Abstract
Amputation is a medical procedure which involves removing a part of the human body and replacing it with a prosthesis. Amputation at the thigh level requires the use of an artificial knee joint, which is one of the most crucial elements of the prosthesis. This study aimed to examine and compare the biomechanics of walking of two persons after unilateral amputation of the lower limb at the thigh level. Both patients were provided with the same type of prosthetic foot. The difference was in the knee joint applied in the prosthesis. It is initially assumed that the kind of knee joint will have a significant impact on the gait quality of amputees. A biomechanical model created by the authors was used to calculate the gait determinants. The developed model includes the key joints for the human walk description – the ankle, knee and hip joints as well as the other anthropometric points. Measurements were done using the motion capture system. Each of the patients made 100 tests of their gait. For all considered parameters for single examined person summary graphs were created for all tests. The data coming from the literature were used as the reference data in this study. The obtained results show that the quality of the disease is not only dependent on the type of knee joint used. An essential thing is also a proper fitting of the prosthetic hopper, which significantly affects the individual gait determinants.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Agha, R.A., Muneer, H., Alqaseer, A., Ismaeel, T., Badr, O.: Major lower limb amputation: causes, characteristics and complications. Bahrain Med. Bull. 39(3), 159–161 (2017)
Grzebień, A., Chabowski, M., Malinowski, M., Uchmanowicz, I., Milan, M., Janczak, D.: Analysis of selected factors determining quality of life in patients after lower limb amputation - a review article. Polski Przeglad Chirurgiczny/Polish J. Surg. 89(2), 57–60 (2017)
Nordin, M., Frankel, V.H.: Basic Biomechanics of the Musculoskeletal System, 4th edn. Wolter Kluwer; Lippincott Wiliams & Wilkins (2012)
Kirkup, J.: A History of Limb Amputation. Springer, London (2007)
Grimshaw, P., Lees, A., Fowler, N., Burden, A.: Sport biomechanics. Short lectures. Warszawa (2010). (in Polish)
Levine, D., Richards, J., Whittle, M.H.: Whittle’s Gait Analysis. Elsevier Urban & Partner (2014)
Buśkiewicz, J., Grabski, J.K., Walczak, T.: Guide to the laboratory exercises in engineering biomechanics. Poznań (2015). (in Polish)
Gramala, A., Drapikowski, P., Pogorzała, A., Walczak, T.: Application of construction solutions of biped walking robots in designing a prosthetic foot. In: Gzik, M., Tkacz, E., Paszenda, Z., Piętka, E. (eds.) Innovations in Biomedical Engineering. Springer, Cham (2018)
Michałowska, M., Walczak, T., Grabski, J.K., Cieślak, M.: People identification based on dynamic determinants of human gait. Vibr. Phys. Syst. 29, 2018012 (2018)
Grabski, J.K., Kazimierczuk, S., Walczak, T.: Analysis of the electromyographic signal during rehabilitation exercises of the knee joint. Vibr. Phys. Syst. 26, 79–86 (2014)
Walczak, T., Grabski, J.K., Cieślak, M., Michałowska, M.: The recognition of human by the dynamic determinants of the gait with use of ANN. In: Awrejcewicz, J. (ed.) Dynamical Systems: Modelling. Springer Proceedings in Mathematics and Statistics, Łódź, Poland, 7–10 December 2015, vol. 181, pp. 375–385. Springer, Cham (2016)
Walczak, T., Grabski, J.K., Grajewska, M., Michałowska, M.: Application of artificial neural networks in man’s gait recognition, In: Kleiber, M., Burczyński, T., Wilde, K., Górski, J., Winkelmann, K., Smakosz, Ł. (eds.) Advances in Mechanics: Theoretical, Computational and Interdisciplinary Issues. Proceedings of the 3rd Polish Congress of Mechanics (PCM) and 21st International Conference on Computer Methods in Mechanics (CMM), PCM-CMM-2015 Congress, Gdańsk, Poland, 8–11 September 2015, pp. 591–594. CRC Press, Taylor & Francis Group, London (2016)
Acknowledgments
The results are based on research conducted at the Institute of Applied Mechanics at the Poznan University of Technology on the BTS Smart motion capture system as a part of the Enforce Medical Technologies project financed by Wielkopolska Regional Programme European Funds. The work was also supported by the grant 02/21/DSPB/3513 from the Ministry of Science and Higher Education, Poland.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Gramala, A., Otworowski, J., Walczak, T., Grabski, J.K., Pogorzała, A.M. (2019). Influence of the Most Important Elements of the Prosthesis on Biomechanics of the Human Gait After Amputation of the Lower Limb. In: Gapiński, B., Szostak, M., Ivanov, V. (eds) Advances in Manufacturing II. MANUFACTURING 2019. Lecture Notes in Mechanical Engineering. Springer, Cham. https://doi.org/10.1007/978-3-030-16943-5_30
Download citation
DOI: https://doi.org/10.1007/978-3-030-16943-5_30
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-16942-8
Online ISBN: 978-3-030-16943-5
eBook Packages: EngineeringEngineering (R0)