P. Allard et al., MODELING AND GAIT EVALUATION OF ASYMMETRICAL-KEEL FOOT PROSTHESIS, Medical & biological engineering & computing, 33(1), 1995, pp. 2-7
The paper documents a new concept in prosthetic foot design, It is bas
ed on the capacity of a flexible keel to allow a greater medio-lateral
function than previously available. The heel has a complex curvature
consisting of a medially concave shape that joins the mid-foot, There
a hump acting as a leaf-spring ends at the metatarsal break, with an i
nwardly curved toe extremity, These curvatures contribute to increased
medio-lateral control at heel-strike and propulsion for weight transf
er and push-off. Results from finite-element modelling indicate that t
he asymmetrically shaped keel is at least twice as active in storing e
nergy compared with a completely symmetrical one. A preliminary gait s
tudy is carried out for a 24-year-old below-knee amputee fitted with t
he new design, the SPACE foot and a dynamic elastic response foot with
a symmetrical keel, With the SPACE foot, there is a 14% increase in w
alking speed combined with a reduction in the phasic asymmetries, The
absolute difference between the initial and terminal double support is
1.4% for the asymmetrical keel design compared with 4.4% for the symm
etrical keel foot prosthesis. The peak ankle power generation burst in
dicates that the SPACE foot behaves as a dynamic elastic response foot
.