External Mechanical Work in Runners With Unilateral Transfemoral Amputation

Carbon-fiber running-specific prostheses have enabled individuals with lower extremity amputation to run by providing a spring-like leg function in their affected limb. When individuals without amputation run at a constant speed on level ground, the net external mechanical work is zero at each step...

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Main Authors: Hiroto Murata, Genki Hisano, Daisuke Ichimura, Hiroshi Takemura, Hiroaki Hobara
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-12-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2021.793651/full
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author Hiroto Murata
Hiroto Murata
Genki Hisano
Genki Hisano
Genki Hisano
Daisuke Ichimura
Hiroshi Takemura
Hiroaki Hobara
author_facet Hiroto Murata
Hiroto Murata
Genki Hisano
Genki Hisano
Genki Hisano
Daisuke Ichimura
Hiroshi Takemura
Hiroaki Hobara
author_sort Hiroto Murata
collection DOAJ
description Carbon-fiber running-specific prostheses have enabled individuals with lower extremity amputation to run by providing a spring-like leg function in their affected limb. When individuals without amputation run at a constant speed on level ground, the net external mechanical work is zero at each step to maintain a symmetrical bouncing gait. Although the spring-like “bouncing step” using running-specific prostheses is considered a prerequisite for running, little is known about the underlying mechanisms for unilateral transfemoral amputees. The aim of this study was to investigate external mechanical work at different running speeds for unilateral transfemoral amputees wearing running-specific prostheses. Eight unilateral transfemoral amputees ran on a force-instrumented treadmill at a range of speeds (30, 40, 50, 60, 70, and 80% of the average speed of their 100-m personal records). We calculated the mechanical energy of the body center of mass (COM) by conducting a time-integration of the ground reaction forces in the sagittal plane. Then, the net external mechanical work was calculated as the difference between the mechanical energy at the initial and end of the stance phase. We found that the net external work in the affected limb tended to be greater than that in the unaffected limb across the six running speeds. Moreover, the net external work of the affected limb was found to be positive, while that of the unaffected limb was negative across the range of speeds. These results suggest that the COM of unilateral transfemoral amputees would be accelerated in the affected limb’s step and decelerated in the unaffected limb’s step at each bouncing step across different constant speeds. Therefore, unilateral transfemoral amputees with passive prostheses maintain their bouncing steps using a limb-specific strategy during running.
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spelling doaj.art-2623d90f11214db4a983bd9aae7c04422022-12-21T19:21:38ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852021-12-01910.3389/fbioe.2021.793651793651External Mechanical Work in Runners With Unilateral Transfemoral AmputationHiroto Murata0Hiroto Murata1Genki Hisano2Genki Hisano3Genki Hisano4Daisuke Ichimura5Hiroshi Takemura6Hiroaki Hobara7Graduate School of Science and Technology, Tokyo University of Science, Chiba, JapanArtificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology, Tokyo, JapanArtificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology, Tokyo, JapanDepartment of Systems and Control Engineering, Tokyo Institute of Technology, Tokyo, JapanResearch Fellow of Japan Society for the Promotion of Science, Tokyo, JapanArtificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology, Tokyo, JapanGraduate School of Science and Technology, Tokyo University of Science, Chiba, JapanArtificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology, Tokyo, JapanCarbon-fiber running-specific prostheses have enabled individuals with lower extremity amputation to run by providing a spring-like leg function in their affected limb. When individuals without amputation run at a constant speed on level ground, the net external mechanical work is zero at each step to maintain a symmetrical bouncing gait. Although the spring-like “bouncing step” using running-specific prostheses is considered a prerequisite for running, little is known about the underlying mechanisms for unilateral transfemoral amputees. The aim of this study was to investigate external mechanical work at different running speeds for unilateral transfemoral amputees wearing running-specific prostheses. Eight unilateral transfemoral amputees ran on a force-instrumented treadmill at a range of speeds (30, 40, 50, 60, 70, and 80% of the average speed of their 100-m personal records). We calculated the mechanical energy of the body center of mass (COM) by conducting a time-integration of the ground reaction forces in the sagittal plane. Then, the net external mechanical work was calculated as the difference between the mechanical energy at the initial and end of the stance phase. We found that the net external work in the affected limb tended to be greater than that in the unaffected limb across the six running speeds. Moreover, the net external work of the affected limb was found to be positive, while that of the unaffected limb was negative across the range of speeds. These results suggest that the COM of unilateral transfemoral amputees would be accelerated in the affected limb’s step and decelerated in the unaffected limb’s step at each bouncing step across different constant speeds. Therefore, unilateral transfemoral amputees with passive prostheses maintain their bouncing steps using a limb-specific strategy during running.https://www.frontiersin.org/articles/10.3389/fbioe.2021.793651/fullamputee locomotionexternal mechanical workbouncing gaitrunning-specific prosthesisground reaction forces
spellingShingle Hiroto Murata
Hiroto Murata
Genki Hisano
Genki Hisano
Genki Hisano
Daisuke Ichimura
Hiroshi Takemura
Hiroaki Hobara
External Mechanical Work in Runners With Unilateral Transfemoral Amputation
Frontiers in Bioengineering and Biotechnology
amputee locomotion
external mechanical work
bouncing gait
running-specific prosthesis
ground reaction forces
title External Mechanical Work in Runners With Unilateral Transfemoral Amputation
title_full External Mechanical Work in Runners With Unilateral Transfemoral Amputation
title_fullStr External Mechanical Work in Runners With Unilateral Transfemoral Amputation
title_full_unstemmed External Mechanical Work in Runners With Unilateral Transfemoral Amputation
title_short External Mechanical Work in Runners With Unilateral Transfemoral Amputation
title_sort external mechanical work in runners with unilateral transfemoral amputation
topic amputee locomotion
external mechanical work
bouncing gait
running-specific prosthesis
ground reaction forces
url https://www.frontiersin.org/articles/10.3389/fbioe.2021.793651/full
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