Various prosthetic foot-ankle units have been developed and widely used, but for the prosthetist, it becomes difficult to select an appropriate foot-ankle unit and adjust its alignment for each amputee. A. Hansen et.al.developed the quasi-static measuring method of rollover characteristics (locus of c.o.p.: center of pressure) of prosthetic foot in sagittal plane, but loading condition is restricted only vertical force on foot-sole. C. Curtze et.al. measured the rollover characteristics dynamically as the locus of c.o.p. in sagittal plane, but loading condition is constant. Based on the rigid body mechanics, f.c.p. (force contact point) is meaningful compared with c.o.p.. To resolve this problem, we have developed the measuring method of three dimensional locus of f.c.p. on foot-sole under the fixed stance phase loading from heel contact to toe-off generated by the testing device based on ISO/TR22676. Some typical prosthetic feet and orthotic ankle joints were measured and their 3D rollover characteristics were compared.
Loading device was developed based on the ISO22675 standard. Foot-ankle unit is positioned under the pneumatic servo cylinder which generates the compressive force of double peaks simulating the typical gait cycle loading, and 6-axis load cell is installed just above the foot-ankle unit. The foot plate positioned just under the prosthetic foot rolls from −20 deg (heel contact) to 40 deg (toe off), and generate vertical and shear forces on the foot-sole. Forces and moments measured by the 6-axis load cell are positioned on the center of the load cell, and are equally transformed to a single force vector and a single moment vector on the screw line, based on the rigid body mechanics. The cross point of the screw line calculated from the output of 6-axis load cell and the surface of rolling foot plate is the f.c.p.. The locus of this point plotted on the coordinates system fixed at the center of 6-axis load cell shows the rollover characteristics in sagittal, frontal and transverse planes.
Three dimensional rollover characteristics of typical prosthetic foot-ankle units and ankle-foot orthoses were measured. Locus of f.c.p. in sagittal plane, frontal plane and transverse plane were calculated and plotted on each graph. The relation between f.c.p. shift from heel to toe and time (sec) was plotted on each foot-ankle unit. The relation between f.c.p. shift from heel to toe and swing foot plate angle (deg) was plotted on each foot-ankle unit. These results showed distinctive feature on each foot-ankle unit, and useful indicators were obtained. Alignment change (plantar flexion-dorsi flexion, inversion-eversion, toe in-toe out) of the foot 1D10 was tried and some distinctive marks were obtained. The method to calculate the three dimensional rollover characteristics as the locus of f.c.p. on foot-sole of prosthetic ankle-foot unit and ankle-foot orthosis under the fixed gait simulated loading condition was settled.
View full abstract