PubMed · 14340855
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A A JOHNSON. TOOL HOLDER.. https://pubmed.ncbi.nlm.nih.gov/14340855/
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Gait laboratory measurements have been widely used to explore footwear and prosthetic effects on intact and amputee gait in spite of the confounding effects of adaptation, acclimation and inherent variability of human subjects. To facilitate understanding of the variables that affect impact forces that arise from heel-ground contact during amputee walking, a lumped parameter model is proposed to simulate the movement of the human body, prosthetic components and footwear during the period immediately following initial contact. Non-linear viscoelastic properties of prosthetic feet have a proportional relationship to both the magnitude of the impact peak and the rate of increase in the ground reaction force (GRF) immediately following initial contact. Footwear, in spite of a larger capacity to dissipate impact energy than a prosthetic foot alone, can actually amplify the magnitude of the impact peak. These results suggest limitations in the ability of conventional prosthetic feet and footwear to attenuate transmission of potential tissue-damaging forces.
BACKGROUND: Despite their frequency, few reports exist concerning the initial and long-term consequences of battle-incurred unilateral transfemoral amputations. METHODS: A retrospective cohort design was used to measure the long-term health of transfemoral battle amputees treated at a single hospital during the Vietnam War. Data collection consisted of medical record abstraction and a follow-up questionnaire that included the SF-36 Health Survey. RESULTS: Forty-six patients responded to the survey an average of 28 years after injury. Compared with the controls, patient responses to the SF-36 were significantly (p < 0.01) less in all categories except Mental Health and Vitality. Forty-three (93.5%) are or have been married. Forty-one (89.1%) are or have been employed an average of 20.1 years. Forty patients (87%) wore a prosthesis an average of 13.5 h/day. CONCLUSION: Although the patients do relatively well with employment and marriage stability, the low SF-36 scores suggest a significant disability.
This contribution describes a simple device designed to convey independent donning of a shuttle lock trans-tibial prosthesis for a multiple limb amputee. The device is made of a post with a shuttle lock mechanism at one end and a plate covered by rubber at the other end. This device enables correct positioning of the silicone liner and independent attachment to the prosthesis.