Design and Evaluation of a Patellar Tendon-Bearing Brace with Off-Loading Mechanism on Tibia

  • سال انتشار: 1403
  • محل انتشار: مجله فیزیک و مهندسی پزشکی، دوره: 14، شماره: 4
  • کد COI اختصاصی: JR_JBPE-14-4_009
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 186
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نویسندگان

Vahid Chamani

Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Mahmood Bahramizahed

Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Mobina Khosravi

Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Akbar Biglarian

Department of Biostatistics and Epidemiology, Social Departments of Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Gholamreza Ghorbani Amjad

Department of Orthopedics, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran

Seyyed Mohammad Ebrahim Mousavi

Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

Mokhtar Arazpour

Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

چکیده

The current study aimed to design a patellar-tendon-bearing (PTB) brace capable of measuring and quantifying weight offloading on the tibia. The PTB brace was designed with off-loading mechanism on the tibia with features, including ankle joint, vertical sliding adaptor, vertical sliding piece, and upper connector of load cells to PTB brace. Also, the present study investigated the effect of brace on ۲۰ healthy individuals under ۸ different off-loading conditions, based on measuring the vertical distance between the calf shells and foot plate through a sliding adapter at ۰.۵, ۱, ۱.۵, ۲, ۲.۵, ۳, and ۳.۵ cm. The Pedar device and load cells embedded in PTB brace were used to determine the extent of offloading and assess the reliability and validity of brace. Increasing the vertical distance between the calf shells and the footplate can lead to a greater amount of offloading. Accordingly, off-loading ranged from a minimum of ۱۶.۵% at ۰ cm position to a maximum of ۶۰.۴۸% at ۳.۵ cm position of sliding adapter. Percentage values of tibia off-loading in ۸ conditions were not significantly different in Padar devices and PTB brace. Therefore, PTB brace load cells, as a valid method, can measure off-loading levels. When fabricating a PTB brace, a monitoring system with load cells is essential to measure the amount of tibial offloading, leading to readjustment if limb slides down inside the brace. Additionally, a component is needed to correctly position limb in off-loading condition. In the current study, sliding adapter of brace can provide that capability.

کلیدواژه ها

Patellar Tendon Bearing, Braces, Tibial Fractures, Tibia, Off-Loading, Load Cell

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