Skip to the content

The effects of prosthetic ankle stiffness on stability of trans-tibial amputee gait

Major, M, Twiste, M, Kenney, L and Howard, D 'The effects of prosthetic ankle stiffness on stability of trans-tibial amputee gait' , Journal of Rehabilitation Research and Development . (In Press)

[img] PDF - Submitted Version
Restricted to Repository staff only

Download (845kB) | Request a copy

Abstract

The ability to control balance during walking is a critical precondition for minimizing fall risk, but is compromised in persons with lower-limb loss due to reduced sensory feedback mechanisms and inability to actively modulate prosthesis mechanical function. Consequently, these individuals are at increased fall risk as compared to their able-bodied counterparts. A number of gait parameters, including symmetry and temporal variability in step/stride characteristics have been used as estimates of gait stability and fall risk. This study performed an investigation into prosthetic ankle rotational stiffness effects on gait parameters related to walking stability of trans-tibial prosthesis users. Five men walked with an experimental prosthesis that allowed for independent modulation of plantarflexion and dorsiflexion stiffness. Two levels of plantarflexion and dorsiflexion stiffness were tested during level, uphill, and downhill walking. The results demonstrate that low plantarflexion stiffness reduced time to foot-flat, and this was associated with increased perceived stability, while low dorsiflexion stiffness demonstrated trends in temporal-spatial parameters that are associated with improved gait stability (reduced variability and asymmetry). Prosthesis design and prescription for low rotational stiffness may enhance gait safety for trans-tibial prosthesis users at risk of unsteadiness and falls.

Item Type: Article
Schools: Schools > School of Computing, Science and Engineering
Schools > School of Health Sciences
Journal or Publication Title: Journal of Rehabilitation Research and Development
Publisher: U.S. Department of Veterans Affairs
ISSN: 0748-7711
Funders: Non funded research
Depositing User: D Howard
Date Deposited: 15 Dec 2015 10:25
Last Modified: 21 Mar 2016 11:46
URI: http://usir.salford.ac.uk/id/eprint/37437

Actions (login required)

Edit record (repository staff only) Edit record (repository staff only)

Downloads

Downloads per month over past year