Abstract
In this study, we estimated and validated the pressure distribution profile between the residuum and two types of prosthetic sockets for transfemoral amputees by utilizing a finite element analysis. Correct shaping of the socket for an appropriate load distribution is a critical process in the design of lower-limb prosthesis sockets. The pressure distribution profile provides an understanding of the relationship between the socket design and the level of subject comfortability. Estimating the pressure profile is important, as it helps improve the prosthesis through an evaluation of the socket design before it undergoes the fabrication process. This study focused on utilizing a magnetic resonance imaging (MRI)-based three-dimensional (3D) model inside a predetermined finite element simulation. The simulation was predetermined by mimicking the actual socket-fitting environment. The results showed that the potential MRI-based 3D model simulation could be used as an estimation tool for a pressure distribution profile due to the high correlation coefficient value (R2 > 0.8) calculated when the pressure profiles were compared to the experiment data. The simulation also showed that the pressure distribution in the proximal area was higher (~30%) than in the distal area of the prosthetic socket for every subject. The results of this study will be of tremendous interest for fabricators through the use of a finite element model as an alternative method for the prefabrication and evaluation of prosthetic sockets. In future prosthetic socket fabrications, less intervention will be required in the development of a socket, and the participation of the subject in the socket-fitting session will not be necessary. The results suggest that this study will contribute to expanding the development of an overall prefabrication evaluation system to allow healthcare providers and engineers to simulate the fit and comfort of transfemoral prosthetics.
Highlights
Achieving a proper residuum–socket interface by ensuring an optimum distribution of the interface loads is critical to a successful prosthetic fitting and to the rehabilitation of lower-limb amputees [1]
We proposed utilizing the finite element method (FEM) combined with an image processing (IP) method to evaluate the estimation of the pressure distribution profile of transfemoral amputee subjects
The pressure distribution profile of two subjects wearing UCLA and manual compression casting technique (MCCT) sockets was analyzed through a utilization of the finite element method (FEM)
Summary
Achieving a proper residuum–socket interface by ensuring an optimum distribution of the interface loads is critical to a successful prosthetic fitting and to the rehabilitation of lower-limb amputees [1]. Portnoy et al [8] reported that using a subject-specific real-time analysis of the internal tissue loads in the residuum is a practical tool for evaluating the internal stress inside the residuum in a clinical setting or outdoors. From another aspect, Colombo et al [9] managed to develop a computer-aided environment, namely, a socket-modeling assistant (SMA), combining knowledge from prostheses and a 3D model simulation to create a prosthesis socket. Such research has resulted in the creation of a prosthesis socket using the additive manufacturing (AM) technique, a compatibility analysis of the created socket has yet to be carried out
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