Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 4 , Pages 464-470 , April 2007

Preliminary Evaluation of an Automatically Stance-Phase Controlled Pediatric Prosthetic Knee Joint Using Quantitative Gait Analysis

Presented in part to the Association of Children’s Prosthetic-Orthotic Clinics, March 16–19, 2005, Orlando, FL.

  • Jan Andrysek, MASc

      Affiliations

    • Bloorview Research Institute, Bloorview Kids Rehab, Toronto, ON, Canada
    • Corresponding Author InformationReprint requests to Jan Andrysek, MASc, Bloorview Kids Rehab, 150 Kilgour Rd, Toronto, ON M4G 1R8, Canada
  • ,
  • Susan Redekop, BASc

      Affiliations

    • Bloorview Research Institute, Bloorview Kids Rehab, Toronto, ON, Canada
  • ,
  • Stephen Naumann, PhD

      Affiliations

    • Bloorview Research Institute, Bloorview Kids Rehab, Toronto, ON, Canada
    • Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada.

  • Image Result

    ASPL knee joint mechanism shown unlocked (left) and locked (middle) and in 90° of knee flexion (right).

    ASPL knee joint mechanism shown unlocked (left) and locked (middle) and in 90° of knee flexion (right).

  • Image Result

    Spatiotemporal measures for: (A) velocity; (B) stride length; (C) cadence; and (D) asymmetry index. NOTE. Median values are presented, with error bars indicating ranges. For the reference group (AB),

    Spatiotemporal measures for: (A) velocity; (B) stride length; (C) cadence; and (D) asymmetry index. NOTE. Median values are presented, with error bars indicating ranges. For the reference group (AB), medians and ranges are shown. The subject numbers on the abscissa correspond to those in table 1. Legend: Light bars indicate conventional knees and darker bars ASPL knees.

  • Image Result
    Kinematics for: (A) pelvic obliquity ROM; (B) pelvic tilt ROM; (C) pelvic rotation ROM; (D) hip ROM; (E) knee ROM; and (F) ankle ROM. NOTE. Median values are presented, with error bars indicating rang

    Kinematics for: (A) pelvic obliquity ROM; (B) pelvic tilt ROM; (C) pelvic rotation ROM; (D) hip ROM; (E) knee ROM; and (F) ankle ROM. NOTE. Median values are presented, with error bars indicating ranges. Hollow circles and dark squares indicate the intact and below-knee side data for the conventional and ASPL knees, respectively. For clarity, ranges (error bars) are omitted on the intact and below-knee sides. For the reference group (AB), medians and ranges are reported. The subject numbers on the abscissa correspond to those in table 1. Legend: Light bars indicate conventional knees and darker bars ASPL knees.

  • Image Result
    Internal joint moments for: (A) hip moment extension; (B) hip moment flexion; (C) knee moment extension; (D) knee moment flexion; (E) ankle moment dorsiflexion; and (F) ankle moment plantarflexion. NO

    Internal joint moments for: (A) hip moment extension; (B) hip moment flexion; (C) knee moment extension; (D) knee moment flexion; (E) ankle moment dorsiflexion; and (F) ankle moment plantarflexion. NOTE. Median values are presented, with error bars indicating ranges. Hollow circles and dark squares indicate the intact and below-knee side data for the conventional and ASPL knees, respectively. For clarity, ranges (error bars) are omitted on the intact and below-knee sides. For the reference group, medians and ranges are reported. The subject numbers on the abscissa correspond to those in table 1. Abbreviations: DORSI, dorsiflexion; EXT, extension; FLEX, flexion; PLANTAR, plantarflexion. Legend: Light bars indicate conventional knees and darker bars ASPL knees.

  • Image Result
    Joint powers for: (A) hip power absorption; (B) hip power generation; (C) knee power absorption; (D) knee power generation; (E) ankle power absorption; and (F) ankle power generation. NOTE. Median val

    Joint powers for: (A) hip power absorption; (B) hip power generation; (C) knee power absorption; (D) knee power generation; (E) ankle power absorption; and (F) ankle power generation. NOTE. Median values are presented, with error bars indicating ranges. Hollow circles and dark squares indicate the intact and below-knee side data for the conventional and ASPL knees, respectively. For clarity, ranges (error bars) are omitted on the intact and below-knee sides. For the reference group, the median and ranges for the group are provided. The subject numbers on the abscissa correspond to those in table 1. Abbreviations: ABSORB, power absorption; GENERATE, power generation. Legend: Light bars indicate conventional knees and darker bars ASPL knees.

 Supported by the Canadian Institutes of Heath Research (grant no. PPP-63077), Heffernan Co-Steel Innovation Scholarship, Natural Sciences and Engineering Research Council, and the Bloorview Children’s Hospital Foundation.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(07)00012-3

doi: 10.1016/j.apmr.2007.01.009

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 4 , Pages 464-470 , April 2007