingly. In addition, the gait using the UKJ-PGO was faster than that with the standard PGO.
These results showed that kinematic features of the gait, torso, and pelvis in older adults using the FWW might be dependent on the handgrip height of the FWW and the patient's balance. Additionally, greater than 48% of the body height might be appropriate for older adults with poor balance.
In this study, a postural change detection sensor module (PCDSM) was developed to detect postural changes in activities of daily living (ADL) and falls. The PCDSM consists of eight mercury sensors that measure angle variations in 360° rotation and 90° tilting. From the preliminary study, the output characteristics of the PCDSM were confirmed with the angle variations of rotational motion and a tilting table. Three experiments were conducted to test rotational motion, postural changes, and falling and lying. The results confirmed that the PCDSM could effectively detect postural changes, movement patterns, and falls or non-falls.
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