Design and Development of a Novel Upper-Limb Cycling Prosthesis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Current Designs and Limitations
2.2. Novel Design Concept
2.3. Experimental Measurement Setup
2.4. Final Design
3. Results
4. Discussion
5. Conclusions
Acknowledgments
Author Contributions
Conflicts of Interest
References
- World Health Organization (WHO). Physical Inactivity: A Global Public Health Problem. Available online: http://www.who.int/dietphysicalactivity/factsheet_inactivity/en/ (accessed on 28 May 2017).
- The Health and Social Care Information Centre (HSCIC). Statistics on Obesity, Physical Activity and Diet; NHS Digital: London, UK, 2013; pp. 7–28.
- Deans, S.; Burns, D.; McGarry, A.; Murray, K.; Mutrie, N. Motivations and Barriers to Prosthesis Users Participation in Physical Activity, Exercise and Sport: A Review of the Literature. Prosthet. Orthot. Int. 2012, 36, 260–269. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Jones, L.E.; Davidson, J.H. The Long-term Outcome of Upper Limb Amputees Treated at a Rehabilitation Centre in Sydney, Australia. Disabil. Rehabil. 1995, 17, 437–442. [Google Scholar] [CrossRef] [PubMed]
- Saradjian, A.; Thompson, A.R.; Datta, D. The Experience of Men Using an Upper Limb Prosthesis Following Amputation: Positive Coping and Minimizing Feeling Different. Disabil. Rehabil. 2008, 30, 871–883. [Google Scholar] [CrossRef] [PubMed]
- Roeschlein, R.A.; Domholdt, E. Factors Related to Successful Upper Extremity Prosthetic Use. Prosthet. Orthot. Int. 1989, 13, 14–18. [Google Scholar] [PubMed]
- Kejlaa, G.H. The Social and Economic Outcome after Upper Limb Amputation. Prosthet. Orthot. Int. 1992, 16, 25–31. [Google Scholar] [PubMed]
- Durance, J.P.; O’Shea, B.J. Upper Limb Amputees: A Clinic Profile. Int. Disabil. Stud. 1988, 10, 68–72. [Google Scholar] [CrossRef] [PubMed]
- Kim, Y.C.; Park, C.I.; Kim, D.Y.; Kim, T.S.; Shin, J.C. Statistical Analysis of Amputations and Trends. Prosthet. Orthot. Int. 1996, 20, 88–95. [Google Scholar] [PubMed]
- Berger, N. Studies of the Upper-extremity Amputee. II. The Population (1953–55). Artif. Limbs 1958, 5, 57–72. [Google Scholar] [PubMed]
- Gaine, W.J.; Smart, C.; Bransby-Zachary, M. Upper Limb Traumatic Amputees: Review of Prosthetic Use. J. Hand Surg. 1997, 22, 73–76. [Google Scholar] [CrossRef]
- Davidson, J. A Survey of the Satisfaction of Upper Limb Amputees with their Prostheses, their Lifestyles, and their Abilities. J. Hand Ther. 2002, 15, 62–70. [Google Scholar] [CrossRef] [PubMed]
- Van der Sluis, C.K.; Hartman, P.P.; Schoppen, T.; Dijkstra, P.U. Job Adjustments, Job Satisfaction and Health Experience in Upper and Lower Limb Amputees. Prosthet. Orthot. Int. 2009, 33, 41–51. [Google Scholar] [CrossRef] [PubMed]
- Ziegler-Graham, K.; MacKenzie, E.J.; Ephraim, P.L.; Travison, T.G.; Brookmeyer, R. Estimating the Prevalence of Limb Loss in the United States: 2005 to 2050. Arch. Phys. Med. Rehabil. 2008, 89, 422–429. [Google Scholar] [CrossRef] [PubMed]
- National Amputee Statistical Database. Amputee Statistical Database for United Kingdom: 2004/5 Report: UK Prosthetic Services Upper Limb Amputation; Information Services Division NHS Scotland: Edinburgh, UK, 2005; pp. 22–26.
- Freeland, A.P.R. Traumatic Below-elbow Amputations. Orthopedics 2007, 30, 120–126. [Google Scholar] [PubMed]
- Harvey, Z.T.; Loomis, G.A.; Mitsch, S.; Murphy, I.C.; Griffin, S.C.; Potter, B.K.; Pasquina, P. Advanced Rehabilitation Techniques for the Multi-limb Amputee. J. Surg. Orthop. Adv. 2012, 21, 50–57. [Google Scholar] [PubMed]
- National Health Service (NHS). Service Specification (Complex Disability Equipment); National Health Service: West Sussex, UK, 2015; pp. 1–35.
- International Paralympic Committee (IPC). London 2012 Paralympics Proves a Worldwide TV Ratings Winner. Available online: https://www.paralympic.org/press-release/london-2012-paralympics-proves-worldwide-tv-ratings-winner (accessed on 28 May 2017).
- Webster, J.B.; Levy, C.E.; Bryant, P.R.; Prusakowski, P.E. Sports and Recreation for Persons with Limb Deficiency. Arch. Phys. Med. Rehabil. 2001, 82, 38–44. [Google Scholar] [CrossRef]
- British Society of Rehabilitation Medicine (BSRM). Amputee and Prosthetic Rehabilitation—Standards and Guidelines; British Society of Rehabilitation Medicine: London, UK, 2003; pp. 1–86. [Google Scholar]
- Maat, B.; Smit, G.; Plettenburg, D.; Breedveld, P. Passive Prosthetic Hands and Tools: A Literature Review. Prosthet. Orthot. Int. 2017. [Google Scholar] [CrossRef] [PubMed]
- Datta, D.; Ibbotson, V. Prosthetic Rehabilitation of Upper Limb Amputees: A Five Year Review. Clin. Rehabil. 1991, 5, 311–316. [Google Scholar] [CrossRef]
- TRS. Sports Archives. Available online: http://www.trsprosthetics.com/shop-category/sports/ (accessed on 25 June 2017).
- Brittles, A.; Leng, F.; McPherson, M.; Kenney, L.; Jones, R. Sports and Activity Prosthese Event. Interviewed by Tiele, A., Soni-Sadar, S., Rowbottom, J., Pearson, S. Expert Interview; University of Salford: Salford, UK, 9 December 2015. [Google Scholar]
- Mert’s Hands. Prosthetic Hand. Available online: http://www.mertshands.org/buy-now/ (accessed on 20 August 2017).
- Sanghani, S. Stumps and Cranks: An Introduction to Amputee Cycling; Meyer & Meyer Sport: Hampshire, UK, 2016; pp. 54–177. ISBN 1782550887. [Google Scholar]
- Hurst, R. Art of Cycling: Staying Safe on Urban Streets; Globe Pequot Press: Guilford, CT, USA, 2014; pp. 181–183. ISBN 0762790059. [Google Scholar]
- Royal Society for the Prevention of Accidents. Cycling Accidents Facts & Figures—August 2014. Available online: http://www.rospa.com/road-safety/advice/pedal-cyclists/facts-figures/ (accessed on 31 May 2017).
- Briscomb, D. The Broken Collarbone—A Part of Cycling. Available online: https://cyclingtips.com/2010/11/the-broken-collarbone/ (accessed on 31 May 2017).
- Mutlu, A.; Kharooty, M.D.; Yakut, Y. The Effect of Segmental Weight of Prosthesis on Hemodynamic Responses and Energy Expenditure of Lower Extremity Amputees. J. Phys. Ther. Sci. 2017, 29, 629–634. [Google Scholar] [CrossRef] [PubMed]
Crash Scenario | Release Mechanism | Required Force |
---|---|---|
Falling Left/Right | Slider | 200 N |
Head-on Collision | Clamp | 700 N |
Part Name | Description | Material | Manufacturing Process | Qty |
---|---|---|---|---|
Slider | End-effector, which slides laterally if force is applied | Steel | Milled from solid steel block | 1 |
Middle-block | Housing secures slider/connects to handlebar | Steel | Milled from solid steel block | 1 |
Spring plungers | Provide variable locking forces to secure slider | Steel | Manufactured by Norelem | 2 |
Quick-release | Allows for easier release and adjustment of slider | Steel | Manufactured by Thorn Cycles | 1 |
Handlebar brackets | Connect slider housing to handlebar | ABS | Fused deposition modelling | 1 |
Universal joint | Simulates wrist and allows limited movement | CrV | Manufactured by Faithfull | 1 |
Restrictor | Limits excessive universal joint movement | Neoprene | Manufactured by RS Pro | 1 |
Pyramid Connector | Male/female joint adapters | Steel | Machined using manual lathe and CNC mill | 4 |
Pylon | Rod that provides structural support | Al | Metal turned | 2 |
Seat Clamp | Secures two pylon halves | Carbon fibre | Manufactured by IMUST | 1 |
Plastic Cast | Interface to Iceross Liner | ABS | Fused deposition modelling | 1 |
Iceross Liner | Protects residual limb and connects to plastic cast | Silicone | Manufactured by Ossur | 1 |
Evaluation Criteria | Scale | Reasoning |
---|---|---|
Reliability | A little | Releases well, but will require training to apply quickly |
Functionality | A little | Functions well, but needs to be tested in real-life scenario |
Usefulness | Not at all | Very useful to increase participating in activities |
Weight | Quite a lot | Heavier than expected |
Appearance/Shape | Somewhat | Design is very functional, but appropriate for activities |
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Share and Cite
Tiele, A.; Soni-Sadar, S.; Rowbottom, J.; Patel, S.; Mathewson, E.; Pearson, S.; Hutchins, D.; Head, J.; Hutchins, S. Design and Development of a Novel Upper-Limb Cycling Prosthesis. Bioengineering 2017, 4, 89. https://doi.org/10.3390/bioengineering4040089
Tiele A, Soni-Sadar S, Rowbottom J, Patel S, Mathewson E, Pearson S, Hutchins D, Head J, Hutchins S. Design and Development of a Novel Upper-Limb Cycling Prosthesis. Bioengineering. 2017; 4(4):89. https://doi.org/10.3390/bioengineering4040089
Chicago/Turabian StyleTiele, Akira, Shivam Soni-Sadar, Jack Rowbottom, Shilen Patel, Edward Mathewson, Samuel Pearson, David Hutchins, John Head, and Stephen Hutchins. 2017. "Design and Development of a Novel Upper-Limb Cycling Prosthesis" Bioengineering 4, no. 4: 89. https://doi.org/10.3390/bioengineering4040089