踝关节-足假体能量存储与返回的被动解耦机制:以碰撞能量回收为例

IF 3.4 Q2 ENGINEERING, BIOMEDICAL
Wearable technologies Pub Date : 2021-07-28 eCollection Date: 2021-01-01 DOI:10.1017/wtc.2021.7
Hashim A Quraishi, Max K Shepherd, Leo McManus, Jaap Harlaar, Dick H Plettenburg, Elliott J Rouse
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引用次数: 0

摘要

摘要下肢截肢患者在缺乏功能性关节肌肉的情况下,踝关节蹬离工作减少,导致行走能力下降。传统的能量存储和返回(ESR)假肢通过在站立中期存储机械能并在步态的站立末期返回该能量来部分补偿。这些假体可以提供健康踝关节-足在行走过程中大约30%的蹬离力。新颖的假肢,返回更多的规范水平的机械能可能改善行走性能。在这项工作中,我们设计了一种解耦ESR (DESR)假体,该假体将通常在脚跟撞击和负载响应中耗散的能量存储起来,并在终端站立时返回该能量,从而增加了假体所做的机械推离功。这种解耦是通过在两种不同的凸轮轮廓线之间切换来实现的,这两种轮廓线产生了不同的非线性扭矩-角度力学。通过定制的磁开关系统,凸轮在步态周期的关键点自动交换。台式表征证明了能量存储和回报的成功解耦。DESR机制能够在脚跟撞击和负载响应时捕获能量,并在随后的步态周期中返回能量,但这种回收不足以克服机械损失。除了回收能量的潜力之外,DESR机制还具有独特的机械可定制性,例如在摆动阶段为脚趾间隙进行背屈,或增加推离时的能量释放率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A passive mechanism for decoupling energy storage and return in ankle-foot prostheses: A case study in recycling collision energy.

Individuals with lower limb amputation experience reduced ankle push-off work in the absence of functional muscles spanning the joint, leading to decreased walking performance. Conventional energy storage and return (ESR) prostheses partially compensate by storing mechanical energy during midstance and returning this energy during the terminal stance phase of gait. These prostheses can provide approximately 30% of the push-off work performed by a healthy ankle-foot during walking. Novel prostheses that return more normative levels of mechanical energy may improve walking performance. In this work, we designed a Decoupled ESR (DESR) prosthesis which stores energy usually dissipated at heel-strike and loading response, and returns this energy during terminal stance, thus increasing the mechanical push-off work done by the prosthesis. This decoupling is achieved by switching between two different cam profiles that produce distinct, nonlinear torque-angle mechanics. The cams automatically interchange at key points in the gait cycle via a custom magnetic switching system. Benchtop characterization demonstrated the successful decoupling of energy storage and return. The DESR mechanism was able to capture energy at heel-strike and loading response, and return it later in the gait cycle, but this recycling was not sufficient to overcome mechanical losses. In addition to its potential for recycling energy, the DESR mechanism also enables unique mechanical customizability, such as dorsiflexion during swing phase for toe clearance, or increasing the rate of energy release at push-off.

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CiteScore
5.80
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