Design of Mechanism and Preliminary Field Validation of Low-Cost, Passive Prosthetic Knee for Users With Transfemoral Amputation in India

An estimated 230,000 above-knee amputees in India are currently in need of prosthetic care, a majority of them facing severe socio-economic constraints. However, only few passive prosthetic knee devices in the market have been designed for facilitation of normative gait kinematics and for meeting the specific daily life needs of above-knee amputees in the developing world. Based on the results of our past studies, this paper establishes a framework for the design of a low-cost prosthetic knee device, which aims to facilitate able-bodied kinematics at a low metabolic cost. Based on an exhaustive set of functional requirements, we present a prototype mechanism design for the low-cost prosthetic knee. The mechanism is implemented using an early stance lock for stability and two friction dampers for achieving able-bodied kinematics and kinetics of walking. For early-stage validation of the prosthesis design, we carry out a preliminary field trial on four above-knee amputees in India and collect qualitative user feedback. Future iterations of the mechanism prototype will incorporate an additional spring component for enabling early stance flexion-extension.Massachusetts Institute of Technology. Tata Center for Technology and Desig

The Effects of Prosthesis Inertial Properties on Prosthetic Knee Moment and Hip Energetics Required to Achieve Able-bodied Kinematics

There is a major need in the developing world for a low-cost prosthetic knee that enables users to walk with able-bodied kinematics and low energy expenditure. To efficiently design such a knee, the relationship between the inertial properties of a prosthetic leg and joint kinetics and energetics must be determined. In this paper, using inverse dynamics, the theoretical effects of varying the inertial properties of an above-knee prosthesis on the prosthetic knee moment, hip power, and absolute hip work required for walking with ablebodied kinematics were quantified. The effects of independently varying mass and moment of inertia of the prosthesis, as well as independently varying the masses of each prosthesis segment, were also compared. Decreasing prosthesis mass to 25% of physiological leg mass increased peak late-stance knee moment by 43% and decreased peak swing knee moment by 76%. In addition, it reduced peak stance hip power by 26%, average swing hip power by 76%, and absolute hip work by 22%. Decreasing upper leg mass to 25% of its physiological value reduced absolute hip work by just 2%, whereas decreasing lower leg and foot mass reduced work by up to 22%, with foot mass having the greater effect. Results are reported in the form of parametric illustrations that can be utilized by researchers, designers, and prosthetists. The methods and outcomes presented have the potential to improve prosthetic knee component selection, facilitate ablebodied kinematics, and reduce energy expenditure for users of low-cost, passive knees in developing countries, as well as for users of advanced active knees in developed countries.MIT Department of Physics Pappalardo Program (Fellowship)Massachusetts Institute of Technology. Public Service CenterMassachusetts Institute of Technology. Research Support CommitteeNational Science Foundation (U.S.). Graduate Research Fellowship (Grant 1122374)MIT Tata Center for Technology and Desig

The Effects of the Inertial Properties of Above-Knee Prostheses on Optimal Stiffness, Damping, and Engagement Parameters of Passive Prosthetic Knees

Our research aims to design low-cost, high-performance, passive prosthetic knees for developing countries. In this study, we determine optimal stiffness, damping, and engagement parameters for a low-cost, passive prosthetic knee that consists of simple mechanical elements and may enable users to walk with the normative kinematics of able-bodied humans. Knee joint power was analyzed to divide gait into energy-based phases and select mechanical components for each phase. The behavior of each component was described with a polynomial function, and the coefficients and polynomial order of each function were optimized to reproduce the knee moments required for normative kinematics of able-bodied humans. Sensitivity of coefficients to prosthesis mass was also investigated. The knee moments required for prosthesis users to walk with able-bodied normative kinematics were accurately reproduced with a mechanical system consisting of a linear spring, two constant-friction dampers, and three clutches (R[superscript 2]=0.90 for a typical prosthetic leg). Alterations in upper leg, lower leg, and foot mass had a large influence on optimal coefficients, changing damping coefficients by up to 180%. Critical results are reported through parametric illustrations that can be used by designers of prostheses to select optimal components for a prosthetic knee based on the inertial properties of the amputee and his or her prosthetic leg

Design of Mechanism and Preliminary Field Validation of Low-Cost Transfemoral Rotator for Use in the Developing World

Copyright © 2016 by ASME. Transfemoral (above-knee) amputees face a unique and challenging set of restrictions to movement and function. Most notably, they are unable to medially rotate their lower-leg and subsequently cross their legs. The best and most common solution to this issue today is a transfemoral rotator, which allows medial rotation of the leg distal to the knee through a lockable turntable mechanism. However, currently available transfemoral rotators can cost thousands of dollars, and few equivalent technologies exist in the developing world. This paper, supported by the results of field studies and user testing, establishes a framework for the design of a low-cost and easily manufacturable transfemoral rotator for use in the developing world. Two prototypes are presented, each with a unique internal locking mechanism and form. A preliminary field study was conducted on six transfemoral amputees in India and qualitative user and prosthetist feedback was collected. Both prototypes successfully allowed all subjects to complete tasks such as crossing legs, putting on pants, and tying shoes while maintaining functionality of walking and standing. Future iterations of the mechanism will be guided by a combination of the most positively received features of the prototypes and general feedback suggestions from the users.MIT D-LabMIT International Science and Technology Initiative

Modular Design of a Passive, Low-Cost Prosthetic Knee Mechanism to Enable Able-Bodied Kinematics for Users With Transfemoral Amputation

There is a significant need for low-cost, high-performance prosthetic knee technology for transfemoral amputees in India. Replicating able-bodied gait in amputees is biomechanically necessary to reduce the metabolic cost, and it is equally important to mitigate the socio-economic discrimination faced by amputees in developing countries due to their conspicuous gait deviations. This paper improves upon a previous study of a fully passive knee mechanism, addressing the issues identified in its user testing in India. This paper presents the design, analysis and bench-level testing of the three major functional modules of the new prosthetic knee architecture: (i) a four-bar latch mechanism for achieving stability during stance phase of walking, (ii) an early stance flexion module designed by implementing a fully adjustable mechanism, and (iii) a hydraulic rotary damping system for achieving smooth and reliable swing-phase control

Design of low-cost, fully passive prosthetic knee for persons with transfemoral amputation in India

Thesis: S.M., Massachusetts Institute of Technology, Department of Mechanical Engineering, 2015.Cataloged from PDF version of thesis.Includes bibliographical references (pages 51-54).An estimated 230,000 above-knee amputees are in need of prosthetic devices in India with a majority of them facing severe socio-economic constraints in their daily lives. However, only a few passive prosthetic knee devices in the market have been designed to enable normative gait and to meet the unique daily life needs of above-knee amputees in the developing world. This thesis builds upon a past study at MIT, which established optimal mechanical component coefficients in prosthetic knee function required for achieving able-bodied kinematics. A mechanism for the design of a fully passive, low-cost prosthetic knee device, which aims to facilitate able-bodied kinematics at a low metabolic cost is presented. The mechanism is implemented using an automatic early stance lock for stability, a linear spring for early stance flexionextension and a differential friction damping system for late stance and swing control. For preliminary validation of the knee mechanism two field trials were carried out on five above-knee amputees in India, which showed satisfactory performance of the early stance lock and enabled smooth stance to swing transition by timely initiation of late stance flexion.by Venkata Narayana Murthy, Arelekatti.S.M

Frameworks for the design of passive prosthetic knee components using user-centered methods and biomechanics of level-ground walking

Thesis: Ph. D., Massachusetts Institute of Technology, Department of Mechanical Engineering, 2019Cataloged from PDF version of thesis.Includes bibliographical references.Passive knee prostheses in developing countries use low-cost components driven primarily by the need to prevent falls, resulting in undesirable gait deviations during walking. There is a severe lack of reliable data on the specific needs of low-income amputees, which poses a significant challenge towards developing globally appropriate prosthetic technology. This thesis presents the analysis of user-centered needs and relevant lower leg dynamics as frameworks for the design of passive prosthetic knee components that can enable transfemoral (above-knee) amputees to ambulate with minimal gait deviations leading to higher user satisfaction. The goal of developing these frameworks is ultimately to design a low cost, fully passive prosthetic knee device for persons with transfemoral amputations living in the developing world. To identify user needs, structured oral interviews of 19 transfemoral amputees in India were conducted regarding 22 different Activities of Daily Living (ADLs).A scale of relative importance for different needs was compiled, which can help designers, doctors, and administrators provide better clinical solutions to amputees. Cross-legged sitting was identified as the most critical user need with the potential for highest improvement in the quality of life of amputees. Two identical rotator prototypes were designed and validated for cross-legged sitting on 9 amputees in India. To compute and replicate the target knee moment profile for a prosthetic knee device, the dynamics of level-ground walking were analyzed using a conceptual link-segment model of the prosthetic leg with the knee joint modeled as a combination of passive linear springs and dampers. The effects of changes in inertial properties (mass, radius of gyration, and center of mass location) of the prosthetic leg on the lower leg kinetics were also quantified in the model.The knee moment required for achieving normative joint kinematics at the hip, knee and ankle by the optimal engagement of spring and dampers was replicated computationally with a maximum R²=0.90 in an idealized clutching scheme. Multiple prototypes of modular knee mechanisms were built to replicate the model, including (i) an automatic locking module for stability during early stance, (ii) a linear spring module for facilitating knee flexion-extension during early stance, and (iii) a rotary damping module for control during terminal stance and swing. Qualitative feedback from two unilateral transfemoral amputees in India showed the automatic locking module provided the predicted performance for timely stance to swing transition. Fluid-based viscous damping was found to provide more optimal control compared to friction-based damping. A comprehensive biomechanical framework was developed that predicted the range of optimal damping coefficients for transfemoral amputees.The framework used the results from the link-segment model and empirical data of transfemoral gait characteristics such as slower walking speeds and asymmetries in the stance-swing duration. An experimental prosthetic knee with five different damping conditions was built and tested on three subjects with unilateral transfemoral amputation in a motion capture lab. Increased damping led to reduced peak knee flexion during terminal stance and swing, as predicted by the framework. The framework predicted the optimal damping value for achieving normative peak knee flexion to within one standard deviation of the able-bodied value during the swing phase.by Venkata Narayana Murthy, Arelekatti.Ph. D.Ph.D. Massachusetts Institute of Technology, Department of Mechanical Engineerin

Design and Preliminary Field Validation of a Fully Passive Prosthetic Knee Mechanism for Users With Transfemoral Amputation in India

An estimated 230,000 above-knee amputees in India are currently in need of prosthetic devices, a majority of them facing severe socio-economic constraints. However, only a few passive prosthetic knee devices in the market have been designed for facilitation of normative gait kinematics and for meeting the specific daily life needs of above-knee amputees in the developing world. Based on the results of our past studies, this paper establishes a framework for designing a potentially low-cost, fully passive prosthetic knee device, which aims to facilitate able-bodied kinematics at a low metabolic cost. Based on a comprehensive set of functional requirements and biomechanical analysis from our past work, we present an early prototype mechanism for the prosthetic knee joint that is primarily focused on enabling able-bodied kinematics. The mechanism is implemented using two functional modules: an automatic early stance lock for stability and a differential friction damping system for late stance and swing control. For preliminary, qualitative validation of the knee mechanism, we carried out a field trial on four above-knee amputees in India, which showed satisfactory performance of the early stance lock. The prototype enabled smooth stance-to-swing transition by timely initiation of late stance flexion. Possible methods of incorporating an additional spring module for further refinement of the design are also discussed, which can enable flexion-extension during the early-stance phase of the gait cycle and potentially reduce the metabolic energy expenditure of the user further

Design of a Passive, Shear-Based Rotary Hydraulic Damper for Single-Axis Prosthetic Knees

With over 30 million people worldwide in need of assistive devices, there is a great need for low-cost, high performance prosthetic technologies in the developing world. A majority of the hydraulic dampers used in prosthetic knee designs are highly specialized, expensive, require regular maintenance, and are incompatible for use with low-cost, single-axis prosthetic knees popular in developing countries. In this study, optimal damping coefficients were computed based on a theoretical analysis of gait, specifically during the transition from the stance to swing phase of human walking when a large damping torque is needed at the knee. A novel rotary hydraulic damper prototype was designed using high-viscosity silicone oil and a concentric meshing of fins for shearing the oil. The prototype was validated experimentally to provide the desired damping torque profile. For preliminary, user-centric validation of the prototype, a gait study on one above-knee amputee in India was conducted with four different damping magnitudes. Feedback from the subject validated the optimal damping torque magnitude predicted for minimizing gait deviations and for enabling able-bodied knee kinematics. The new rotary hydraulic damper design is novel, passive, and compatible with low-cost, single-axis knee prostheses. Topics: Shear (Mechanics) , Dampers , Design , Artificial limbs , Kne

Proof-of-Concept Evaluation of a Low-Cost and Low-Weight Tractor for Small-Scale Farms

About 80% of farms in India are less than five acres in size and are cultivated by farmers who use bullocks for farming operations. Even the smallest tractors available in the Indian market are too expensive and large, and not designed to meet the unique requirements of these farmers. To address these needs, we have developed a proof-of-concept lightweight (350 kg) tractor in collaboration with Mahindra and Mahindra Limited, an Indian tractor manufacturer. Given the challenges of accurately predicting traction in Indian soils by applying existing terramechanics models, an alternative design approach based on Mohr-Coulomb soil-failure criterion is presented. Analysis of weight, power and drawbar of existing tractors on the market, a single wheel traction test, and a drawbar test of a proof-of-concept small tractor prototype suggest that ~200kg is the maximum drawbar force that could be achieved by a 350kg tractor of conventional design. In order to attain higher drawbar performance of 70% of the tractor weight needed for specific agricultural operations, additional design changes are required. An approach for increasing traction by adding tires is investigated and discussed. Additional research on weight distribution, dynamic drawbar testing and tread design is suggested as future work.MIT Tata Center for Technology and DesignMahindra Limite