Gait & Posture
Volume 31, Issue 2 , Pages 223-228 , February 2010

Apparatus for monitoring load bearing rehabilitation exercises of a transfemoral amputee fitted with an osseointegrated fixation: A proof-of-concept study

  • Laurent Frossard

      Affiliations

    • School of Engineering Systems, Queensland University of Technology, Brisbane, Australia
    • Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
    • Centre for Health Innovation and Solutions, The University of Queensland, Brisbane, Australia
    • Corresponding Author InformationCorresponding author at: Centre for Health Innovation and Solutions, The University of Queensland, 4/49 Butterfield Street, Herston, QLD 4006, Australia. Tel.: +61 07 3251 5938; fax: +61 07 3251 5939.
  • ,
  • David Lee Gow

      Affiliations

    • Caulfield General Medical Centre, Melbourne, Australia
  • ,
  • Kerstin Hagberg

      Affiliations

    • Centre of Orthopaedic Osseointegration, Sahlgrenska University Hospital, Göteborg, Australia
  • ,
  • Nicola Cairns

      Affiliations

    • School of Engineering Systems, Queensland University of Technology, Brisbane, Australia
    • Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
  • ,
  • Bill Contoyannis

      Affiliations

    • RehabTech, Monash Rehabilitation Technology Research Unit, Melbourne, Australia
  • ,
  • Steven Gray

      Affiliations

    • Plastic Surgery Unit/Osseointegration OPRA Programme, The Alfred Hospital, Melbourne, Australia
  • ,
  • Richard Brånemark

      Affiliations

    • Centre of Orthopaedic Osseointegration, Sahlgrenska University Hospital, Göteborg, Australia
  • ,
  • Mark Pearcy

      Affiliations

    • School of Engineering Systems, Queensland University of Technology, Brisbane, Australia
    • Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia

Received 30 March 2009 ,Revised 6 October 2009 ,Accepted 20 October 2009.

References 

  1. The Endo-Exo-Femurprosthesis: a new concept of prosthetic rehabilitation engineering following thigh-amputation—some cases and early results. In:  Aschoff H,  Grundei H editor. International society for prosthetics and orthotics 11th world congress. Hong Kong. 2004;
  2. Staubach K, Grundei H. The first osseointegration percutaneous anchor for an exoprosthesis, for routine use in above-knee amputees. Biomed Technik. 2001;46:255–261
  3. Pitkin M. On the way to total integration of prosthetic pylon with residuum. Journal of Rehabilitation Research & Development. 2009;46(3):345–360
  4. Brånemark R, Brånemark P-I, Rydevik B, Myers R. Osseointegration in skeletal reconstruction and rehabilitation: a review. Journal of Rehabilitation Research & Development. 2001;38(2):175–181
  5. Ward D, Robinson KP. Osseointegration for the skeletal fixation of limb prostheses in amputation at the trans-femoral level. In:  Brånemark P-I editors. The osseointegration book—from calvarium to calcaneus. Quintessenz Verlag—GmbH; 2005;p. 463–475[Chapter 24]
  6. Mak A, Zhang M, Boone D. State-of-the-art research in lower-limb prosthetic biomechanics–socket interface: a review. Journal of Rehabilitation Research & Development. 2001;38(2):161–174
  7. Hagberg K, Brånemark R. Consequences of non-vascular trans-femoral amputation: a survey of quality of life, prosthetic use and problems. Prosthetics and Orthotics International. 2001;25:186–194
  8. Webster JBMD, Chou TP, Kenly MMD, English MMS, Roberts TLDO, Bloebaum RDP. Perceptions and acceptance of osseointegration among individuals with lower limb amputations: a prospective survey study. Journal of Prosthetics & Orthotics. 2009;21(4):215–222
  9. Hagberg K. Physiotherapy for patients having a trans-femoral amputation. In:  Brånemark P-I editors. The osseointegration book—from calvarium to calcaneus. Quintessenz Verlag—GmbH; 2005;p. 477–487[Chapter 25]
  10. Brånemark R, Skalak R. An in-vivo method for biomechanical characterization of bone-anchored implant. Medical Engineering & Physics. 1998;20:216–219
  11. Rydevik B. Amputation prostheses and osseoperception in the lower and upper extremity. In:  Brånemark P-I,  Rydevik BL,  Skalak R editor. Osseointegration in skeletal reconstruction and joint replacement. Carol Stream, IL: Quintessence Publishing Co.; 1997;p. 175–185
  12. Hagberg K, Brånemark R. One hundred patients treated with osseointegrated transfemoral amputation prostheses—the rehabilitation perspective. Journal of Rehabilitation Research & Development. 2009;43(3):331–344
  13. Sullivan J, Uden M, Robinson K, Sooriakumaran S. Rehabilitation of the trans-femoral amputee with an osseointegrated prosthesis: the United Kingdom experience. Prosthetics and Orthotics International. 2003;27:114–120
  14. Magnissalis A, Solomonidis S, Spence W, Paul J, Zahedi M. Prosthetic loading during kneeling of persons with transfemoral amputation. Journal of Rehabilitation Research & Development. 1999;36(3):164–172
  15. Stephenson P, Seedhom BB. Estimation of forces at the interface between an artificial limb and an implant directly fixed into the femur in above-knee amputees. Journal of Orthopaedic Science. 2002;7(3):192–297
  16. Dumas R, Cheze L, Frossard L. Loading applied on prosthetic knee of transfemoral amputee: comparison of inverse dynamics and direct measurements. Gait & Posture. 2009;30(4):560–562
  17. Berme N, Lawes P, Solomonidis S, Paul JP. A shorter pylon transducer for measurement of prosthetic forces and moments during amputee gait. Engineering in Medicine. 1975;4(4):6–8
  18. Nietert M, Englisch N, Kreil P, Alba-Lopez G. Loads in hip disarticulation prostheses during normal daily use. Prosthetics and Orthotics International. 1998;22:199–215
  19. Sanders JE, Miller RA, Berglund DN, Sachariah SG. A modular six-directional force sensor for prosthetic assessment: a technical note. Journal of Rehabilitation Research & Development. 1997;34(2):195–202
  20. Sanders JE, Smith LM, Spelman FA. A small and lighweight three-channel signal-conditioning unit for strain-gage transducers: a technical note. Journal of Rehabilitation Research & Development. 1995;32(3):210–213
  21. Sholukha V, Salvia P, Hilal I, Feipel V, Rooze M, Van Sint Jan S. Calibration and validation of 6 DOFs instrumented spatial linkage for biomechanical applications. A pratical approach. Medical Engineering & Physics. 2004;26:251–260
  22. Frossard L, Beck J, Dillon M, Chappell M, Evans JH. Development and preliminary testing of a device for the direct measurement of forces and moments in the prosthetic limb of transfemoral amputees during activities of daily living. Journal of Prosthetics and Orthotics. 2003;15(4):135–142
  23. Frossard L, Stevenson N, Smeathers J, Häggström E, Hagberg K, Sullivan J, et al. Monitoring of the load regime applied on the osseointegrated fixation of a transfemoral amputee: a tool for evidence-based practice. Prosthetics and Orthotics International. 2008;32(1):68–78
  24. Lee W, Frossard L, Hagberg K, Haggstrom E, Brånemark R. Kinetics analysis of transfemoral amputees fitted with osseointegrated fixation performing common activities of daily living. Clinical Biomechanics. 2007;22(6):665–673
  25. Lee W, Frossard L, Hagberg K, Haggstrom E, Lee Gow D, Gray S, et al. Magnitude and variability of loading on the osseointegrated implant of transfemoral amputees during walking. Medical Engineering & Physics. 2008;30:825–833
  26. Lee W, Doocey J, Brånemark R, Adam C, Evans J, Pearcy M, et al. FE stress analysis of the interface between the bone and an osseointegrated implant for amputees—implications to refine the rehabilitation program. Clinical Biomechanics. 2008;23(10):1243–1250
  27. Frossard L, Hagberg K, Haggstrom E, Brånemark R. Load-relief of walking aids on osseointegrated fixation: instrument for evidence-based practice. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 2009;17(1):9–14
  28. Seliktar R, Yekutiel M, Bar A. Gait consistency test based on the impulse–momentum theorem. Prosthetics and Orthotics International. 1979;3:91–98
  29. Walczyk D, Bartlet J. An inexpensive weight bearing indicator used for rehabilitation of patients with lower extremity injuries. Journal of Medical Devices. 2007;1:38–46
  30. Edwards WB, Gillette JC, Thomas JM, Derrick TR. Internal femoral forces and moments during running: implications for stress fracture development. Clinical Biomechanics. 2008;23(10):1269–1278

PII: S0966-6362(09)00645-6

doi: 10.1016/j.gaitpost.2009.10.010

Gait & Posture
Volume 31, Issue 2 , Pages 223-228 , February 2010