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Go to Editorial ManagerTotal hip replacement (THR) is an elective surgical procedure with the primary indication being pain relief. The aim of this study is to analyze gait dynamics for patients after they underwent a unilateral THR surgery and compare it with normal parameters. To investigate the gait dynamics a gait analysis was performed on five patients after they underwent a unilateral THR surgery; only two of them were examined before the surgery. The gait analysis was performed using a digital video camera with two force plates. Kinematics data were obtained from 2D trajectories of seven passive markers using SkillSpector software. MATLAB software has been used for inverse dynamics computation. General gait parameters, Harris Hip Score, joints’ angles, forces, moments and powers were obtained during gait cycle. It was found that the average of improvement in Harris Hip Score (for four patients who were examined 1.5, 2.5, 3 and 9 months after surgery) is 61.8 points, which is an indication of pain relief. In the other hand, the general gait parameters were found slightly lower than normal after THR surgery. The average hip reaction force was found to be 2.988 N/BW, which is within normal range. Also, the average of maximum hip extension and maximum hip flexion angles were found to be 25.69 and -13.524 degree respectively, which both are within normal ranges. Furthermore, hip, knee and ankle moments and powers results showed some abnormality. Therefore as a conclusion, patient satisfaction and functional improvement are not related to general gait parameter. And it is not unusual that gait mechanics improvement would not reach normal after months of recovery. Also, the results of gait dynamics which are from the engineer’s perspective are compatible with Harris Hip Score, which is from the physician’s perspective, in quantifying surgical results and subsequent recovery progress.
Gait analysis can be described as a field of biomechanical engineering dealing with the subject of human locomotion. This study aimed to identify the effect of Ilizarov on gait when the presence the above-knee prosthesis. The study was made on a 50-year-old male patient was underwent correction right tibia with Ilizarov fixation due to war accident in July 2012. Also, this accident led to trans-femoral amputation. Two-dimensional gait system of a synchronized 25 Hz camera with an AMTI force platform was use for measuring gait kinematics and kinetics data while walking at a self-selected speed. These data can be used as standard measures in pathology studies, as input to theoretical joint models, and as input to mechanical joint simulators treated with Ilizarov and prosthetics.
One of the health issues that many people encounter on a daily basis is bone fracture, which can happen for a number of reasons, such as arthritis, sprains, or external trauma . The patient experiences instability as a result of these issues . Internal fixation is a type of surgery used to support and mend a damaged bone Treatment options include ankle joint fixation, a surgical procedure employing pins, plates, rods, or screws. This study uses gait analysis methods to assess lower limb biomechanics . Gait analysis is vital for understanding walking patterns and intervention effectiveness. The impact of different shoe designs on ankle mechanics, using the finite element method and ANSYS, is investigated The results of the EMG and the GRF were discussed._x000D_ This research deepens our understanding of lower limb biomechanics and ankle joint health. By evaluating stress effects and designing custom shoes, it enhances ankle injury treatment and management strategies._x000D_ The patient, a 70-year-old woman with an internal fixation on her ankle joint, underwent a CT scan of her ankle. The patient underwent a number of experiments to evaluate her stability. EMG was used to determine the muscle stress for a brief period of time, and ground reaction force was then used to determine the pressure of walking. Both EMG and GRF have two walking speeds of1.5and 2 km/h while wearing four different types of shoes. The behavior of the EMG demonstrates that the stress on the muscle increases as walking speed increases, and the results varies depending on the shoe. The patient is afraid to apply pressure to the injured foot, so the health foot has better pressure over the entire foot_x000D_
Kids carrying heavy loads as a part of everyday activity may be related to bend their trunks forward to maintain body posture and balance while walking. This study was to determine a correlation between the weight of a child's backpack, their body weight, and certain features of their body posture. The study group consisted of 6 children, in age of primary school. The anthropometry (age, length, weight) were taken for each volunteers. A school backpack was specially built for the present study. Walking gait was filmed in three cases: (zero kg, 3 kg and 6 kg) backpack.Posture was analyzed by using (Kenova and MATLAB) computer programs.The results show that the forward inclination of the trunk increases when the load and the walking distance are increased, this forward inclination segment may impose greater stress over the vertebral column (ligaments and intervertebral disks) and increase the risk of back problems.Spine and back health may be adversely affected by load carriage and it may be important to use spinal curvature as a measure of posture for load carriage. This study shows that the backpack load cause a lumbar asymmetry by 10 to 20 degree according to the load which has a significant amount of back pain in kids.
This study compares two different sockets, traditional and smart. It includes designs, manufacturing, and testing to evaluate the influence of the socket designs on gait symmetry. The proposed materials are locally available in the prosthetics center where traditional sockets are manufactured. and smart socket designs with the same materials as traditional additions. A simple electronic system programmed to control the movement of the stump by pneumatic pads and prevent slipping during movement is considered an advanced suspension system. A gait cycle test was carried out to evaluate the sockets. it was performed on a patient with AK amputation in two cases: the first when the patient was wearing the traditional and the second when wearing the smart. Where the difference in (gait cycle time, step velocity, heel contact, and mid-stance) between the left and right leg is equal to (0.54, 4.3, 0.19, and 0.34) respectively, when the patient uses the traditional, while these values reduce to (0.09, 0.7, 0.07, and 0.27) respectively when the patient used the smart, it improves comfort by modifying pressure distribution, relieving pressure points, and enhancing functionality through gait analysis. They adjust to the volume of the residual limb, ensuring an effective fit. Real-time monitoring and remote modifications decrease the need for in-person meetings and enhance user confidence. The smart socket, designed to fit user requirements, provides enhanced comfort, functionality, and independence. The studies will explore its long-term benefits and broader applications, focusing on its originality, practical implications, and outcome measurement.
ESAR feet are prosthetic feet with carbon fiber parts that store mechanical energy while standing and release it during propulsion. It is believed to reduce the metabolic energy needed for walking, and to promote the economy of walking. However, there is little scientific evidence to support this claim. This study aimed to compare the energy storage properties of two prosthetic feet made of carbon fiber using the P-Walk, G-Walk, and Podium devices developed for gait analysis, which is a systematic examination of human movement, enabling phasing, estimation of musculoskeletal performance, and determination of kinematic and motor parameters. The amount of energy was calculated for each of the feet using the load deflection test, and the results showed that the new artificial foot with an energy of 6.186 joules showed a great improvement in the results of the tests compared to the old artificial foot with an energy of 3.403 joules. The Podium device tests showed a significant improvement in walking patterns and pressure distribution after using a new foot. The pressure distribution became almost equal on both sides, and the angular deviation of COP decreased from -7 to 1.3 degrees. Ground reaction force vector tilt results also improved, with a body angle of 0 degrees and inclination varying slightly depending on the tibiofemoral angle for males. P-Walk results reveal left-sided static test pressure distribution, exposing amputees to osteoarthritis risk and revealing lack of confidence in prosthetic foot. After use the new prosthetic foot, amputees press more on right foot, indicating balance restoration. The G-Walk device shows the effectiveness of both healthy left and prosthetic foot when walking on an amputated right leg when use the new prosthetic foot. The amputated side's performance is similar to a healthy limb, with minimal difference and within normal limits. Walking cadence and speed values are within normal ranges, while stride length and step length are outside normal ranges for both sides. Obliquity results show a small difference in pelvic angles due to weak pelvic muscles, but these are close to standard values for prosthetic foot use. The amputee's opinions about the evaluation of the new prosthetic foot were good when using the T-score by 61.0 with a rate of 86.4%. It was a significant improvement compared to the old foot with an evaluation of 53.6 by 63.9%.