具有可调刚度和中性角度的可调踝足矫形器的台架试验

Tianshu Jiang, W. Durfee
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摘要

脑瘫是最常见的儿童运动障碍,影响了美国0.3%的儿童,其中三分之二的儿童有步态障碍。踝足矫形器(AFO)通常作为步态辅助处方。当AFO的刚度和中性角度被最佳地规定以解决每个用户的问题时,AFO的功能是最大化的。然而,处方过程不规范,对处方临床医生来说是主观的。只有三分之一的afo改善了使用者的步态,而另外三分之一对步态产生了负面影响。开发了一种可调的AFO,允许临床医生测试被动AFO的刚度范围和中性角度,使处方更有可能产生积极的效果。可调AFO的设计重量约为典型的塑料AFO,尺寸为儿童设计。它涵盖了90%的刚度范围和规定的afo中性角。它能承受行走时施加的扭矩。调节这两个参数的机制操作迅速,并由微处理器控制。建立了一个台式样机来测试调整机构。两种机制都得到了验证。
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BENCH TESTING OF A TUNABLE ANKLE-FOOT ORTHOSIS WITH ADJUSTABLE STIFFNESS AND NEUTRAL ANGLE
Cerebral palsy is the most common childhood motor disability that effects 0.3% of children in the US and two-thirds of them have gait impairment. An ankle-foot orthosis (AFO) is commonly prescribed as a gait assistance. The function of an AFO is maximized when its stiffness and neutral angle are optimally prescribed to address each user’s issue. However, the prescription process is not standardized and is subjective to the prescribing clinician. Only one-third of AFOs improved the user’s gait while another one-third negatively affected the gait. A tunable AFO is developed to allow clinicians to test a range of stiffness and neutral angle of a passive AFO, making the prescription more likely to have a positive effect. The design of tunable AFO has a weight of about a typical plastic AFO and a dimension designed for children. It covers 90% range of stiffness and neutral angle of prescribed AFOs. It can withstand the torque applied during walking. Mechanisms of adjusting both parameters operate fast and are controlled by a microprocessor. A benchtop prototype was built to test the adjustment mechanisms. Both mechanisms were validated.
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