A general model for estimating lower extremity inertial properties of individuals with transtibial amputation |
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Institution: | 1. School of Sport & Exercise Science, University of Northern Colorado, Greeley, CO, USA;2. Department of Kinesiology, Arizona State University, Phoenix, AZ, USA;3. Department of Kinesiology, Iowa State University, Ames, IA, USA;1. Department of Biomechanics and Center for Research in Human Movement Variability, University of Nebraska at Omaha, 6160 University Drive, Omaha, NE 68182-0860, USA;2. College of Public Health, 984355 University of Nebraska Medical Center, Omaha, NE 68198-4355, USA;1. Department of Oral Cell Biology and Functional Anatomy, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands;2. MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands;3. Biomechanics Section, Department of Mechanical Engineering, KU Leuven, Leuven, Belgium;4. Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands;1. Department of Engineering, Faculty of Science and Technology, Aarhus University, Finlandsgade 22, 8200 Aarhus N, Denmark;2. Department of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark;3. Department of Clinical Medicine, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark;1. Department of Sports Medicine and Health Promotion, Friedrich-Schiller University Jena, Wöllnitzer Straße 42, D-07749 Jena, Germany;2. Center of Interdisciplinary Prevention of Diseases related to Professional Activities, Friedrich-Schiller University Jena, D-07737 Jena, Germany;3. Department of Sports and Motion Science, University Stuttgart, Allmandring 28, D-70569 Stuttgart, Germany;4. Department of Sports Management, University Bayreuth, Universitätsstraße 30, D-95440 Bayreuth, Germany |
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Abstract: | Lower extremity joint moment magnitudes during swing are dependent on the inertial properties of the prosthesis and residual limb of individuals with transtibial amputation (TTA). Often, intact limb inertial properties (INTACT) are used for prosthetic limb values in an inverse dynamics model even though these values overestimate the amputated limb’s inertial properties. The purpose of this study was to use subject-specific (SPECIFIC) measures of prosthesis inertial properties to generate a general model (GENERAL) for estimating TTA prosthesis inertial properties. Subject-specific mass, center of mass, and moment of inertia were determined for the shank and foot segments of the prosthesis (n = 11) using an oscillation technique and reaction board. The GENERAL model was derived from the means of the SPECIFIC model. Mass and segment lengths are required GENERAL model inputs. Comparisons of segment inertial properties and joint moments during walking were made using three inertial models (unique sample; n = 9): (1) SPECIFIC, (2) GENERAL, and (3) INTACT. Prosthetic shank inertial properties were significantly smaller with the SPECIFIC and GENERAL model than the INTACT model, but the SPECIFIC and GENERAL model did not statistically differ. Peak knee and hip joint moments during swing were significantly smaller for the SPECIFIC and GENERAL model compared with the INTACT model and were not significantly different between SPECIFIC and GENERAL models. When subject-specific measures are unavailable, using the GENERAL model produces a better estimate of prosthetic side inertial properties resulting in more accurate joint moment measurements for individuals with TTA than the INTACT model. |
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Keywords: | Amputee Gait Biomechanics Inertial properties |
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