The overarching hypothesis of this proposal that a prosthesis with actively powered knee and ankle joints will significantly enhance the mobility of many transfemoral amputees, and therefore significantly enhance their quality of life. Despite significant technological advances over the past decade, state-of-the-art transfemoral prostheses remain limited to energetically passive devices. The inability to deliver joint power significantly impairs the ability of these prostheses to restore many locomotive functions, including walking upstairs and up slopes, running, and jumping, all of which require significant net positive power at the knee joint, ankle joint, or both. Additionally, even during level walking, transfemoral amputees exhibit asymmetric gait kinematics, expend significantly more energy, and require a significant increase in hip torque relative to healthy subjects, which results in significantly increased socket interface forces. It is the hypothesis of this proposal that a prosthesis with actively powered knee and ankle joints will significantly enhance the mobility of many transfemoral amputees, both by diminishing the biomechanical disparity between transfemoral amputees and healthy persons during level walking, and by enabling forms of locomotion, such as ramp and stair climbing, not presently afforded by state-of-the-art devices. Significant recent advances in power supply and actuation for self-powered robots bring the feasibility of an actively-powered transfemoral prosthesis to the near horizon. Leveraging these recent advances, this proposal describes a means of developing a lightweight transfemoral prosthesis with the capability of delivering significant power at the knee and ankle joints over useful periods of time. Importantly, the work described in this proposal will form a sound clinical and technological foundation with which to inform subsequent decisions regarding the commercial development of the proposed and other actively powered prostheses. In order to form this foundation, the investigators propose the development of a self-powered active knee and ankle prosthesis prototype based on experimentally proven technology developed over the past six years, the development of a novel interface and control approach that behaves inasmuch as possible as a natural extension of the user, and the characterization of the biomechanical benefits of an active transfemoral prosthesis relative to state-of-the-art passive transfemoral prostheses and relative to healthy subjects.

Agency
National Institute of Health (NIH)
Institute
National Institute of Biomedical Imaging and Bioengineering (NIBIB)
Type
Research Project (R01)
Project #
5R01EB005684-04
Application #
7766246
Study Section
Musculoskeletal Rehabilitation Sciences Study Section (MRS)
Program Officer
Peng, Grace
Project Start
2007-04-01
Project End
2012-01-31
Budget Start
2010-02-01
Budget End
2012-01-31
Support Year
4
Fiscal Year
2010
Total Cost
$332,013
Indirect Cost
Name
Vanderbilt University Medical Center
Department
Engineering (All Types)
Type
Schools of Engineering
DUNS #
004413456
City
Nashville
State
TN
Country
United States
Zip Code
37212
Lawson, Brian Edward; Varol, Huseyin Atakan; Huff, Amanda et al. (2013) Control of stair ascent and descent with a powered transfemoral prosthesis. IEEE Trans Neural Syst Rehabil Eng 21:466-73
Lawson, Brian E; Varol, Huseyin Atakan; Goldfarb, Michael (2011) Ground adaptive standing controller for a powered transfemoral prosthesis. IEEE Int Conf Rehabil Robot 2011:5975475
Sup, Frank; Varol, Huseyin Atakan; Goldfarb, Michael (2011) Upslope walking with a powered knee and ankle prosthesis: initial results with an amputee subject. IEEE Trans Neural Syst Rehabil Eng 19:71-8
Lawson, Brian Edward; Varol, Huseyin Atakan; Goldfarb, Michael (2011) Standing stability enhancement with an intelligent powered transfemoral prosthesis. IEEE Trans Biomed Eng 58:2617-24
Ha, Kevin H; Varol, Huseyin Atakan; Goldfarb, Michael (2011) Volitional control of a prosthetic knee using surface electromyography. IEEE Trans Biomed Eng 58:144-51
Varol, Huseyin Atakan; Sup, Frank; Goldfarb, Michael (2010) Multiclass real-time intent recognition of a powered lower limb prosthesis. IEEE Trans Biomed Eng 57:542-51
Lawson, Brian E; Atakan Varol, H; Sup, Frank et al. (2010) Stumble detection and classification for an intelligent transfemoral prosthesis. Conf Proc IEEE Eng Med Biol Soc 2010:511-4
Ha, Kevin H; Varol, Huseyin Atakan; Goldfarb, Michael (2010) Myoelectric control of a powered knee prosthesis for volitional movement during non-weight-bearing activities. Conf Proc IEEE Eng Med Biol Soc 2010:3515-8
Sup, Frank; Varol, Huseyin Atakan; Mitchell, Jason et al. (2009) Self-Contained Powered Knee and Ankle Prosthesis: Initial Evaluation on a Transfemoral Amputee. IEEE Int Conf Rehabil Robot 2009:638-644
Varol, Huseyin Atakan; Sup, Frank; Goldfarb, Michael (2009) Powered Sit-to-Stand and Assistive Stand-to-Sit Framework for a Powered Transfemoral Prosthesis. IEEE Int Conf Rehabil Robot 5209582:645-651

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