Kinematics of gait using bionic and hydraulic knee joints in transfemoral amputees

Uchytil, Jaroslav; Jandacka, Daniel; Farana, Roman; Zahradník, David; Rosický, Jiří; Janura, Miroslav

doi:10.5507/ag.2017.016

Cited by 8 publications

(6 citation statements)

References 23 publications

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“…One study using waveform analysis found that MPKs had more stance phase symmetry in all three joints compared with a variety of non-MPKs, although findings were not statistically signifcant 20 . Another study found that MPKs had more symmetry in all three joints across the gait cycle compared with hydraulic knees, with most increased symmetry at the hip 60 . Finally, participants had more knee angle symmetry with MPKs compared with hydraulic knees after 3-month acclimation periods to each knee.…”

Section: Discussionmentioning

confidence: 99%

“…20 Another study found that MPKs had more symmetry in all three joints across the gait cycle compared with hydraulic knees, with most increased symmetry at the hip. 60 Finally, participants had more knee angle symmetry with MPKs compared with hydraulic knees after 3-month acclimation periods to each knee. No studies that compared prosthetic knee componentry reported ankle symmetry or RoM.…”

Section: Joint Angle Parametersmentioning

confidence: 91%

“…Microprocessor knees (91.6%) tended to increase hip RoM symmetry compared with non-MPKs (82.6%) but showed similar amounts of knee RoM symmetry with MPKs (70.5%-97.7%) compared with non-MPKs (77.8%-98.2%). 20,60,61 One study using waveform analysis found that MPKs had more stance phase symmetry in all three joints compared with a variety of non-MPKs, although findings were not statistically signifcant. 20 Another study found that MPKs had more symmetry in all three joints across the gait cycle compared with hydraulic knees, with most increased symmetry at the hip.…”

Section: Joint Angle Parametersmentioning

confidence: 99%

“…18,19,37,43,47 Microprocessor knees tended to show increased symmetry compared with non-MPKs. 16,20,41,60,61…”

Section: Findings By Prosthetic Factorsmentioning

confidence: 99%

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Normalized Kinematic Walking Symmetry Data for Individuals Who Use Lower-Limb Prostheses: Considerations for Clinical Practice and Future Research

2023

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Introduction: Individuals who use unilateral transtibial or transfemoral prostheses have negative secondary health effects associated with decreased kinematic (e.g., spatiotemporal and joint angle) walking symmetry between prosthetic and intact limbs. Research studies have quantified kinematic walking symmetry, but studies can be difficult to compare owing to the inclusion of small sample sizes and differences in participant demographics, biomechanical parameters, and mathematical analysis of symmetry. This review aims to normalize kinematic walking symmetry research data across studies by level of limb loss and prosthetic factors to inform considerations in clinical practice and future research. Methods: A search was performed on March 18, 2020, in PubMed, Scopus, and Google Scholar to encompass kinematic walking symmetry literature from the year 2000. First, the most common participant demographics, kinematic parameters, and mathematical analysis of symmetry were identified across studies. Then, the most common mathematical analysis of symmetry was used to recalculate symmetry data across studies for the five most common kinematic parameters. Results: Forty-four studies were included in this review. The most common participant demographics were younger adults with traumatic etiology who used componentry intended for higher activity levels. The most common kinematic parameters were step length, stance time, and sagittal plane ankle, knee, and hip range of motion. The most common mathematical analysis was a particular symmetry index equation. Conclusions: Normalization of data showed that symmetry tended to decrease as level of limb loss became more proximal and to increase with prosthetic componentry intended for higher activity levels. However, most studies included 10 or fewer individuals who were active younger adults with traumatic etiologies. Clinical Relevance: Data summarized in this review could be used as reference values for rehabilitation and payer justification. Specifically, these data can help guide expectations for magnitudes of walking symmetry throughout rehabilitation or to justify advanced prosthetic componentry for active younger adults under 65 years of age with traumatic etiologies to payers.

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Section: Discussionmentioning

confidence: 99%

Section: Joint Angle Parametersmentioning

confidence: 91%

Section: Joint Angle Parametersmentioning

confidence: 99%

“…18,19,37,43,47 Microprocessor knees tended to show increased symmetry compared with non-MPKs. 16,20,41,60,61…”

Section: Findings By Prosthetic Factorsmentioning

confidence: 99%

See 2 more Smart Citations

Normalized Kinematic Walking Symmetry Data for Individuals Who Use Lower-Limb Prostheses: Considerations for Clinical Practice and Future Research

2023

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“…In normal gait, the average duration of a gait cycle will be very similar for the left and right sides. In pathological (i.e., abnormal) gait, there may be a pronounced difference between the two sides, leading to arrhythmic gait patterns (Uchytil et al, 2017 ).…”

Section: Human Gaitmentioning

confidence: 99%

A Review of the Potential of Virtual Walking Techniques for Gait Rehabilitation

Janeh

Steinicke

2021

Front. Hum. Neurosci.

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Virtual reality (VR) technology has emerged as a promising tool for studying and rehabilitating gait disturbances in different cohorts of patients (such as Parkinson's disease, post-stroke, or other neurological disorders) as it allows patients to be engaged in an immersive and artificial environment, which can be designed to address the particular needs of each individual. This review demonstrates the state of the art in applications of virtual walking techniques and related technologies for gait therapy and rehabilitation of people with movement disorders makes recommendations for future research and discusses the use of VR in the clinic. However, the potential for using these techniques in gait rehabilitation is to provide a more personalized approach by simulate the experience of natural walking, while patients with neurological disorders are maintained localized in the real world. The goal of our work is to investigate how the human nervous system controls movement in health and neurodegenerative disease.

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Performance Evaluation of Jaipur Knee Joint through Kinematics and Kinetics Gait Symmetry with Unilateral Transfemoral Indian Amputees

et al. 2019

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Kinematics of gait using bionic and hydraulic knee joints in transfemoral amputees

Cited by 8 publications

References 23 publications

Normalized Kinematic Walking Symmetry Data for Individuals Who Use Lower-Limb Prostheses: Considerations for Clinical Practice and Future Research

Normalized Kinematic Walking Symmetry Data for Individuals Who Use Lower-Limb Prostheses: Considerations for Clinical Practice and Future Research

A Review of the Potential of Virtual Walking Techniques for Gait Rehabilitation

Performance Evaluation of Jaipur Knee Joint through Kinematics and Kinetics Gait Symmetry with Unilateral Transfemoral Indian Amputees

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