This paper presents a methodology and tools to improve the design of lower limb prosthesis through the measurement of pressure analysis at the interface residual limb-socket. The steps of the methodology and the design tools are presented using a case study focused on a transfemoral (amputation above knee) male amputee. The experimental setup based on F-Socket Tekscan pressure system is described as well the results of some static loading tests. Pressure data are visualized with a colour pressure map over the 3D model of the residual limb acquired using an optical low cost scanner, based on MS Kinect. Previous methodology is useful to evaluate a physical prototype; in order to improve also conceptual design, the Finite Element (FE) Analysis has been carried and results reached so far have been compared with experimental tests. Pressure distributions are comparable, even if some discrepancies have been highlighted due to sensors placements and implemented FE model. Future developments have been identified in order to improve the accuracy of the numerical simulations.

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The improvement and the massive diffusion of additive manufacturing (AM) techniques have fostered the research of design methods to exploit at best the feature introduced by these solutions. The whole design paradigm needs to be changed taking into account new manufacturing capabilities. AM is not only an innovative method of fabrication, but it requires a new way to design products. Traditional practices of mechanical design are changing to exploit all potential of AM, new parameters and geometries could be realized avoiding technologies constrains of molding or machine tooling. The concept of “manufacturing for design” increasingly acquires greater importance and this means we have the chance to focus almost entirely on product functionality. The possibility to confer inhomogeneous properties to objects provides an important design key. We will study behavior and structure according to desired functions for each object identifying three main aspects to vary: infill type, external topology and shape, and material composition. In this research work, we focus on fused deposition modeling (FDM) technology of three dimensional (3D) printing that easily allows to explore all previous conditions. We present a new way to conceive design process in order to confer variable properties to AM objects and some guidelines to control properties of deformation and elasticity using classic infills. The ultimate aim is to apply new design rules provided by AM in the prosthetic field of lower limb amputees. The socket of the prosthesis represents a deformable interface between the residual limb and the artificial leg that must be optimized according to geometry and loads distribution of patient. An application for a transfemoral patient will be discussed.

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The present paper describes the research done to empirically validate the use of RGB-D cameras for orthopedic rehabilitation purposes. In order to assess the outcome of optical sensors a set of new generation inertial sensors have been adopted as well. Both kind of sensors have been used to track the same scene simultaneously in order to have comparable results. The aim of the work is provide evidence of performances of the newly introduced sensors (optical and inertial) and to automate acquisition and data elaboration in the medical field. The extraction of the only meaningful data from a gait, for instance, gives the change to perform an automatic preliminary analysis on normal people as well as on patients with known pathologies or disorders. In particular, this could allow determining without human intervention any standard disorders, according to literature classifications, eventually affecting the gait. The automatic procedure from acquisition to diagnosis constitutes a challenging topic of research and a success in terms of reliability, usability and physiological acceptance by technicians would radically impact medical practices in orthopedic rehabilitation centers.