BMC Musculoskeletal Disorders | |
Embracing additive manufacture: implications for foot and ankle orthosis design | |
Jim Woodburn1  Martin McGeough3  Kenny Dalgarno4  Javier Munguia4  Jari Pallari2  Scott Telfer1  | |
[1] School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow, UK;Peacocks Medical Group Ltd, Benfield Business Park, Newcastle, UK;Firefly Orthoses Ltd, Markievicz Road, Sligo, Ireland;School of Mechanical and Systems Engineering, Newcastle University, Claremont Road, Newcastle, UK | |
关键词: Biomechanics; Ankle-foot orthoses; Foot orthoses; 3D printing; Additive manufacture; | |
Others : 1149718 DOI : 10.1186/1471-2474-13-84 |
|
received in 2012-01-18, accepted in 2012-05-29, 发布年份 2012 | |
【 摘 要 】
Background
The design of foot and ankle orthoses is currently limited by the methods used to fabricate the devices, particularly in terms of geometric freedom and potential to include innovative new features. Additive manufacturing (AM) technologies, where objects are constructed via a series of sub-millimetre layers of a substrate material, may present the opportunity to overcome these limitations and allow novel devices to be produced that are highly personalised for the individual, both in terms of fit and functionality.
Two novel devices, a foot orthosis (FO) designed to include adjustable elements to relieve pressure at the metatarsal heads, and an ankle foot orthosis (AFO) designed to have adjustable stiffness levels in the sagittal plane, were developed and fabricated using AM. The devices were then tested on a healthy participant to determine if the intended biomechanical modes of action were achieved.
Results
The adjustable, pressure relieving FO was found to be able to significantly reduce pressure under the targeted metatarsal heads. The AFO was shown to have distinct effects on ankle kinematics which could be varied by adjusting the stiffness level of the device.
Conclusions
The results presented here demonstrate the potential design freedom made available by AM, and suggest that it may allow novel personalised orthotic devices to be produced which are beyond the current state of the art.
【 授权许可】
2012 Telfer et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150405095346756.pdf | 1249KB | download | |
Figure 7. | 25KB | Image | download |
Figure 6. | 22KB | Image | download |
Figure 5. | 61KB | Image | download |
Figure 4. | 18KB | Image | download |
Figure 3. | 20KB | Image | download |
Figure 2. | 15KB | Image | download |
Figure 1. | 21KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
Figure 6.
Figure 7.
【 参考文献 】
- [1]Mason RDF, Vuletich W: Ankle-foot orthosis. US Patent No. 4289122. Washington DC: United States Patent and Trademark Office; 1981.
- [2]Lusardi MM, Neilsen CC: Orthotics and prosthetics in rehabilitation. London: Butterworth-Heinmann; 2000.
- [3]Zifchock RA, Davis I: A comparison of semi custom and custom foot orthotic devices in high and low arched individuals during walking. Clin Biomech 2008, 23:1287-1293.
- [4]Smith DG, Burgess EM: The use of CAD/CAM technology in prosthetics and orthotics-current clinical models and a view to the future. J Rehabil Res Dev 2001, 38:327-334.
- [5]Wohlers T: Additive Manufacturing State of the Industry. Annual Worldwide Progress Report. Fort Collins: Wohlers Associates; 2008.
- [6]Levy GN, Schindel R, Kruth JP: Rapid manufacturing and rapid tooling with layer manufacture (LM) technologies, state of the art and future perspectives. CIRP-Ann-Manuf Techn 2003, 52:589-609.
- [7]Anderson C: The long tail. New York: Hyperion; 2008.
- [8]Sells E, Smith Z, Bailard S, Bowyer A, Olliver V: RepRap: the replicating rapid prototype - maximizing customizability by breeding the means of production. In Handbook of Research in Mass Customization and Personalization. Edited by Piller FT, Tseng MM. Singapore: World Scientific; 2009:568-580.
- [9]Faustini MC, Neptune RR, Crawford RH, Stanhope SJ: Manufacture of passive dynamic ankle-foot orthoses using selective laser sintering. IEEE Trans Biomed Eng 2008, 55:784-790.
- [10]Mavroidis C, Ranky RG, Sivak ML, Patritti BL, DiPisa J, Caddle A, Gilhooly K, Govoni L, Sivak S, Lancia M, Drillio R, Bonato P: Patient specific ankle-foot orthoses using rapid prototyping. J Neuroeng Rehabil 2011, 8:1. BioMed Central Full Text
- [11]Pallari JHP, Dalgarno KW, Woodburn J: Mass customisation of foot orthoses for rheumatoid arthritis using selective laser sintering. IEEE Trans Biomed Eng 2010, 57:1750-1756.
- [12]Salles A, Gyi DE: The specification and evaluation of personalised footwear for additive manufacturing. In Advances in Human Factors, Ergonomics, and Safety in Manufacturing and Service Industries. Edited by Salvendy G. Boca Raton: CRC Press; 2010:355-366.
- [13]Schrank ES, Stanhope SJ: Dimensional accuracy of ankle-foot orthoses constructed by rapid customization and manufacturing framework. J Rehabil Res Dev 2011, 48:31-42.
- [14]Kang JH, Chen MD, Chen SC, Hsi WL: Correlations between subjective treatment responses and plantar pressure parameters of metatarsal pad treatment in metatarsalgia patients: a prospective study. BMC Musculoskelet Disord 7:95.
- [15]Kobayashi T, Leung AK, Hutchins SW: Techniques to measure rigidity of ankle-foot orthoses: a review. J Rehabil Res Dev 2011, 48:565-576.
- [16]Ramanathan AK, Kiran P, Arnold GP, Wang W, Abboud RJ: Repeatability of the Pedar-X® in-shoe measuring system. Foot Ankle Surg 2011, 16:70-73.
- [17]Postema K, Burm PE, Zande ME, Limbeek J: Primary metatarsalgia: the influence of a custom moulded insole and a rockerbar on plantar pressure. Prosthet Orthot Int 1998, 22:35-44.
- [18]Fatone S, Gard SA, Malas BA: Effect of ankle-foot orthosis alignment and foot-plate length on the gait of adults with poststroke hemiplegia. Arch Phys Med Rehabil 2009, 90:810-818.
- [19]Radtka SA, Skinner SR, Johanson ME: A comparison of gait with solid and hinged ankle-foot orthoses in children with spastic diplegic cerebral palsy. Gait Posture 2005, 21:303-310.
- [20]Bregman DJ, De Groot V, Van Diggele P, Meulman H, Houjik H, Harlaar J: Polypropylene ankle foot orthoses to overcome foot-drop gait in central neurological patients: a mechanical and functional evaluation. Prosthet Orthot Int 2010, 34:293-304.
- [21]Bregman DJ, Rozumalski A, Koops D, De Groot V, Schwartz M, Harlaar J: A new method for evaluating ankle foot orthosis characteristics: BRUCE. Gait Posture 2009, 30:144-149.
- [22]Menz HB: Foot orthoses: how much customisation is necessary? J Foot Ankle Res 2009, 2:23. BioMed Central Full Text
- [23]Telfer S, Woodburn J: The use of 3D surface scanning for the measurement and assessment of the human foot. J Foot Ankle Res 2010, 5:19.