Objective To compare the walking abilities of an unilateral transfemoral amputee with four different prosthetic knee joints, to provide a reference for clinical prosthetic prescription.Methods An unilateral transfemoral amputee was asked to wear four kinds of prosthetic knee joints, mechanical four-bar, pneumatic four-bar, hydraulic and intelligent prosthetic knee joints, and evaluated with Timed Up and Go Test, indoor 6-Minute Walk Test, Static Stand Balance Test and a 1000-meter Outdoor Walking Ability Test, wearing Intelligent Device for Energy Expenditure and Activity.Results The amputee consumed the least energy and walked the fastest with intelligent prosthetic knee joint.Conclusion There are some difference in walking ability with different prosthetic knee joints.
DIAO Zi-long
,
CAO Xue-jun
,
WEI Yan-qin
,
MA Xin-xin
. Walking Ability of an Unilateral Transfemoral Amputee with Four Kinds of Prosthetic Knee Joints[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017
, 23(10)
: 1216
-1220
.
DOI: 10.3969/j.issn.1006-9771.2017.10.019
[1] 刁子龙,曹学军,杨平,等. 单侧大腿截肢者步行能力研究[J]. 中国康复理论与实践, 2015, 21(4): 470-474.
[2] Yen JW, Hill JJ, Lee MY. Revisiting the use of the amputee mobility predictor in clinical practice [J]. PM R, 2013, 5(9): S158.
[3] Datta D, Heller B, Howitt J. A comparative evaluation of oxygen consumption and gait pattern in amputees using Intelligent Prostheses and conventionally damped knee swing-phase control [J]. Clin Rehabil, 2005, 19(4): 398-403.
[4] Creylman V, Knippels I, Janssen P, et al. Assessment of transfemoral amputees using a passive microprocessor-controlled knee versus an active powered microprocessor-controlled knee for level walking [J]. Biomed Eng Online, 2016, 15(S3): 53-63.
[5] Kaufman KR, Frittoli S, Frigo CA. Gait asymmetry of transfemoral amputees using mechanical and microprocessor-controlled prosthetic knees [J]. Clin Biomech (Bristol, Avon), 2012, 27(5): 460-465.
[6] 王振平,喻洪流,杜妍辰,等. 假肢智能膝关节的研究现状和发展趋势[J]. 生物医学工程学进展, 2015, 36(3): 159-163.
[7] Lythgo N, Marmaras B, Connor H. Physical function, gait, and dynamic balance of transfemoral amputees using two mechanical passive prosthetic knee devices [J]. Arch Phys Med Rehabil, 2010, 91(10): 1565-1570.
[8] Uchytil J, Jandacka D, Zahradnik D, et al. Temporal-spatial parameters of gait in transfemoral amputees: Comparison of bionic and mechanically passive knee joints [J]. Prosthet Orthot Int, 2014, 38(3): 199-203.
[9] Jiang Y, Larson JL. IDEEA activity monitor: validity of activity recognition for lying, reclining, sitting and standing [J]. Front Med, 2013, 7(1): 126-131.
[10] 刘娜,刁兴建. 假肢膝关节概述[J]. 中国矫形外科杂志, 2006, 14(3): 225-226.
[11] Schmalz T, Blumentritt S, Jarasch R. Energy expenditure and biomechanical characteristics of lower limb amputee gait: the influence of prosthetic alignment and different prosthetic components [J]. Gait Posture, 2002, 16(16): 255-263.
[12] Highsmith MJ, Kahle JT, Bongiorni DR, et al. Safety, energy efficiency, and cost efficacy of the C-Leg for transfemoral amputees: A review of the literature [J]. Prosthet Orthot Int, 2010, 34(4): 362-377.
[13] 王人成,沈强,金德闻. 假肢智能膝关节研究进展[J]. 中国康复医学杂志, 2007, 22(12): 1093-1094.
[14] 张昊华,闫松华,方沉,等. 用便携式步态分析仪评估全髋关节置换术手术效果[J]. 医用生物力学, 2015, 30(4): 361-366.
[15] Sagawa Y Jr, Turcot K, Armand S, et al. Biomechanics and physiological parameters during gait in lower-limb amputees: a systematic review [J]. Gait Posture, 2011, 33(4): 511-526.
