Lower Limb Prosthetic Devices
*This page is intended to provide a basic understanding of prostheses - all decisions about types of prostheses should be discussed with prosthetists and doctors before final decisions are made
Lower Limb Technology Options
Basic Knees
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Single-Axis
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Similar to hinge mechanisms
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Multi-Axis or Polycentric or Four-Bar
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Variations can be set up for different phases
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Sliding friction prevents the leg from swinging too fast
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Most include the ability to lock the knee in place
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Manual Locking or Weight-Activated Locking)
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S.A.C.H. Feet
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Solid Ankle Cushion Heel
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More rigid
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Sufficient shock absorption
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Optimal for light activity
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Hydraulic Ankle Feet
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Resisted movement of the foot at an adjustable hydraulic ankle joint
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Allows for more natural “rocking” motion during walking
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Allows for walking with greater stability
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Reduces pressure in the socket and increases stability
Hydraulic & Pneumatic
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Fluid (hydraulic) or air (pneumatic) is used to control the knee movement
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Stance control – allows the user to lock the knee for stability while standing
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Mimic muscles of the natural knee allowing for variable walking speeds
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Store and release energy
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Axial Feet
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Mimic normal ankle motion
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Single-Axis
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Solid forefoot, moves in 1 plane (up and down)
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Multiple-Axis
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Moves in multiple planes (up and down, side to side)
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Absorbs torque
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Microprocessor Feet
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Type of hydraulic ankle/feet
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Uses various sensors to monitor continuous movement
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Adjusts both the angle and stiffness of ankle in real-time
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Better ankle movement and foot control on uneven terrain, inclines, declines, and stairs
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Microprocessor Knees
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Also known as a computer-controlled knee or Microprocessor-Controlled (MCP)
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Automatically adjusts the response of the knee in real-time
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Sensors gather movement and timing data
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Dynamic Response Feet
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Energy-storing – store and release energy with every step
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Increases ability to walk at varying speeds while reducing the load on the opposite leg
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Activity-Specific Feet
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Designed for specific tasks and activities
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Maybe be water proof/resistant or able to withstand higher loads and stresses
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Examples include feet specific for swimming, running, skiing, climbing, etc.
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Knees
Feet
(Hanger Clinic, n.d.; Odum, n.d.)
*Disclaimer: There are hundreds of prosthetic feet and knees on the market today. These drawings show some of the basic components, designs, and features of common devices. Not all devices will look exactly like the ones pictured.
REFERENCES
Hanger Clinic. (n.d.). Lower Limb Prosthetics. https://hangerclinic.com/prosthetics/lower-limb/#component
Odum, T. (n.d.) Rehabilitation of the amputee. [Allied Health On-Demand Webinar]. Allied Health Education. https://alliedhealthed.com/product/rehabilitation-of-the-amputee-3/?term_id=27