Obstacle course: Users' maneuverability and movement efficiency when using Otto Bock C-Leg, Otto Bock 3R60, and CaTech SNS prosthetic knee joints

Margrit R. Meier, Andrew H. Hansen, Steven A. Gard, Angus K. McFadyen

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

The performance and movement efficiency of prosthesis users while traversing a multisectional obstacle course (OC) were evaluated using a crossover design with random allocation of three prosthetic knee joints: the SNS (CaTech; Dayton, Ohio) the C-Leg (Otto Bock; Duderstadt, Germany), and the 3R60 (Otto Bock). Twelve users completed the OC twice with each joint, once without and once with a mental loading task (MLT). The performance was objectively assessed using time measurement from digital video recordings, and the Total Heart Beat Index was used to estimate movement efficiency. A 1 mo familiarization period was provided for each knee joint before data collection. It took longer to complete the OC with the 3R60 compared with either the SNS or the C-Leg. No significant time differences were found between the C-Leg and the SNS, but differences between the 3R60 and the SNS (slalom and rock sections) and between the 3R60 and the C-Leg (rock section) were observed. Within the simulated sand section, two participants fell with the C-Leg, one with the 3R60, and none with the SNS. Movement efficiency without MLT was similar between all joints, but with an MLT a significant decrease in movement efficiency was observed with the C-Leg. Previous experience using an SNS had no influence on the results.

Original languageEnglish (US)
Pages (from-to)583-596
Number of pages14
JournalJournal of rehabilitation research and development
Volume49
Issue number4
DOIs
StatePublished - Jun 1 2012

Keywords

  • 3R60
  • C-Leg
  • Maneuverability
  • Mental loading task
  • Movement efficiency
  • Obstacle course
  • Prosthetic knee joint
  • SNS
  • Total Heart Beat Index
  • Walking

ASJC Scopus subject areas

  • Rehabilitation

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