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Go to Editorial ManagerOne of the health issues that many people encounter on a daily basis is bone fracture, which can happen for a number of reasons, such as arthritis, sprains, or external trauma . The patient experiences instability as a result of these issues . Internal fixation is a type of surgery used to support and mend a damaged bone Treatment options include ankle joint fixation, a surgical procedure employing pins, plates, rods, or screws. This study uses gait analysis methods to assess lower limb biomechanics . Gait analysis is vital for understanding walking patterns and intervention effectiveness. The impact of different shoe designs on ankle mechanics, using the finite element method and ANSYS, is investigated The results of the EMG and the GRF were discussed._x000D_ This research deepens our understanding of lower limb biomechanics and ankle joint health. By evaluating stress effects and designing custom shoes, it enhances ankle injury treatment and management strategies._x000D_ The patient, a 70-year-old woman with an internal fixation on her ankle joint, underwent a CT scan of her ankle. The patient underwent a number of experiments to evaluate her stability. EMG was used to determine the muscle stress for a brief period of time, and ground reaction force was then used to determine the pressure of walking. Both EMG and GRF have two walking speeds of1.5and 2 km/h while wearing four different types of shoes. The behavior of the EMG demonstrates that the stress on the muscle increases as walking speed increases, and the results varies depending on the shoe. The patient is afraid to apply pressure to the injured foot, so the health foot has better pressure over the entire foot_x000D_
ESAR feet are prosthetic feet with carbon fiber parts that store mechanical energy while standing and release it during propulsion. It is believed to reduce the metabolic energy needed for walking, and to promote the economy of walking. However, there is little scientific evidence to support this claim. This study aimed to compare the energy storage properties of two prosthetic feet made of carbon fiber using the P-Walk, G-Walk, and Podium devices developed for gait analysis, which is a systematic examination of human movement, enabling phasing, estimation of musculoskeletal performance, and determination of kinematic and motor parameters. The amount of energy was calculated for each of the feet using the load deflection test, and the results showed that the new artificial foot with an energy of 6.186 joules showed a great improvement in the results of the tests compared to the old artificial foot with an energy of 3.403 joules. The Podium device tests showed a significant improvement in walking patterns and pressure distribution after using a new foot. The pressure distribution became almost equal on both sides, and the angular deviation of COP decreased from -7 to 1.3 degrees. Ground reaction force vector tilt results also improved, with a body angle of 0 degrees and inclination varying slightly depending on the tibiofemoral angle for males. P-Walk results reveal left-sided static test pressure distribution, exposing amputees to osteoarthritis risk and revealing lack of confidence in prosthetic foot. After use the new prosthetic foot, amputees press more on right foot, indicating balance restoration. The G-Walk device shows the effectiveness of both healthy left and prosthetic foot when walking on an amputated right leg when use the new prosthetic foot. The amputated side's performance is similar to a healthy limb, with minimal difference and within normal limits. Walking cadence and speed values are within normal ranges, while stride length and step length are outside normal ranges for both sides. Obliquity results show a small difference in pelvic angles due to weak pelvic muscles, but these are close to standard values for prosthetic foot use. The amputee's opinions about the evaluation of the new prosthetic foot were good when using the T-score by 61.0 with a rate of 86.4%. It was a significant improvement compared to the old foot with an evaluation of 53.6 by 63.9%.
This article is about studying the placing direction effect of a piezoelectric sensor on the shoe insole in the GRF results. Where the sensors used in this research are in two directions, along and perpendicular to the foot midline. In the both cases the sensors were fixed on the shoe insole to sense the foot pressure. For the first set of sensors which are perpendicular to the foot midline the collected data has similar trend to the GRF collected from the force plate, as the small lateral strain in the shoe insole due to the patient weight and GRF is close to the GRF data collected from other measurement system. On the other hand, the collected data from the second set of sensors which are in a longitudinal direction with the foot midline will have different trend and values from the collected data from the force plate or any other GRF measurement system. This different in the results is due to the large longitudinal strain in the shoe insole due to the patient weight which produce dissimilar results from the force plate result data.