Professional Documents
Culture Documents
Design Criteria:
Prosthetic Feet
During gait cycle human foot offers:
Midstance
Momentum of swing limb & forward fall of
body weight create a dorsiflexion torque that
moves the tibia over the weight bearing foot
8 planterflexion 5 dorsiflexion
Eccentric contraction gastrocnemius/soleus
controls speed, maintain stance stability
Terminal Stance
Anatomic foot-ankle complex locks into position,
provides for heel rise, tibia continues to advance
forward
Body weight is transferred forward onto forefoot
as it rolls over mp joints
This allows foot to roll over at metatarsal heads,
instead of the tips of your toes
Prosthetic foot must provide terminal stance phase
support and simulate mp dorsiflexion, which is
necessary for toe rocker
Preswing
Dual limb support - weight of body is transferred
from preswing limb to contralateral side
Muscle force of gastroc/soleus , ankle begins to
planterflex
Prosthetic foot provides sufficient support on
amputated side/assist balance/facilitate smooth
transfer of weight to sound side.
force placed on sound side foot, especially pts
with compromised vascular and neurologic systems
Articulating:
Multiaxial/Exoskeletal
Aticulating:
Multiaxial/Endoskeletal
Dynamic Response:
Ossur Ceterus, Endolite Elite
Dynamic Response:
Ossur Flex foot
Dynamic Response:
OWW Pathfinder
Dynamic Response:
College Park - VENTURE
Cosmetic Skin
Evolution of Cosmetics
Medicare K Levels:
Set on Ability or Potential
K0 To ambulate or transfer safely with or without
assistance and a prosthesis does not enhance quality of
life or mobility
K1 To use a prosthesis for transfers, or for ambulation on
level surfaces at a fixed cadence - household ambulator
K2 Transverse low level barriers-curbs, stairs or uneven
surfaces-limited community ambulator
K3 Variable cadence beyond simple walking