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Development of customized ankle-foot-orthosis using 3D scanning and printing technologies

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Abstract

Around the world, customized ankle-foot-orthosis (AFO) for patients with central nervous system damage are continuously being developed. Existing customized AFOs are manufactured by considering the size of the user’s feet and calves using 3D scanning and printing technologies. In this study, we propose a customized AFO that reflects the shape of the user’s feet and ankles by setting anatomically based landmarks and trim lines. Design standards are established through landmarks and trim lines, and AFOs are designed. To confirm the safety of the designed AFO, specimens using ABS and PLA were fabricated, and tensile tests were conducted. At this time, each material’s density difference was considered to address the economic aspect during subsequent production. The mechanical properties were obtained through the tests and applied to the AFO model through finite element analysis to confirm the behavior of dorsiflexion and plantar flexion. Finally, ABS-AFO and PLA-AFO prototypes were produced, and after production, actual subjects wore them to confirm the difference from the existing.

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References

  1. F. C. Holtkamp, E. J. M. Wouters, J. van Hoof, Y. van Zaalen and M. Verkerk, Use of and satisfaction with ankle foot orthoses, Clinical Research on Foot and Ankle, 2 (2) (2015).

  2. P. Vinci and P. Gargiulo, Poor compliance with ankle-foot-orthoses in charcot-marie-tooth disease, European Journal of Physical and Rehabilitation Medicine, 44(1) (2008) 27–31.

    Google Scholar 

  3. M. Phillips, K. Radford and A. Wills, Ankle foot orthoses for peo-ple with charcot marie tooth disease-views of users and ortho-tists on important aspects of use, Disability and Rehabilitation: Assistive Technology, 6(6) (2011) 491–499.

    Google Scholar 

  4. R. M. Belokar, H. K. Banga and R. Kumar, A novel approach for ankle foot orthosis developed by three dimensional technologies, IOP Conference Series: Materials Science and Engineering, 280(1) (2017) 012030.

    Article  Google Scholar 

  5. F. H. Abdalsadah, F. Hasan, Q. Murtaza and A. A. Khan, Design and manufacture of a custom ankle-foot orthoses using tradi-tional manufacturing and fused deposition modeling, Progress in Additive Manufacturing, 6(3) (2021) 555–570.

    Article  Google Scholar 

  6. H. Choi, K. M. Peters, M. B. MacConnell, K. K. Ly, E. S. Eckert and K. M. Steele, Impact of ankle foot orthosis stiffness on achil-les tendon and gastrocnemius function during unimpaired gait, Journal of Biomechanics, 64 (2017) 145–152.

    Article  Google Scholar 

  7. H. S. Mali and S. Vasistha, Fabrication of customized ankle foot orthosis (AFO) by reverse engineering using fused deposition modelling, Advances in Additive Manufacturing and Joining: Proceedings of AIMTDR 2018, Springer (2019) 3–15.

  8. E. S. Schrank and S. J. Stanhope, Dimensional accuracy of ankle-foot orthoses constructed by rapid customization and man-ufacturing framework, J. Rehabil Res. Dev., 48(1) (2011) 31–42.

    Article  Google Scholar 

  9. Z. Liu, P. Zhang, M. Yan, Y. Xie and G. Huang, Additive manufacturing of specific ankle-foot orthoses for persons after stroke: a preliminary study based on gait analysis data, Math. Biosci. Eng., 16(6) (2019) 8134–8143.

    Article  MathSciNet  Google Scholar 

  10. H. K. Surmen and Y. Z. Arslan, Evaluation of various design concepts in passive ankle-foot orthoses using finite element analysis, Engineering Science and Technology, an International Journal, 24(6) (2021) 1301–1307.

    Article  Google Scholar 

  11. M. Walbran, K. Turner and A. J. McDaid, Customized 3D printed ankle-foot orthosis with adaptable carbon fibre composite spring joint, Cogent Engineering, 3 (1) (2016).

  12. N. G. Harper, E. R. Esposito, J. M. Wilken and R. R. Neptune, The influence of ankle-foot orthosis stiffness on walking performance in individuals with lower-limb impairments, Clinical Biomechanics, 29(8) (2014) 877–884.

    Article  Google Scholar 

  13. L. Aydin and S. Kucuk, A method for more accurate FEA results on a medical device developed by 3D technologies, Polymers for Advanced Technologies, 29(8) (2018) 2281–2286.

    Article  Google Scholar 

  14. C. E. Dombroski, M. E. Balsdon and A. Froats, The use of a low cost 3D scanning and printing tool in the manufacture of custom-made foot orthoses: a preliminary study, BMC Research Notes, 7(1) (2014) 1–4.

    Article  Google Scholar 

  15. Y. H. Cha, K. H. Lee, H. J. Ryu, I. W. Joo, A. Seo, D. H. Kim and S. J. Kim, Ankle-foot orthosis made by 3D printing technique and automated design software, Applied Bionics and Biomechanics (2017) 9610468.

  16. G. Yadav, M. L. Jain and V. Gehlot, Additive manufacturing and finite element analysis of customized ankle foot orthosIs, International Journal of Mechanical Engineering, 7(3) (2022) 722–727.

    Google Scholar 

  17. A. Dal Maso and F. Cosmi, 3D-printed ankle-foot orthosis: a design method, Materials Today: Proceedings (12) (2019) 252–261.

  18. D. Otegen, K. Shomenov, K. Zhangabay, D. Adair and M. H. Ali, Development of an AFO with Dual-material using an FDM printer, Journal of Physics: Conference Series, 2070 (1) (2021).

  19. D. S. Chae, D. H. Kim, K. Y. Kang, D. Y. Kim, S. W. Park, S. J. Park and J. H. Kim, The functional effect of 3D-printing individu-alized orthosis for patients with peripheral nerve injuries: Three case reports, Medicine, 99 (16) (2020).

  20. R. K. Chen, L. Chen, B. L. Tai, Y. Wang, A. J. Shih and J. Wens-man, Additive manufacturing of personalized ankle-foot orthosis, Proceedings of Transactions of the North American Manufacturing Research Institution of SME, 42 (2014).

  21. J. A. Ramsey, Development of a method for fabricating polypropylene non-articulated dorsiflexion assist ankle foot orthoses with predetermined stiffness, Prosthetics and Orthotics International, 35(1) (2011) 54–69.

    Article  MathSciNet  Google Scholar 

  22. A. M. Takhakh, M. J. Jweeg and S. M. Abbas, Characterization of materials used in manufacturing the ankle foot ortheses, International Journal of Energy and Environment, 8(4) (2017) 291–298.

    Google Scholar 

  23. R. Raj, A. R. Dixit., K. Łukaszewski, R. Wichniarek, J. Rybarczyk, W. Kuczko and F. Górski, Numerical and experimental mechanical analysis of additively manufactured ankle-foot orthoses, Materials, 15 (17) (2022).

  24. M. H. Ali, Z. Smagulov and T. Otepbergenov, Finite element analysis of the CFRP-based 3D printed ankle-foot orthosis, Procedia Computer Science, 179 (2021) 55–62.

    Article  Google Scholar 

  25. V. Creylman, L. Muraru, J. Pallari, H. Vertommen and L. Peeraer, Gait assessment during the initial fitting of customized selec-tive laser sintering ankle foot orthoses in subjects with drop foot, Prosthetics and Orthotics International, 37(2) (2013) 132–138.

    Article  Google Scholar 

  26. J. P. Deckers, M. Vermandel, J. Geldhof, E. Vasiliauskaite, M. Forward and F. Plasschaert, Development and clinical evaluation of laser-sintered ankle foot orthoses, Plastics, Rubber and Composites, 47(1) (2018) 42–46.

    Article  Google Scholar 

  27. S. S. Raj, A. M. Kuzmin, K. Subramanian, S. Sathiamoorthyi and K. T. Kandasamy, Philosophy of selecting ASTM standards for mechanical characterization of polymers and polymer com-posites, Materiale Plastice, 58(3) (2021) 247–256.

    Article  Google Scholar 

  28. D. H. Sutherland, R. Olshen, L. Cooper and S. L. Woo, The development of mature gait, The Journal of Bone & Joint Surgery, 62(3) (1980) 336–353.

    Article  Google Scholar 

  29. I. A. K. de Quervain, S. R. Simon, S. Leurgans, W. S. Pease and D. McAllister, Gait pattern in the early recovery period after stroke, The Journal of Bone and Joint Surgery, 78(10) (1996) 1506–1514.

    Article  Google Scholar 

  30. H. P. Schroeder, R. D. Coutts, P. D. Lyden, E. Billings and V. L. Nickel, Gait parameters following stroke: a practical assessment, Journal of Rehabilitation Research and Development, 32(1) (1995) 25–31.

    Google Scholar 

  31. P. Krawetz and P. Nance, Gait analysis of spinal cord injured subjects: effects of injury level and spasticity, Archives of Physical Medicine and Rehabilitation, 77(7) (1996) 635–638.

    Article  Google Scholar 

  32. J. M. O’Byrne, A. Jenkinson and T. M. O’brien, Quantitative analysis and classification of gait patterns in cerebral palsy using a three-dimensional motion analyzer, Journal of Child Neurology, 13(3) (1998) 101–108.

    Article  Google Scholar 

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Correspondence to Duhwan Mun.

Additional information

Kyeong-Jun Seo is a Doctor’s course of the School of Mechanical Engineering, Korea University, Seoul, Korea. He works National Rehabilitation Center (Seoul, Korea). He received his M.S. in Mechanical Engineering from Kongju National University. His current research interests are 3D scanning/printing, rehabilitation orthosis and exoskeleton robots.

Bongcheol Kim is a Doctor’s course of the School of Mechanical Engineering at Korea University, Seoul, Korea. He received his M.S. in Precision Mechanical Engineering from Kyungpook National University. His current research interests are industrial data standards for product data exchange and product lifecycle management.

Duhwan Mun is a Professor in the School of Mechanical Engineering at Korea University, Seoul, Korea. He obtained his Ph.D. in Mechanical Engineering in 2006 at Korea Advanced Institute of Science and Technology. His current research interests are computer-aided design, industrial data standards for product data exchange, product lifecycle management, knowledge-based engineering, and VR for engineering applications.

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Seo, KJ., Kim, B. & Mun, D. Development of customized ankle-foot-orthosis using 3D scanning and printing technologies. J Mech Sci Technol 37, 6131–6142 (2023). https://doi.org/10.1007/s12206-023-2406-1

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  • DOI: https://doi.org/10.1007/s12206-023-2406-1

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