Evidence map›Paper›PMID 38487780›Full record

ArticleWearable technologies2023

A low-power ankle-foot prosthesis for push-off enhancement.

Alessandro Mazzarini, Matteo Fantozzi, Vito Papapicco, Ilaria Fagioli, Francesco Lanotte, Andrea Baldoni, Filippo Dell'Agnello, Paolo Ferrara, Tommaso Ciapetti, Raffaele Molino Lova and 4 more

Abstract read
In one paragraph

Article in Wearable technologies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation Activities.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Alessandro MazzariniThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.ORCID https://orcid.org/0000-0002-4524-7029
Matteo FantozziIUVO S.r.l., Pisa, Italy.
Vito PapapiccoThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.
Ilaria FagioliThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.
Francesco LanotteDepartment of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL, USA.ORCID https://orcid.org/0000-0001-8978-1074
Andrea BaldoniThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.
Filippo Dell'AgnelloThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.
Paolo FerraraThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.
Tommaso CiapettiInstitute of Recovery and Care of Scientific Character (IRCCS), Fondazione Don Carlo Gnocchi Florence, Firenze, Italy.
Raffaele Molino LovaInstitute of Recovery and Care of Scientific Character (IRCCS), Fondazione Don Carlo Gnocchi Florence, Firenze, Italy.
Emanuele GruppioniCentro Protesi Inail di Vigorso di Budrio, Bologna, Italy.
Emilio TrigiliThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.
Simona CreaThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.ORCID https://orcid.org/0000-0001-9833-4401
Nicola VitielloThe BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Passive ankle-foot prostheses are light-weighted and reliable, but they cannot generate net positive power, which is essential in restoring the natural gait pattern of amputees. Recent robotic prostheses addressed the problem by actively controlling the storage and release of energy generated during the stance phase through the mechanical deformation of elastic elements housed in the device. This study proposes an innovative low-power active prosthetic module that fits on off-the-shelf passive ankle-foot energy-storage-and-release (ESAR) prostheses. The module is placed parallel to the ESAR foot, actively augmenting the energy stored in the foot and controlling the energy return for an enhanced push-off. The parallel elastic actuation takes advantage of the amputee's natural loading action on the foot's elastic structure, retaining its deformation. The actuation unit is designed to additionally deform the foot and command the return of the total stored energy. The control strategy of the prosthesis adapts to changes in the user's cadence and loading conditions to return the energy at a desired stride phase. An early verification on two transtibial amputees during treadmill walking showed that the proposed mechanism could increase the subjects' dorsiflexion peak of 15.2% and 41.6% for subjects 1 and 2, respectively, and the cadence of about 2%. Moreover, an increase of 26% and 45% was observed in the energy return for subjects 1 and 2, respectively.

Indexed as

Biomechanicscontroldesignmechatronicsprosthetics

Identifiers

PMID38487780
PMCPMC10936261

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.