Visual Representation of Dynamic Pressure Map on the Digital Human Model of Patient with a Lower Limb Prosthesis

  • Giorgio Colombo
  • Claudio Comotti
  • Daniele RegazzoniEmail author
  • Caterina Rizzi
  • Andrea Vitali
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9745)


The socket for lower limb prosthesis is the central element of artificial leg that needs to be optimize with the aim to increase comfort and reduce pain. Nowadays, the modeling of this part is completely manual and based on prosthetist skills. The key parameter determining if the socket is properly designed is the pressure distribution in the interface between the skin of residual limb and the internal surface of the socket. In this paper, we expose a method to measure this pressure thought resistive pressure sensors and we illustrate a case study of a transfemoral amputee patient. A visualization tool has been developed to dynamically show pressure data on the 3D model of the residual limb during topic moments of the gait by a color scale. Achieved results and future work will be discussed in the paper.


Lower limb prosthesis Pressure mapping Gait 


  1. 1.
    Agarwal, A.K.: Essentials of Prosthesis and Orthotics, chap. 11, pp. 86–90. Jaypee Brothers Medical Publishers, New Delhi (2013)Google Scholar
  2. 2.
    Zhang, M., Turner-Smith, A.R., Tanner, A., Roberts, V.C.: Clinical investigation of the pressure and shear stress on the trans-tibial stump with a prosthesis. Med. Eng. Phys. 20(3), 188–198 (1998)CrossRefGoogle Scholar
  3. 3.
    Van Pijkeren, T., Naeff, M., Kwee, H.H.: A new method for the measurement of normal pressure between amputation residual limb and socket. Bull. Prosthet. Res. 17(1), 31–34 (1980)Google Scholar
  4. 4.
    Sanders, J.E., Lam, D., Dralle, A.J., Okumura, R.: Interface pressures and shear stresses at thirteen socket sites on two persons with transtibial amputation. J. Rehabil. Res. Dev. 34(1), 19–43 (1997)Google Scholar
  5. 5.
    Goh, J.C.H., Lee, P.V.S., Chong, S.Y.: Stump/socket pressure profiles of the pressure cast prosthetic socket. Clin. Biomech. 18(3), 237–243 (2003)CrossRefGoogle Scholar
  6. 6.
    Lee, V.S., Solomonidis, S.E., Spence, W.D.: Stump-socket interface pressure as an aid to socket design in prostheses for trans-femoral amputees–a preliminary study. Proc. Inst. Mech. Eng. H 211(2), 167–180 (1997)CrossRefGoogle Scholar
  7. 7.
    Dou, P., Jia, X., Suo, S., Wang, R., Zhang, M.: Pressure distribution at the stump/socket interface in transtibial amputees during walking on stairs, slope and non-flat road. Clin. Biomech. 21(10), 1067–1073 (2006)CrossRefGoogle Scholar
  8. 8.
    Dumbleton, T., Buis, A.W.P., McFadyen, A., McHugh, B.F., McKay, G., Murray, K.D., Sexton, S.: Dynamic interface pressure distributions of two transtibial prosthetic socket concepts. J. Rehabil. Res. Dev. 46(3), 405–415 (2009)CrossRefGoogle Scholar
  9. 9.
    Pirouzi, G., Osman, N.A.A., Eshraghi, A., Ali, S., Gholizadeh, H., Abas, W.A.B.W.: Review of the socket design and interface pressure measurement for transtibial prosthesis. Sci. World J. 2014, 1–9 (2014)CrossRefGoogle Scholar
  10. 10.
    Dumas, R., Cheze, L., Frossard, L.: Loading applied on prosthetic knee of transfemoral amputee: comparison of inverse dynamics and direct measurements. Gait Posture 30(4), 560–562 (2009)CrossRefGoogle Scholar
  11. 11.
    Tekscan: Pressure Mapping, Force Measurement and Tactile Sensors.
  12. 12.
    Rizzi, C., Colombo, G., Facoetti, G., Vitali, A.: Socket virtual design based on low cost hand tracking and haptic devices. In: VRCAI 2013 Proceedings of the 12th ACM SIGGRAPH International Conference on Virtual-Reality Continuum and Its Applications in Industry, Hong Kong (2013)Google Scholar
  13. 13.
    Regazzoni, D., Rizzi, C., Comotti, C., Massa, F.: Towards automatic gait assessment by means of RGB-D mocap. In: ASME International Design Engineering Technical Conferences and Computers and Information in Engineering Conference IDETC/CIE 2015, Boston, Massachusetts, USA (2015)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Giorgio Colombo
    • 1
  • Claudio Comotti
    • 2
  • Daniele Regazzoni
    • 2
    Email author
  • Caterina Rizzi
    • 2
  • Andrea Vitali
    • 2
  1. 1.Department of Mechanical EngineeringPolytechnic of MilanMilanItaly
  2. 2.Department of Management, Information and Production EngineeringUniversity of Bergamo (BG)DalmineItaly

Personalised recommendations