Kinematic and Kinetic Profile of Common Tasks for the Development of Design Parameters of an Upper Limb Prosthesis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of South Florida
- Enrollment
- 17
- Locations
- 2
- Primary Endpoint
- shoulder abduction
Study Overview
Brief Summary
Current improvements of the design of the upper limb prosthesis include advanced technology in control systems and electronic circuitry that mimic human motion and improve function of the prosthesis. Often times these improvements require large amounts of power, circuitry and excess mass distally along the prosthesis that may require greater effort from the user. Poor function of an upper limb prosthesis may cause awkward compensatory motion. Aberrant movements, such as these compensatory movements are known to cause greater stress to remaining joints. Amputees are forced to decide if the extra function provided by the advanced electronics is worth carrying the extra mass which may cause fatigue, socket issues and greater stress on the remaining joints. An example is the wrist rotator component of an upper limb prosthesis which may allow greater function and reduce compensatory motion, but adds mass distally, potentially causing greater torques on remaining joints.
GOALS OF THE STUDY:
There are two main goals of this study:
- to determine the impact of an upper limb prosthesis without a wrist rotator on the compensatory motion and torques in the remaining joints during common tasks
- to determine the impact of the location (distally or proximally) of a wrist rotator on a upper limb prosthesis on the compensatory motion during common tasks
HYPOTHESES:
- There will be a statistically significant difference in range of motion of the upper limb joints between healthy subjects, braced subjects and upper limb amputees during four common tasks.
- There will be a statistically significant difference in joint upper limb joint torques between healthy subjects, braced subjects and upper limb amputees during three common tasks.
- There will be a statistically significant difference in upper limb angles and joint torques between mass added distally and mass added proximally during common tasks.
Detailed Description
PROBLEM STATEMENT:
Current improvements of the design of the upper limb prosthesis include advanced technology in control systems and electronic circuitry that mimic human motion and improve function of the prosthesis. Often times these improvements require large amounts of power, circuitry and excess mass distally along the prosthesis that may require greater effort from the user. Poor function of an upper limb prosthesis may cause awkward compensatory motion. Aberrant movements, such as these compensatory movements are known to cause greater stress to remaining joints. Amputees are forced to decide if the extra function provided by the advanced electronics is worth carrying the extra mass which may cause fatigue, socket issues and greater stress on the remaining joints. An example is the wrist rotator component of an upper limb prosthesis which may allow greater function and reduce compensatory motion, but adds mass distally, potentially causing greater torques on remaining joints.
SYNOPSIS OF CURRENT LITERATURE:
Restricted motion and excess weight of an upper limb prosthesis have been documented as complaints among amputees [1], [2], [3], [4], [5], [6]. Through surveys Atkins et al. determined that amputees would like the wrist component of the prosthesis to perform more movements. This study also listed drinking from a glass and opening a door, top priorities among amputees [7]. This suggests that the wrist component on a prosthetic arm is important.
There are many examples throughout scientific literature showing how kinetic, kinematic and metabolic analyses of gait have lead to the improvement of lower limb prosthetic design criteria [8],[9]. In 2003, Twiste et al. conducted a literature review on rotation and translation of the anatomic joints during prosthetic gait. The abstract from this review mentions that more accurate kinematic gait analysis showing optimized gait patterns could help manufacturers design prosthetic components to mimic these patterns [9]. The effects of mass perturbations on lower limb amputees have been investigated to determine how inertial properties of a prosthesis should be evaluated [10].
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •ages 18-60 years old
- •Control group: normal, healthy volunteers
- •Amputee group: unilateral, transradial myoelectric prosthesis users
Exclusion Criteria
- •elderly > 60
- •children < 18
- •pregnant women
- •persons with shoulder impairments, injuries, or problems
- •bilateral upper limb amputees
Outcomes
Primary Outcomes
shoulder abduction
shoulder flexion
elbow flexion
shoulder joint force
should joint torque
elbow joint force
elbow joint torque
Secondary Outcomes
No secondary outcomes reported
