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Multi S urface Sensing Ankle foot Orthotic. Put a slide here describing your overall project goals, and what you’re focusing on for this talk. Add a slide here with an overview of foot drop, and pictures of a couple of typical AFOs
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Put a slide here describing your overall project goals, and what you’re focusing on for this talk
Add a slide here with an overview of foot drop, and pictures of a couple of typical AFOs • Might not be a bad idea to show a typical ankle flexion plot through the gait cycle, along with Walking Stick Man
Interviews at NAZ • 10 patients have been interviewed • All of them were stroke victims, with the exception of one with MS. • All of the patients were elderly, and lived with the assistance of a spouse or nurse. • All Patients had AFOs for more than 6 months
Interviews at NAZ • Major Takeaways • Foot Drop has many other compound symptoms. • Rolling of the ankle • Clenching of the toes • Most AFOs are designed with level surface conditions in mind. • Patients complained about walking down stairs, and ramps • Patients complained about the weight of the AFO. • Patients also complained about the bulkiness of their braces. • These AFOs are the only things that lets these patients walk
Interviews with Rochester Orthopedics Lab • Why the braces where bulky? • Rolling ankle, distribution of force • The supplier of numerous commercially available AFOs • Ossur • Becker • Dynamic Walk • Otto Bock • Allard • Tamarack • Most Commercially available AFOs are meant for patients with just Drop Foot Figure 1. Dynamic Walk Single
Interview with Dr. Barbano • Patients at Rochester General are under 6 months • Still dealing with many other problems caused by the stroke • Most Patients are given a solid AFO before they are released • At the hospital it is not common to see these other kinds of braces • The patents are referred to other clinics in the area, to help them with physical therapy
Defining the target patient and general needs • Should be based off of the patents observed at NAZ • They seem to be the patents that we will end up have to test it on • Should be well into the recovery after theirstroke • They should be able to supply feedback • Would not be a candidate for a commercially available AFO • Must use a kind of jointed brace • There gait could also be impaired by rolling of the ankle or toe curling Source: http://www.tamarackhti.com/joints/dorsiflexion.asp Figure 2. Tamarack joint
Customer needs • Functionality • Lifts foot up at appropriate time • Sit to stand • Stairs • Inclined surface • level surface • Constraints • Fits into a shoe • Ease of access • Adjustability • Light Weight • Portable • Inexpensive • Able to be used on both sides of the body • Safety • Durability/fatigue life • Biocompatible surface • Able to be cleaned/sterilized
Initial Design Combinations Figure 3. Variable peek Rod Figure 4. Variable peek Rod Geo Fit
Adjustable Plantar Stop • Attaches to the back of existing AFO • Two individually adjustable back stops attached to rotating joint • Linear actuator offset to the side • It rotates the back stop in and out of position • But structurally isn't what is inevitably holding the foot Figure 5. Y rocker AFO
Issues with design • It adds weight • Make the Brace Lighter • Attaching to the back of an existing AFO • Adhesive • Vacuum • Use existing backstop • Velcro • Actuation • Piezoelectric Linear actuator • Knowing the Ground • Accelerometer • IR Range Finder Figure 6. Shell Stopping AFO
Carbon Fiber Brace • Breaks the project up into 2 areas • Bulk reduction in weight and size will help get patients excited about their brace • Spring properties of carbon fiber Figure 7. Carbon Fiber
Steps to Carbon Fiber Brace • Working with Rochester Orthotics Lab • Using old molds • General facilities • Sitting in on Composites • Figure out how the carbon fiber will react • Build brace for project
Piezoelectric Linear actuator • Small Light weight Linear actuators • 23g • 22 x 10 x 19 mm • Holding Force • 6.5N • Stall Force • 7N Figure 8. Piezoelectric Actuator Source: http://www.piezomotor.se/uploaded/LL1011_150010_00.pdf
Accelerometers • Require a lot of data analysis • Drift in integration accuracy • Measuring many different things • Most of which I am uninterested in • Most of which is very noise
IR Rang Finder • Initial Look into expected data Source: http://www.technologicalarts.com/myfiles/data/gp2d120.pdf Figure 9. Sharp IR sensors Figure 10. Sharp IR sensors Technical Drawing
Next Steps • Figure out how it is going to attach to the brace • Find Ramp Gait Data • Test out IR sensor • Define algorithm for determining floor surface • Model Design