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A Passive Mechanism for Decoupling Energy Storage and Return in Ankle-foot Prostheses: A Case Study in Recycling Collision Energy

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Date 2024 Mar 15
PMID 38486628
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Abstract

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.

Citing Articles

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Bartlett H, Shepherd M, Lawson B Wearable Technol. 2024; 4:e15.

PMID: 38487763 PMC: 10936342. DOI: 10.1017/wtc.2023.10.


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Leestma J, Fehr K, Adamczyk P Sensors (Basel). 2021; 21(18).

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References
1.
Bovi G, Rabuffetti M, Mazzoleni P, Ferrarin M . A multiple-task gait analysis approach: kinematic, kinetic and EMG reference data for healthy young and adult subjects. Gait Posture. 2010; 33(1):6-13. DOI: 10.1016/j.gaitpost.2010.08.009. View

2.
Shepherd M, Azocar A, Major M, Rouse E . Amputee perception of prosthetic ankle stiffness during locomotion. J Neuroeng Rehabil. 2018; 15(1):99. PMC: 6225626. DOI: 10.1186/s12984-018-0432-5. View

3.
Silverman A, Fey N, Portillo A, Walden J, Bosker G, Neptune R . Compensatory mechanisms in below-knee amputee gait in response to increasing steady-state walking speeds. Gait Posture. 2008; 28(4):602-9. DOI: 10.1016/j.gaitpost.2008.04.005. View

4.
Shepherd M, Rouse E . The VSPA Foot: A Quasi-Passive Ankle-Foot Prosthesis With Continuously Variable Stiffness. IEEE Trans Neural Syst Rehabil Eng. 2017; 25(12):2375-2386. DOI: 10.1109/TNSRE.2017.2750113. View

5.
Casillas J, Dulieu V, Cohen M, Marcer I, Didier J . Bioenergetic comparison of a new energy-storing foot and SACH foot in traumatic below-knee vascular amputations. Arch Phys Med Rehabil. 1995; 76(1):39-44. DOI: 10.1016/s0003-9993(95)80040-9. View