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Prosthetic Knee Joints in Obstacle Course: Movement Efficiency Evaluation

Study evaluating maneuverability using Otto Bock C-Leg, Otto Bock 3R60, and CaTech SNS prosthetic knees on obstacle course. Results show impact of knee joints on performance and user experience.

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Prosthetic Knee Joints in Obstacle Course: Movement Efficiency Evaluation

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  1. Obstacle course: Users’ maneuverability and movement efficiency when using Otto Bock C-Leg, Otto Bock 3R60, and CaTech SNS prosthetic knee joints Margrit R. Meier, PhD; Andrew H. Hansen, PhD; Steven A. Gard, PhD; Angus K. McFadyen, PhD

  2. Aim • Evaluate maneuverability and movement efficiency of transfemoral prosthesis users traversing obstacle course with defined surface characteristics while wearing 3 different prosthetic knee joints: • C-Leg, CaTech SNS, and 3R60. • Relevance • Studying maneuverability on nonlevel surfaces: • Is important to many daily activities. • Can add to understanding of possible interactions between walking surfaces and performance characteristics of different prosthetic components.

  3. Methods • 12 users completed multisectional obstacle course with each joint (C-Leg, SNS, and 3R60). • Performed twice: once without and once with mental loading task (MLT). • 1-month familiarization period with each knee joint before data collection. • Performance was objectively assessed. • Time measurement: digital video recordings. • Movement efficiency: Total Heart Beat Index.

  4. Obstacle Course Overview of obstacle course (OC) setup within laboratory. Foam section (1 m wide, 3 m long, 15 cm high), slalom section around three chairs, vacuumized beanbags to mimic sand (1 m wide, 3 m long), rock section (1 m wide, 3 m long), ramp (1.4 m wide, 1.5 m long, 5° downward slope), corner (90°left turn) and step (12 cm high). Two video cameras were set up such that entire OC could be filmed, allowing time measurements for each section.

  5. Results • Time to complete course: • Longer with 3R60. • No significant difference: • C-leg and SNS. • Significant difference only: • 3R60 and SNS (slalom, rock sections). • 3R60 and C-Leg (rock section). • Falls in simulated sand: • 2 users with C-Leg. • 1 users with 3R60. • 0 users with SNS. • Movement efficiency: • Without MLT: Similar for all joints. • With MLT: Significant decrease with C-Leg. • Previous SNS experience didn’t influence results.

  6. Conclusions • Surface compliance adversely affects user’s ability to control some prosthetic knee joints. • C-Leg’s reduced movement efficiency with mental loading task has clinical relevance. • Many daily tasks are performed in parallel. • Such task might fatigue person more while wearing C-Leg than 3R60 or SNS knee. • Additional studies are required to: • Understand users’ psychological influence on perception and performance while walking on different terrains. • Identify specific improvements to knee joint designs. • Develop more effective gait training protocols.

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