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Dynamic Functional Stiffness Index of the Ankle Joint During Daily Living

  • Hande Argunsah Bayram
    Correspondence
    Address correspondence to: Hande Argunsah Bayram, PhD, Department of Medical Engineering, Acibadem Mehmet Ali Aydinlar University, Kerem Aydinlar Campus, Icerenkoy Mah. Kayisdagi Cad. No:32 Atasehir, Istanbul, Turkey. (H. Argunsah Bayram).
    Affiliations
    Assistant Professor, Department of Medical Engineering, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey

    Doctoral Student, Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH
    Search for articles by this author
  • Mehmed B. Bayram
    Affiliations
    Assistant Professor, Department of Medical Engineering, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey

    Doctoral Student, Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH
    Search for articles by this author
Published:March 30, 2018DOI:https://doi.org/10.1053/j.jfas.2017.11.034

      Abstract

      Exploring ankle joint physiologic functional stiffness is crucial for improving the design of prosthetic feet that aim to mimic normal gait. We hypothesized that ankle joint stiffness would vary among the different activities of daily living and that the magnitude of the stiffness would indicate the degree of energy storage element sufficiency in terms of harvesting and returning energy. We examined sagittal plane ankle moment versus flexion angle curves from 12 healthy subjects during the daily activities. The slopes of these curves were assessed to find the calculated stiffness during the peak energy return and harvest phases. For the energy return and harvest phases, stiffness varied from 0.016 to 0.283 Nm/kg° and 0.025 and 0.858 Nm/kg°, respectively. The optimum stiffness during the energy return phase was 0.111 ± 0.117 Nm/kg° and during the energy harvest phase was 0.234 ± 0.327 Nm/kg°. Ankle joint stiffness varied significantly during the activities of daily living, indicating that an energy storage unit with a constant stiffness would not be sufficient in providing energy regenerative gait during all activities. The present study was directed toward the development of a complete data set to determine the torque-angle properties of the ankle joint to facilitate a better design process.

      Level of Clinical Evidence

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