ArticleScientific reports2018
Choosing appropriate prosthetic ankle work to reduce the metabolic cost of individuals with transtibial amputation.
Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Phase-Based Haptic Feedback for Improved Neural Control of a Robotic Prosthetic Ankle: A Preliminary Study.IEEE robotics and automation letters · 2026Article
- Effects of prosthetic ankle power and foot stiffness category on biomechanical asymmetry and knee moment during walking at different speeds.Scientific reports · 2026Article
- Modeling the biomechanical features affecting the metabolic rate of walking with a powered ankle-foot prosthesis.Frontiers in robotics and AI · 2025Article
- Gait quality in prosthesis users is reflected by force-based metrics when learning to walk on a new research-grade powered prosthesis.Frontiers in rehabilitation sciences · 2024Article
- Greater than recommended stiffness and power setting of a stance-phase powered leg prosthesis can improve step-to-step transition work and effective foot length ratio during walking in people with transtibial amputation.Frontiers in bioengineering and biotechnology · 2024Article
- Ankle and Foot Arthroplasty and Prosthesis: A Review on the Current and Upcoming State of Designs and Manufacturing.Micromachines · 2023Review
- Low limb prostheses and complex human prosthetic interaction: A systematic literature review.Frontiers in robotics and AI · 2023Review
- Robotic Emulation of Candidate Prosthetic Foot Designs May Enable Efficient, Evidence-Based, and Individualized Prescriptions.Journal of prosthetics and orthotics : JPO · 2022Article
- Taking Both Sides: Seeking Symbiosis Between Intelligent Prostheses and Human Motor Control during Locomotion.Current opinion in biomedical engineering · 2021Article
- Deleterious Musculoskeletal Conditions Secondary to Lower Limb Loss: Considerations for Prosthesis-Related Factors.Advances in wound care · 2021Article
- Reducing stiffness of shock-absorbing pylon amplifies prosthesis energy loss and redistributes joint mechanical work during walking.Journal of neuroengineering and rehabilitation · 2021Article
- Human-prosthesis coordination: A preliminary study exploring coordination with a powered ankle-foot prosthesis.Clinical biomechanics (Bristol, Avon) · 2020Article
- The effects of ankle stiffness on mechanics and energetics of walking with added loads: a prosthetic emulator study.Journal of neuroengineering and rehabilitation · 2019Article
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5 authors.
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Abstract
Powered ankle prostheses have been designed to reduce the energetic burden that individuals with transtibial amputation experience during ambulation. There is an open question regarding how much power the prosthesis should provide, and whether approximating biological ankle kinetics is optimal to reduce the metabolic cost of users. We tested 10 individuals with transtibial amputation walking on a treadmill wearing the BiOM powered ankle prosthesis programmed with 6 different power settings (0-100%), including a prosthetist-chosen setting, chosen to approximate biological ankle kinetics. We measured subjects' metabolic cost of transport (COT) and the BiOM's net ankle work during each condition. Across participants, power settings greater than 50% resulted in lower COT than 0% or 25%. The relationship between power setting, COT, and net ankle work varied considerably between subjects, possibly due to individual adaptation and exploitation of the BiOM's reflexive controller. For all subjects, the best tested power setting was higher than the prosthetist-chosen setting, resulting in a statistically significant and meaningful difference in COT between the best tested and prosthetist-chosen power settings. The results of this study demonstrate that individuals with transtibial amputation may benefit from prescribed prosthetic ankle push-off work that exceeds biological norms.
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