搜索结果：Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

Whereas the acuity of the position sense at the ankle can be disturbed by muscle fatigue, it recently also has been shown to be improved, under normal ankle neuromuscular state, through the use of an artificial tongue-placed tactile biofeedback. The underlying principle of this biofeedback consisted of supplying individuals with supplementary information about the position of their matching ankle position relative to their reference ankle position through electrotactile stimulation of the tongue. Within this context, the purpose of the present experiment was to investigate whether this biofeedback could mitigate the deleterious effect of muscle fatigue on joint position sense at the ankle. To address this objective, sixteen young healthy university students were asked to perform an active ankle-matching task in two conditions of No-fatigue and Fatigue of the ankle muscles and two conditions of No-biofeedback and Biofeedback. Measures of the overall accuracy and the variability of the positioning were determined using the absolute error and the variable error, respectively. Results showed that the availability of the biofeedback allowed the subjects to suppress the deleterious effec

There has been a controversy as to whether or not the non-pathological flat foot and high-arched foot have an effect on human walking activities. The 3D foot scanning system was employed to obtain static footprints from subjects adopting a half-weight-bearing stance. Based upon their footprints, the subjects were divided into two groups: the flat-footed and the high-arched. The plantar pressure measurement system was used to measure and record the subjects' successive natural gaits. Two indices were proposed: distribution of vertical ground reaction force (VGRF) of plantar and the rate of the footprint areas. Using these two indices to compare the natural gaits of the two subject groups, we found that (1) in stance phase, there is a significant difference (p<0.01) in the distributions of VGRF of plantar; (2) in a stride cycle, there is also a significant difference (p<0.01) in the rates of the footprint areas. Our analysis suggests that when walking, the VGRF of the plantar brings greater muscle tension to the flat-footed while a smaller rate of the footprint areas brings greater stability to the high-arched.

Powered ankle-foot prostheses can often reduce the energy cost of walking by assisting with push-off. However, focus on providing mechanical work may lead to ignoring or exacerbating common issues with chronic pain, irritation, pressure ulcer development, and eventual osteoarthritis in persons with amputation. This paper presents the design and validation of a novel transtibial prosthesis informed by predictive biomechanical simulations of gait which minimize a combination of user effort and interaction loading from the prosthesis socket. From these findings, the device was designed with a non-biomimetic anterior-posterior translation degree of freedom with a 10 cm range of motion which is primarily position-controlled to change the alignment of the prosthetic foot with the residual limb. The system is both mobile and tethered, with the batteries, actuators, and majority of electronics located in a small backpack. Mechanical loads are transmitted through cables to the prosthesis, minimizing the distal mass carriage required. We measured torque and force sensing accuracy, open loop actuator performance, closed loop torque and position control bandwidth, and torque and position track

This paper proposes a novel contact and wearable sensing system for estimating the upper body posture and joint angles (ankle, knee, and hip) of the human body using foot pressure distribution information obtained from a sensor attached to the plantar region. In the proposed estimation method, sensors are installed only on the plantar region, which is the end of the human body and the point of contact with the environment. The posture and joint angles of other parts of the body are estimated using only this information. As a contact and wearable sensor, the proposed system differs from previous measurement systems in the sense that the sensor does not need to be placed near the target joint or body. The estimation was carried out using a multivariate linear regression model with the foot pressure distribution as the input and the joint angle or posture as the output. The results reveal that it is possible to estimate the posture and joint angles of the human body from foot pressure distribution information (R2$\fallingdotseq$0.9). The proposed estimation method was validated by morphological computation to confirm that it is enabled by foot morphology. The validation approach compa

Exoskeleton devices impose kinematic constraints on a user's motion and affect their stability due to added mass but also due to the simplified mechanical design. This paper investigates how these constraints resulting from simplified mechanical designs impact the gait kinematics and stability of users by wearing an ankle exoskeleton with changeable degree of freedom (DoF). The exoskeleton used in this paper allows one, two, or three DoF at the ankle, simulating different levels of mechanical complexity. This effect was evaluated in a pilot study consisting of six participants walking on a straight path. The results show that increasing the exoskeleton DoF results in an improvement of several metrics, including kinematics and gait parameters. The transition from 1 DoF to 2 DoF is shown to have a larger effect than the transition from 2 DoF to 3 DoF for an ankle exoskeleton. However, an exoskeleton with 3 DoF at the ankle featured the best results. Increasing the number of DoF resulted in stability values closer the values when walking without the exoskeleton, despite the added weight of the exoskeleton.

This paper suggests a nonlinear mixed effects model for data points in $\mathit{SO}(3)$, the set of $3\times3$ rotation matrices, collected according to a repeated measure design. Each sample individual contributes a sequence of rotation matrices giving the relative orientations of the right foot with respect to the right lower leg as its ankle moves. The random effects are the five angles characterizing the orientation of the two rotation axes of a subject's right ankle. The fixed parameters are the average value of these angles and their variances within the population. The algorithms to fit nonlinear mixed effects models presented in Pinheiro and Bates (2000) are adapted to the new directional model. The estimation of the random effects are of interest since they give predictions of the rotation axes of an individual ankle. The performance of these algorithms is investigated in a Monte Carlo study. The analysis of two data sets is presented. In the biomechanical literature, there is no consensus on an in vivo method to estimate the two rotation axes of the ankle. The new model is promising. The estimates obtained from a sample of volunteers are shown to be in agreement with the

Simulation of assistive devices on pathological gait through musculoskeletal models offers the potential and advantages of estimating the effect of the device in several biomechanical variables and the device characteristics ahead of manufacturing. In this study, we introduce a novel musculoskeletal modelling approach to simulate the biomechanical impact of ankle foot orthoses (AFO) on gait in individuals with spinal cord injury (SCI). Leveraging data from the Swiss Paraplegic Center, we constructed anatomically and muscularly scaled models for SCI-AFO users, aiming to predict changes in gait kinematics and kinetics. The importance of this work lies in its potential to enhance rehabilitation strategies and improve quality of life by enabling the pre-manufacturing assessment of assistive devices. Despite the application of musculoskeletal models in simulating walking aids effects in other conditions, no predictive model currently exists for SCI gait. Evaluation through RMSE showed similar results compared with other pathologies, simulation errors ranged between 0.23 to 2.3 degrees in kinematics. Moreover, the model was able to capture ankle joint muscular asymmetries and predict sym

For lower limb amputees, an active ankle joint prosthesis can provide basic mobility functions. This study focuses on an ankle joint prosthesis system based on the principle of electric-hydraulic actuation. By analyzing the characteristics of human gait cycles and the mechanics of ankle joint movement, a lightweight and integrated ankle joint prosthesis is designed, considering the requirements for normal ankle joint kinematics and dynamics. The components of the prosthesis are optimized through simulation and iterative improvements, while ensuring tight integration within minimal space. The design and simulation verification of the integrated lightweight prosthesis components are achieved. This research addresses the contradiction between the high output capability and the constraints on volume and weight in prosthetic devices.

The performance of an artificial tongue-placed tactile biofeedback device for improving ankle joint position sense was assessed in 12 young healthy adults using an active matching task. The underlying principle of this system consists of supplying individuals with supplementary information about the position of the matching ankle relative to the reference ankle position through a tongue-placed tactile output device generating electrotactile stimulation on a 36-point (6 X 6) matrix held against the surface of the tongue dorsum. Precisely, (1) no electrodes were activated when both ankles were in a similar angular position within a predetermined "angular dead zone" (ADZ); (2) 12 electrodes (2 X 6) of the anterior and posterior zones of the matrix were activated (corresponding to the stimulation of the front and rear portion of the tongue) when the matching ankle was in a too plantarflexed and dorsiflexed position relative to the reference ankle, respectively. Two ADZ values of 0.5 degrees and 1.5 degrees were evaluated. Results showed (1) more accurate and more consistent matching performances with than without biofeedback and (2) more accurate and more consistent ankle joint matchin

This paper presents the measurements of the angular differential cross sections for the forward production of He, Li, Be, B, C and N nuclei in the fragmentation process of a 400$\text{MeV/nucleon}$ $^{16}\text{O}$ beam interacting with a graphite target. Due to the limited data available in this energy regime, these measurements of nuclear fragmentation cross sections are relevant to improve nuclear interaction models for Particle Therapy and space radioprotection applications. The data analyzed in this paper were collected during a measurement campaign carried out at the GSI Helmholtz Center for Heavy Ion Research facility in Darmstadt (Germany) by the FOOT collaboration. The results are compared with similar results found in the literature and with a previous FOOT measurement of the same process, using the same setup, from a previous pilot run performed at GSI. The pilot run data, however, had limited statistics and only allowed for the measurement of elemental fragmentation cross sections integrated in the setup acceptance. This data set, with statistics more than 100 times larger compared to the data collected in the previous run, enabled the measurement of angular differential

Stationary robotic trainers are lower limb rehab robots which often incorporate an exoskeleton attached to a stationary base. The issue observed in the stationery trainers for simultaneous knee and ankle-foot complex joints is that they restrict the natural motion of ankle-foot in the rehab trainings due to the insufficient Degrees of Freedom (DOFs) of these trainers. A new stationary knee-ankle-foot rehab robot with all necessary DOFs is developed here. A typical rehab training is first implemented in simulation, and then tested on a healthy subject. Results show that the proposed system functions naturally and meets the requirements of the desired rehab training.

A new, unique mechanism accounting for the knee and the ankle in the energy spectrum of the cosmic radiation is presented. The interplay of the form and strength of the galactic magnetic field, the rising trend of the nuclear cross sections with energy, the position of the solar cavity within the Galaxy and disc size generates knees and ankles of individual ions. The influence of these observational data on the cosmic-ray intensity at Earth is determined by the appropriate simulation of the cosmic-ray trajectories in the galactic volume. The solid and extensive accord between the computed and measured energy spectra of individual ions and of all ions is discussed and emphasized.

The kinematics analysis of foot-ankle complex during gait is essential for advancing biomechanical research and clinical assessment. Collecting accurate surface geometry data from the foot and ankle during dynamic gait conditions is inherently challenging due to swing foot occlusions and viewing limitations. Thus, this paper introduces FootGait3D, a novel multi-view dataset of high-resolution ankle-foot surface point clouds captured during natural gait. Different from existing gait datasets that typically target whole-body or lower-limb motion, FootGait3D focuses specifically on the detailed modeling of the ankle-foot region, offering a finer granularity of motion data. To address this, FootGait3D consists of 8,403 point cloud frames collected from 46 subjects using a custom five-camera depth sensing system. Each frame includes a complete 5-view reconstruction of the foot and ankle (serving as ground truth) along with partial point clouds obtained from only four, three, or two views. This structured variation enables rigorous evaluation of 3D point cloud completion methods under varying occlusion levels and viewpoints. Our dataset is designed for shape completion tasks, facilitatin

Data science has become increasingly essential for the production of official statistics, as it enables the automated collection, processing, and analysis of large amounts of data. With such data science practices in place, it enables more timely, more insightful and more flexible reporting. However, the quality and integrity of data-science-driven statistics rely on the accuracy and reliability of the data sources and the machine learning techniques that support them. In particular, changes in data sources are inevitable to occur and pose significant risks that are crucial to address in the context of machine learning for official statistics. This paper gives an overview of the main risks, liabilities, and uncertainties associated with changing data sources in the context of machine learning for official statistics. We provide a checklist of the most prevalent origins and causes of changing data sources; not only on a technical level but also regarding ownership, ethics, regulation, and public perception. Next, we highlight the repercussions of changing data sources on statistical reporting. These include technical effects such as concept drift, bias, availability, validity, accur

Ankle proprioceptive deficits are common after stroke and occur independently of ankle motor impairments. Despite this independence, some studies have found that ankle proprioceptive deficits predict gait function, consistent with the concept that somatosensory input plays a key role in gait control. Other studies, however, have not found a relationship, possibly because of variability in proprioception assessments. Robotic assessments of proprioception offer improved consistency and sensitivity. Here we relationships between ankle proprioception, ankle motor impairment, and gait function after stroke using robotic assessments of ankle proprioception. We quantified ankle proprioception using two different robotic tests (Joint Position Reproduction and Crisscross) in 39 persons in the chronic phase of stroke. We analyzed the extent to which these robotic proprioception measures predicted gait speed, measured over a long distance (6-minute walk test) and a short distance (10-meter walk test). We also studied the relationship between robotic proprioception measures and lower extremity motor impairment, quantified with measures of ankle strength, active range of motion, and the lower e

Walking on compliant terrain presents a substantial challenge for individuals with lower-limb amputation, further elevating their already high risk of falling. While powered ankle-foot prostheses have demonstrated adaptability across speeds and rigid terrains, control strategies optimized for soft or compliant surfaces remain underexplored. This work experimentally validates an admittance-based control strategy that dynamically adjusts the quasi-stiffness of powered prostheses to enhance gait stability on compliant ground. Human subject experiments were conducted with three healthy individuals walking on two bilaterally compliant surfaces with ground stiffness values of 63 and 25 kN/m, representative of real-world soft environments. Controller performance was quantified using phase portraits and two walking stability metrics, offering a direct assessment of fall risk. Compared to a standard phase-variable controller developed for rigid terrain, the proposed admittance controller consistently improved gait stability across all compliant conditions. These results demonstrate the potential of adaptive, stability-aware prosthesis control to reduce fall risk in real-world environments a

Proprioception is comprised of sensory input from several sources including muscle spindles, joint capsule, ligaments and skin. The purpose of the present experiment was to investigate whether the central nervous system was able to integrate an artificial biofeedback delivered through electrotactile stimulation of the tongue to improve proprioceptive acuity at the ankle joint. To address this objective, nine young healthy adults were asked to perform an active ankle-matching task with and without biofeedback. The underlying principle of the biofeedback consisted of supplying subjects with supplementary information about the position of their matching ankle position relative to their reference ankle position through a tongue-placed tactile output device (Tongue Display Unit). Measures of the overall accuracy and the variability of the positioning were determined using the absolute error and the variable error, respectively. Results showed more accurate and more consistent matching performances with than without biofeedback, as indicated by decreased absolute and variables errors, respectively. These findings suggested that the central nervous system was able to take advantage of an

With the proliferation of smart phone, a major growth in the use of apps related to the health category, specifically those concerned with foot health can be observed. Although new, these apps are being used practically for scanning feet with an aim to providing accurate information about various properties of the human foot. With the availability of many 'foot scanning and measuring apps' in the app stores, the need for an evaluation system for such apps can be deemed necessary as little information regarding the evidence-based quality of these apps is available. To characterize the assessment of measurement techniques and essential software quality characteristics of mobile foot measuring apps, and determine their effectiveness for potential use as commercial professional tools for foot care health professionals such as pedorthists, podiatrists, orthotists and so on, to assist in measuring foot for custom shoes, and for individuals to enhance the awareness of foot health and hygiene and prevention of foot-related problems. An electronic search across Android and iOS app stores was conducted between July 2020 and August 2020 for apps related to foot measurement. Mobile apps with s

Diabetic foot ulcers are a common manifestation of lesions on the diabetic foot, a syndrome acquired as a long-term complication of diabetes mellitus. Accompanying neuropathy and vascular damage promote acquisition of pressure injuries and tissue death due to ischaemia. Affected areas are prone to infections, hindering the healing progress. The research at hand investigates an approach on classification of infection and ischaemia, conducted as part of the Diabetic Foot Ulcer Challenge (DFUC) 2021. Different models of the EfficientNet family are utilized in ensembles. An extension strategy for the training data is applied, involving pseudo-labeling for unlabeled images, and extensive generation of synthetic images via pix2pixHD to cope with severe class imbalances. The resulting extended training dataset features $8.68$ times the size of the baseline and shows a real to synthetic image ratio of $1:3$. Performances of models and ensembles trained on the baseline and extended training dataset are compared. Synthetic images featured a broad qualitative variety. Results show that models trained on the extended training dataset as well as their ensemble benefit from the large extension.