Pneumatic Osteoarthritis Knee Brace

被引:15
作者
Stamenovic, Dimitrije [1 ]
Kojic, Milos [2 ,3 ]
Stojanovic, Boban [3 ,4 ]
Hunter, David [5 ,6 ]
机构
[1] Boston Univ, Dept Biomed Engn, Boston, MA 02215 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Environm Hlth, Boston, MA 02115 USA
[3] Univ Kragujevac, Serbian Acad Sci & Arts, Ctr Sci Res, Kragujevac 34000, Serbia
[4] Univ Kragujevac, Fac Sci, Kragujevac 34000, Serbia
[5] New England Baptist Hosp, Div Res, Boston, MA 02120 USA
[6] Boston Univ, Sch Med, Boston, MA 02118 USA
来源
JOURNAL OF BIOMECHANICAL ENGINEERING-TRANSACTIONS OF THE ASME | 2009年 / 131卷 / 04期
关键词
biomechanics; diseases; finite element analysis; orthopaedics; orthotics; pneumatic systems; ADDUCTION MOMENT; DISEASE PROGRESSION; ALIGNMENT; LAXITY; LOAD; PAIN;
D O I
10.1115/1.3072890
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Knee osteoarthritis is a chronic disease that necessitates long term therapeutic intervention. Biomechanical studies have demonstrated an improvement in the external adduction moment with application of a valgus knee brace. Despite being both efficacious and safe, due to their rigid frame and bulkiness, current designs of knee braces create discomfort and difficulties to patients during prolonged periods of application. Here we propose a novel design of a light osteoarthritis knee brace, which is made of soft conforming materials. Our design relies on a pneumatic leverage system, which, when pressurized, reduces the excessive loads predominantly affecting the medial compartment of the knee and eventually reverses the malalignment. Using a finite-element analysis, we show that with a moderate level of applied pressure, this pneumatic brace can, in theory, counterbalance a greater fraction of external adduction moment than the currently existing braces.
引用
收藏
页数:6
相关论文
共 34 条
[1]   Knee adduction moment and development of chronic knee pain in elders [J].
Amin, S ;
Luepongsak, N ;
McGibbon, CA ;
LaValley, MP ;
Krebs, DE ;
Felson, DT .
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2004, 51 (03) :371-376
[2]  
ANDREWS JR, 1995, SPORTS MED ARTHROSC, V3, P30
[3]  
Ashby M., 2010, Materials: Engineering, Science, Processing and Design, V2nd
[4]   Form may be as important as function in orthotic acceptance: A case report [J].
Basford, JR ;
Johnson, SJ .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2002, 83 (03) :433-435
[5]   A longitudinal study of the effect of sex and age on rate of change in knee cartilage volume in adults [J].
Ding, Changhai ;
Cicuttini, Flavia M. ;
Blizzard, Leigh ;
Scott, Fiona ;
Jones, Graeme .
RHEUMATOLOGY, 2007, 46 (02) :273-279
[6]   Osteoarthritis: New Insights. Part 1: The Disease and Its Risk Factors [J].
Felson, DT ;
Lawrence, RC ;
Dieppe, PA ;
Hirsch, R ;
Helmick, CG ;
Jordan, JM ;
Kington, RS ;
Lane, NE ;
Nevitt, MC ;
Zhang, YQ ;
Sowers, M ;
McAlindon, T ;
Spector, TD ;
Poole, AR ;
Yanovski, SZ ;
Ateshian, G ;
Sharma, L ;
Buckwalter, JA ;
Brandt, KD ;
Fries, JF .
ANNALS OF INTERNAL MEDICINE, 2000, 133 (08) :635-646
[7]   Osteoarthritis: New insights - Part 2: Treatment approaches [J].
Felson, DT ;
Lawrence, RC ;
Hochberg, MC ;
McAlindon, T ;
Dieppe, PA ;
Minor, MA ;
Blair, SN ;
Berman, BM ;
Fries, JF ;
Weinberger, M ;
Lorig, KR ;
Jacobs, JJ ;
Goldberg, V .
ANNALS OF INTERNAL MEDICINE, 2000, 133 (09) :726-737
[8]   Load-shifting brace treatment for osteoarthritis of the knee: A minimum 2 1/2-year follow-up study [J].
Giori, NJ .
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT, 2004, 41 (02) :187-193
[9]  
Horlick S.G., 1993, CLIN J SPORT MED, V3, P251
[10]   Associations among knee adduction moment, frontal plane ground reaction force, and lever arm during walking in patients with knee osteoarthritis [J].
Hunt, Michael A. ;
Birmingham, Trevor B. ;
Giffin, J. Robert ;
Jenkyn, Thomas R. .
JOURNAL OF BIOMECHANICS, 2006, 39 (12) :2213-2220