Search results

The purpose of this study is improvement of human gait by customized design of ankle foot orthosis (AFO). An has been the most frequently used orthosis in children with cerebral palsy. AFOs are designed to boost existing features or to avoid depression or traumatize muscle contractures. The advantages of AFO’s utilized for advancement in human walk attributes for the improvement in foot deformities patients or youngsters with spastic loss of motion. In this research on the customized design of AFO's to improve gait, there are limitations during walking of foot drop patients. In children with foot drops, specific AFOs were explicitly altered to improve parity and strength which are beneficial to walking positions.

This study proposes the customized design of AFOs using computerized and additive manufacturing for producing advances to alter the design and increase comfort for foot drop patients. Structuring the proposed design fabricated by using additive manufacturing and restricted material, the investigation was finalized at the Design Analysis Software (ANSYS). The system that performs best under investigation can additionally be printed using additive manufacturing.

The results show that the customized design of AFOs meets the patient’s requirements and could also be an alternative solution to the existing AFO design. The biomechanical consequences and mechanical properties of additive manufactured AFOs have been comparable to historically synthetic AFOs. While developing the novel AFO designs, the use of 3D printing has many benefits, including stiffness and weight optimization, to improve biomechanical function and comfort. To defeat the issues of foot drop patients, a customized AFO is used to improve the human gait cycle with new material and having better mechanical properties.

This research work focuses on the biomechanical impacts and mechanical properties of customized 3D-printed AFOs and compares them to traditionally made AFOs. Customized AFO design using 3D printing has numerous potential advantages, including new material with lightweight advancement, to improve biomechanical function and comfort. Normally, new applications mean an incremental collection of learning approximately the behavior of such gadgets and blending the new design, composite speculation and delivered substance production. The test results aim to overcome the new AFO structure issues and display the limited components and stress examination. The outcome of the research is the improved gait cycle of foot drop patients.

Ankle–foot orthoses (AFOs) are assistive devices prescribed for a number of physical and neurological disorders affecting the mobility of the lower limbs. Additive manufacturing has been explored as an alternative process; however, it has proved to be inefficient cost-wise. This work aims to explore the possibilities of generating modular AFO elements, namely, calf, shank and footplate, with the localized composite reinforcement that aids in the optimization of the device in terms of functionality, aesthetics, rigidity and cost.

The conventional lower leg–foot orthosis configuration depends on thermoforming a polymer sheet around a mortar cast with a trademark firmness relying upon the trim-line with the inalienable plan restrictions. In manufacturing of AFO the expert, i.e. orthotist's, guidance is used. Polypropylene and polyethylene material is used in fabrication of AFO to complete all-round reported points of interest over the ordinary outlines, yet their mechanical conduct under administration conditions cannot be effectively anticipated.

AFOs made of polypropylene and polyethylene material are available in the market, which are used by children of age 3-5 years. With the existing AFO design, patients are facing excessive heating and sweating problems during long-term usage. After feedback from patients and orthotists (who prescribed AFO to patients), an attempt has been made to solve the problem with a new and improved AFO design of AFO by using finite element modelling and stress analysis. Also, the results indicate that the new design is similar to the actual product design.

This work introduces the low-cost 3D printing with reinforcement approach as an alternative route for the designing and manufacturing of orthotic devices with complex shapes. It is expected that new applications add-up to increase the body of knowledge about the behaviour of such products which will mix both areas, composite theory and additive manufacturing. This study investigated the fields related to 3D scanning, 3D printing and computer-aided designing for the manufacturing of a customized AFO.

Chicken orthoses that cover the ankle joint area are not commercially available. Therefore, the main purpose of this study is to fabricate a customised temporary Ankle–Foot Orthosis (AFO) for a chicken with a twisted ankle using computer-aided design (CAD) and three-dimensional (3D) printing. The secondary objective of the paper is to present the specific application of Additive Manufacturing (AM) in veterinary medicine.

The design process was based on multiple sketches, photos and measurements that were provided by the owner of the animal. The 3D model of the orthosis was made with Autodesk Fusion 360, while the prototype was fabricated using fused deposition modelling (FDM). Evaluation of the AFO was performed using the finite element method.

The work resulted in a functional 3D printed AFO for chicken. It was found that the orthosis made with AM provides satisfactory stiffen and a good fit. It was concluded that AM is suitable for custom bird AFO fabrication and, in some respects, is superior to traditional manufacturing methods. It was also concluded that the presented procedure can be applied in other veterinary cases and to other animal species and other parts of their body. AM provides veterinary with a powerful tool for the production of well-fitted and durable orthoses for animals.

The study does not include the chicken's opinion on the comfort or fit of the manufactured AFO due to communication issues. Evaluation of the final prototype was done by the researchers and the animal owner.

No evidence was found in the literature on the use of AM for chicken orthosis, so this study is the first to describe such an application of AM. In addition, the study demonstrates the value of AM in veterinary medicine, especially in the production of devices such as orthoses.

This paper aims to discuss the physical and thermal properties of the three-dimensional (3D) printing natural composite filament, as well as the tensile behaviour of the printed composites to get an insight of its possibility to be used as an ankle–foot orthosis (AFO) material.

Physical test that was conducted includes scanning electron microscopy analysis, thermogravimetric/differential scanning calorimetry analysis as well as the effect of fibre load after extrusion on the filament morphology. Tensile test was conducted with different amounts of fibre loads (0, 3, 5 and 7 Wt.%) on the printed specimens.

There is an increment of strength as the fibre load is increased to 3 Wt.%; however, it decreases significantly as it is increased to 5 and 7 Wt.% because of the presence of voids. It also shows that the extrusion temperature severely affects the structure of the filaments, which will then affect the strength of the printed composites. Based on the results, it is possible to use kenaf/polylactic acid (PLA) filament to print out AFO as long as the filament production and printing process are being controlled properly.

The unique aspect of this paper is the investigation of kenaf/PLA filament as a material for 3D printing, as well as its material consideration for AFO manufacturing. This paper also studies the effect of extrusion temperature on the morphological structure of the filament and its effect on the tensile properties of the printed kenaf/PLA specimen.

This paper aims to develop a customized orthosis for treating congenital talipes equinovarus (clubfoot) deformity. Complications from non-surgical treatment method such as Ponseti method leads to relapse/recurrence of the foot after treated.

An alternate approach for treating clubfoot deformity can be seen as a viable approach to overcome the above-mentioned difficulties. Customized orthosis is designed and developed for a subject affected with right clubfoot deformity through fused deposition modeling of additive manufacturing (AM) technology with ABS plastic as base material. A unique mechanism is used to develop customized orthosis for achieving rotation of the foot along the three axis and range of motions.

Developed orthosis is incorporated with a unique mechanism that can be rotated and arrested at the specified angle along the three principle ranges of motion of the foot. Overall weight of the developed customized orthosis achieved is about 284 g, which has a significant 25 per cent reduction in weight when compared to traditional Ponseti casting method. Overcoming the difficulties faced in Ponseti method, customized orthosis can be an alternative method for treating clubfoot.

Developed orthosis will be an alternative approach for treating clubfoot deformity, and it overcomes the drawbacks faced by Ponseti method.

This study aims to investigate the fabrication of solid ankle foot orthoses (SAFOs) using fused deposition modeling (FDM) printing technology. It emphasizes cost-effective 3D scanning with the Kinect sensor and conducts a comparative analysis of SAFO durability with varying thicknesses and materials, including polylactic acid (PLA) and carbon fiber-reinforced (PLA-C), to address research gaps from prior studies.

In this study, the methodology comprises key components: data capture using a cost-effective Microsoft Kinect® Xbox 360 scanner to obtain precise leg dimensions for SAFOs. SAFOs are designed using CAD tools with varying thicknesses (3, 4, and 5 mm) while maintaining consistent geometry, allowing controlled thickness impact investigation. Fabrication uses PLA and PLA-C materials via FDM 3D printing, providing insights into material suitability. Mechanical analysis uses dual finite element analysis to assess force–displacement curves and fracture behavior, which were validated through experimental testing.

The results indicate that the precision of the scanned leg dimensions, compared to actual anthropometric data, exhibits a deviation of less than 5%, confirming the accuracy of the cost-effective scanning approach. Additionally, the research identifies optimal thicknesses for SAFOs, recommending a 4 and 5 mm thickness for PLA-C-based SAFOs and an only 5 mm thickness for PLA-based SAFOs. This optimization enhances the overall performance and effectiveness of these orthotic solutions.

This study’s innovation lies in its holistic approach, combining low-cost 3D scanning, 3D printing and computational simulations to optimize SAFO materials and thickness. These findings advance the creation of cost-effective and efficient orthotic solutions.

The purpose of this paper is to describe a manufacturing methodology for a wrist orthosis. The case study aims to offer new approaches in the area of human orthoses.

The article describes the utilization of rapid prototyping (RP), passive stereo photogrammetry and software tools for the orthosis design process. This study shows the key points of the design and manufacturing methodology. The approach uses specific technologies, such as 3D digitizing, reverse engineering and polygonal-surface software, FDM RP and 3D printing.

The results show that the used technologies reflect the patient's requirements and also they could be an alternative solution to the standard method of orthosis design.

The methodology provides a good position for further development issues.

The methodology could be usable for clinical practice and allows the manufacturing of the perfect orthosis of the upper limb. The usage of this methodology depends on the RP system and type of material.

The article describes a particular topical problem and it is following previous publications in the field of human orthoses. The paper presents the methodology of wrist orthosis design and manufacturing. The paper presents an alternative approach applicable in clinical practice.

Restoration of walking ability is a key goal to both stroke survivors and their therapists. However, the intensity and duration of rehabilitation available after stroke can be limited by service constraints, despite the potential for improvement which could reduce health service demands in the long run. The purpose of this paper is to present qualitative findings from a study that explored the acceptability of a haptic device aimed at improving walking as part of an extended intervention in stroke rehabilitation.

Pre-trial focus groups and post-trial interviews to assess the acceptability of Haptic Bracelets were undertaken with seven stroke survivors.

Five themes were identified as impacting on the acceptability of the Haptic Bracelet: potential for improving quality of life; relationships with technology; important features; concerns; response to trial and concentration. Participants were interested in the haptic bracelet and hoped it would provide them with more confidence making them: feel safer when walking; have greater ability to take bigger strides rather than little steps; a way to combat mistakes participants reported making due to tiredness and reduced pain in knees and hips.

Haptic Bracelets are an innovative development in the field of rhythmic cueing and stroke rehabilitation. The haptic bracelets also overcome problems encountered with established audio-based cueing, as their use is not affected by external environmental noise.

The peer review history for this article is available at: https://publons.com/publon 10.1108/JET-01-2021-0003

The purpose of this review paper is to address the substantial challenges of the outdated exoskeletons used for rehabilitation and further study the current advancements in this field. The shortcomings and technological developments in sensing the input signals to enable the desired motions, actuation, control and training methods are explained for further improvements in exoskeleton research.

Search platforms such as Web of Science, IEEE, Scopus and PubMed were used to collect the literature. The total number of recent articles referred to in this review paper with relevant keywords is filtered to 143.

Exoskeletons are getting smarter often with the integration of various modern tools to enhance the effectiveness of rehabilitation. The recent applications of bio signal sensing for rehabilitation to perform user-desired actions promote the development of independent exoskeleton systems. The modern concepts of artificial intelligence and machine learning enable the implementation of brain–computer interfacing (BCI) and hybrid BCIs in exoskeletons. Likewise, novel actuation techniques are necessary to overcome the significant challenges seen in conventional exoskeletons, such as the high-power requirements, poor back drivability, bulkiness and low energy efficiency. Implementation of suitable controller algorithms facilitates the instantaneous correction of actuation signals for all joints to obtain the desired motion. Furthermore, applying the traditional rehabilitation training methods is monotonous and exhausting for the user and the trainer. The incorporation of games, virtual reality (VR) and augmented reality (AR) technologies in exoskeletons has made rehabilitation training far more effective in recent times. The combination of electroencephalogram and electromyography-based hybrid BCI is desirable for signal sensing and controlling the exoskeletons based on user intentions. The challenges faced with actuation can be resolved by developing advanced power sources with minimal size and weight, easy portability, lower cost and good energy storage capacity. Implementation of novel smart materials enables a colossal scope for actuation in future exoskeleton developments. Improved versions of sliding mode control reported in the literature are suitable for robust control of nonlinear exoskeleton models. Optimizing the controller parameters with the help of evolutionary algorithms is also an effective method for exoskeleton control. The experiments using VR/AR and games for rehabilitation training yielded promising results as the performance of patients improved substantially.

Robotic exoskeleton-based rehabilitation will help to reduce the fatigue of physiotherapists. Repeated and intention-based exercise will improve the recovery of the affected part at a faster pace. Improved rehabilitation training methods like VR/AR-based technologies help in motivating the subject.

The paper describes the recent methods for signal sensing, actuation, control and rehabilitation training approaches used in developing exoskeletons. All these areas are key elements in an exoskeleton where the review papers are published very limitedly. Therefore, this paper will stand as a guide for the researchers working in this domain.