Methodology and information-measuring system for personalized synthesis of lower limb prostheses

Introduction: One of the methods for managing the quality of prosthetics is optimizing the composition of a modular prosthesis components. Mistakes in choosing models for functional modules of a prosthesis lead to a limited realization of the patient's potential capabilities, or to the choice of expensive highly functional models whose potential cannot be fully realized with the given body system disabilities. One of the most effective ways to solve this problem is to use the computer technology capabilities. Purpose: Substantiation of the methodology for the development of an innovative computer technology for personalized synthesis of a lower-limb prosthesis, including the development of the structure of an information-measuring system for its implementation. Methods: Analysis, synthesis, analogy; expert survey; analytic hierarchy process (Saaty method). The conceptual language of the International Classification of Functioning, Disability and Health was used to describe the factors influencing the requirements for the characteristics of prosthetic modules. Results: In order to choose models for prosthetic modules, we should use an extended system of factors, including both the basic factors associated with the purpose of the products and indicated in the catalogs, and additional factors: impairment indicators of the body functions and structures, the capacity and performance of the patient's activity and participation, the presence of barriers and facilitators environmental factors in which the prosthesis is planned to be used. Taking this system of factors into account, a structural diagram of an information-measuring system for examining a prosthetic patient has been developed. To select the components for the prosthesis, we have substantiated the necessity of creating a global electronic catalog, combining structured information on the models of prosthetic modules supplied by various manufacturers. A matrix representation form is proposed for the knowledge base, reflecting the rules for choosing models according to the correspondence of their characteristics to the estimates of the factors. The methodology of computerized selection of models from the electronic catalog has been substantiated. Practical relevance: The results of the work are a step towards the creation of a technology for a computerized multicriteria choice of components for a modular prosthesis, taking into account the personal needs and functional capabilities of the patient. The use of this technology will improve the patient's rehabilitation level and the quality of his or her life.