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1 f zu{ } 17 í } Çf Chinese Journal of Tissue Engineering Research November 19, 2013 Vol.17, No.47 doi: /j.issn [ é. w ü Œ œ q ² [J].f zu{ (47): w ü Œ œ q ² é( ná { Ì ) s 1 ÁÈq u ² 10 w ü œ È fq n â w œœ º º xö } p œ xöw ü u{r d 2 Øq ²Ù Ço Îq q «f ü ƒ ƒù ÄÈ ~ q²ù œ q ÅÀÇ ƒ Ÿ Ãs z q² w ü qœ ² m 3 g nq i ³² ² w ü Œ œ ²Ùfq njg g üèr²ù ² œ õ g² Í³ ²Ù œ q g ºÀ mg mg ² œ w ü w Œ ²ÙŒ o²ù xg z gè mgr ²Ù t Œ w ü œ nw ü Í º Î «± ˆœ ØŒ º o ²Ù ö ²ÙŒ qk xg rq ³² nw ü Í qw ü œ ²Ù œ q n u{² o ü²ùèr œ q ng g ²Ù œ r ¹ x w ü Œœ œ o²ù gf ºÀ x CFRP Energy-storing Prosthesis Between-knee(Transtibial)prosthesis Disable athletes g ºÀ n ~ PubMed f Ž qrº w ü Œ œ nr ºq rðqu{ â { w ü Œ œ ²Ù q É Œ Š É 3 f Å rðqu{ÿ w ü Œ œ v ~ œ º q~û ƒr Ì Â nf ²Ù qž Èrg w ü Œ œ v u{qä ÁÈ «1978 º ¹ 2002 É x Ì ð Ôd @qq.com f É ú:r318 h u:a ú: (2013) º ( /DeW) Latest progress of carbon-fiber-reinforced polymer energy-storing transtibial prostheses Ding Guo-hua (Shanghai University of Engineering Science, Shanghai , China) Abstract BACKGROUND: Carbon-fiber-reinforced polymer energy-storing transtibial prostheses are mature and ideal substitutes for professional disable athletes to increase performance. OBJECTIVE: By discussing the update application and study of the carbon-fiber-reinforced polymer energy-storing transtibial prosthesis and understanding the characteristics of applying transtibial prostheses in different sports program, to provide a useful reference for the design of athletes prostheses. METHODS: A computer-based search of PubMed and VIP databases was performed for articles related to carbon-fiber-reinforced polymer energy-storing transtibial prostheses published from January 1985 to December The keywords were CFRP, energy-storing prosthesis, between-knee (transtibial) prosthesis, disable athletes in English and Chinese, respectively. RESULTS AND CONCLUSION: Currently, we focus on the gait analysis, energy cost and stiffness analysis of athletes who wear carbon-fiber-reinforced polymer energy-storing transtibial prostheses. Studies have demonstrated that carbon-fiber-reinforced polymer energy-storing transtibial prostheses have more advantages over traditional prostheses, but have predominantly disadvantages over able-bodied persons. Thus, there are many difficulties in the clinical application of building carbon-fiber-reinforced polymer energy-storing transtibial prostheses based on the characteristics of athletes body status and sports programs. Subject headings: biocompatible materials; amputees; athletes; artificial limbs; athletic performance Ding Guo-hua, Studying for doctorate, Lecturer, Shanghai University of Engineering Science, Shanghai , China @qq.com Accepted: P.O. Box 1200, Shenyang

2 Ding GH. Latest progress of carbon-fiber-reinforced polymer energy-storing transtibial prostheses. Zhongguo Zuzhi Gongcheng Yanjiu. 2013;17(47): Introduction Ý n â Þ Ý c n c c Èc ÄÁ eà Ý ná Þ d n d å Âc º Ú [1-2] dý ná ß Ä cë c Êöc cö À Ó Íà f lð À è õ d Ñ æ dò Ä õ ò Ÿ dò Ä Ä c dòß{ Ä ð Ì{ Ä dòä Ÿ [3] Å ~ Ð êä Ä d eà Ô Á Í î ý ½»õ î ò±{ Ÿ [4-5] d h æ æ æä Á æ { Ãùd r œðä Â òj «Ç e æ Ã îd~ Ô Ð Š Ä Ð j ß ò k j ¾ ÖÑ dò Ä Ô ƒ Û ýd 1 «Data and methods 1.1 t d Â d ºÀ Çw dòc s Ä c Ä ceà Çw CFRP Energy-storing Prosthesis Between-knee (Transtibial)prosthesis Disable athletes d Pubmed á nlm.nih.gov/pubmed á cqvip.com/d 1.2 i n Â dò d dòs Ä d dòs Ä ÔÁ Ô d Ã Â Ô c ½ Meta ê d 1.3 i q í Çw Æ 60 dò c c s c 47 Ð Ä d ê å c cé ê 18 Ä 29 d 2 Results 2.1 µí dò (carbon fiber reinforced polymer/plastic CFRP) ½ ½ ¾ dò [6] ð c ðÿc ŠŸc ƒ [7] å (CFRP)c c Ð (CFRM)c (CFRC) c lc ¾c c c c¾ c c dc ñ d Ä ¾ dò É n ß Í dò n± ð± Í [8] õ ¼ Ÿ cÿ «n ù ù n Ä m È½ m [9] ¾ dò C-leg( Ä ) È ò~ Ä Á Ð [10] d 2.2 µí e Ò æ s Ä j ÄËc Íc cí À n ÄË Í Ä ¾ È j d w ý Ä ÄË Í m ¾ [11] d c í É ð º d ð Ö èd È Ý æ «n «¾ ¾ æ n d ê Í Í Œ Ô ~ 2.8 m/s Š j êë ð û{ 241% ð sz æ c ¾ [12] d Í eà ¾ ( ) Í ò w Ä æ ð Ö ± d «Seattle Ä Ô ròs ISSN CN /R CODEN: ZLKHAH 8229

3 8230 é. w ü Œ œ q ² Ë œ d s ÄË ÄË ð ð ß{ 50%95% ÄË t ÄË { 20%35%d ò Í Ä ò ~ dò Ë ½m qö r Ö î jòí ¾ [11] d s Ë(energy storing foot ESF) ~ s È ƒ Ë íë (Mid-Stance) sz Ã Ít ð Ã ß À ë (Push-off) r sz ð dƒ s Ëi «ß Dynamic Pro Hanger Quantum [13] «College Park Industries Inc. Œ Ë(Multiaxial Dynamic Response Foot ) TruSetpTM [14] d ç Postema [13] É s Ë ÄË Ð ò Ì d ¾ í «Ð (Oxford Metrics Ltd.) VICON gð Â ùò g c c Í íë r íë À ð szc c î e Î«s Ë æ ÄË ð ÄË d 20 Ã 50 SACH Ë(Ohio WillowWood, Ç 1) æ Â dò Œ{ œ qcheetah( Š )rë í Ð Å ~ ß c î œ d Ö n Ä º ðd Ô ð t Ä ¾ dò Ä i Ì û Ì [15] d û(hr) { ð (peak VO 2 ) ôc ð ~ n j û(182.0±2.5)x/min { ð (55.0± 8.7) ml/(kg min) t dòä h û(186.0±3.5)x/min) { ð (50.7±9.1) ml/(kg min) [15] w dòn s Ä È dò d 2.3 µí e Ò æ dò 1981 x «Ä qseattlerë d dò Ä -FLEX Ë Philips 1985 FLEX Ë j ò î ~ Ä SACH Ë [16-17] Ç 1d ÕÖ 1988 ne» [18] d 1 SACH Œ(Otto Bock Germany) ò Í ò ò ÄËd ò Â g dòc Àg Š ò { ƒ Ä Ë ò r Ï Š Ä Cheetah( Š ) Ìq r 20 Ã 80 d «â ½Ä j d~ q r í Í ò Ä d «Ä dòsò Ö Ê æ w Ú Áj dò Á æ Ä ½ òn d dòö Á Ö J Î Ü æ J d rq r Â ½Ä ~ dò Î Ò Ö d1997 q Š r q r œði d Šò Ä q r ì ± që Årn ct i â Ÿ ð q d 2.4 w µí e Ò Š Ä { ƒö Ë ËÅæ Ä j Í jö Â [18] d Ä }g Í Í r s n j ÏÃùÐÐ 1 s d 2 ò Š Ä Â [19] d ±Œ Í Û (Oscar Pistorius)eÃ Ö Ä Ë d (Össur) Ä [20] Û ½ ò P.O. Box 1200, Shenyang

4 d âä Ö q Š r(cheetah) ¾s që r që r ò g ß d (a) Cheetah (Össur), (b) Flex-Run (Össur), (c) Flex-Sprint (Össur), (d) C-Sprint (Otto Bock), (e) Sprinter (Otto Bock)d 2 üu Œµœ q Ð j dò Ä Á [21] d Â 2008 e» æ 146 «Ã eà eãò 90% J Î q rd Ó 100 m T44 À Ú Á q r ð d 2011 «e» Ó J Ä ±Œd ññ ~ J Ä d 200 m T44 ÀÚ É ³ Ò Ø ò J Ä ð w òú ð d jq r Á, dò Šd ð î q rd «e Ó Ø ð 60 kg œ 3 À q r ~ Ø î 3 À q rô dòò ò 5 À Ä À Ä n 78 kg ðd w d ò Ð Ýû Ÿc ð ÝûÍ ½ d Á dòä ±{h dq Š r Ó 100 m 200 m 400 m d õ â Ä qj r(flex-run) þå c d x ð ÂÌŠ j ÉÔ î Ð ð Š â û Ÿ d qj r Ân C J ð Š ~ t Ç «Í µ d Š î â ð dw Š n d wq Š r Â Š J Î æ â Ÿ ð d «C Î q Š r ÚÖ ü d 2.5 µí e Ò Õ î Á dòs Ä Ô À c ð À î d «WIlson [22] t «2012ü e» 100 m Ð ò g Í Ñ ò dòä d Ô Ä g j ð ã h dîý oò Ô Î«Š Š ðg ± m ã d~ r Ô ò Î «ß Í {¾ {¾ z Ç cs ð «n j j d Buckley [23] Ô gðò Össur q Š rë î Â r ð û{ 95%d m Ä SACH Ë SEATTLE Ë FLEX Ë½ î û 31% 52% 84% [24] d~ j 241% ð û æ dòë dnolan [19] Ô Ñ ¾ j míš i ð j z Ì{h d Hirons [25] «Ä îð Ì{ î Š Ë ŸÍ m d Ã Í ÌŠß Ç ¾ j m d Ciobanu [26] ògðš dòë î î ò 3 Â q Š rë Í t 3 Ë { Š 30 mind Î«t q Š rë qcr ~ î { ËÄ i { ÌŠÌ ÌŠ Ú Š Ìâ(9.650 m/s)d î {~ â qcr ËÄ { ÌŠ Ì{ ÌŠ Ú Š â t ISSN CN /R CODEN: ZLKHAH 8231

5 q Š r { m/sd î {~ â qcr ËÄ Ú Š â (9.710 m/s) t q Š ri { ÌŠd Ñ Œ ~Š Š Ä î ±{ dò Ä ß ~ r «Ì{nŠ œ Ä î É æ { î [27] d Zmitrewicz [28] m }g Í Ð «n â ÍŠÄ g j {d Ô Í r ŠÌ ã z j{ j m w» «Ã j jæ Ÿ Š w Ä j ± â Š Ÿ j m d ±Œ Ô z m Ëý Å e Í j { [29-30] d m Ä e Í ½ Š± Ì ŠÇ [24] Ä Š [19, 29] d ë ÍŠ e Í { Í j g Ì [29-31] d Ä ß îç Í g Î«[30, 32] dõ m ~ j j Ä îç [30] c Í Š À îç [30] d Í ¾îðÇ ½ Ç ò e Í æ ½ ß Ç ò ä e n Ç x ò Í ½ îd «ð Ÿ Í ¾î ð yðä n òî Œ ~ À { Í ¾îð Í z [32-34] d ò j Ç e Í Ô ß «je Í o míš o [24, 30, 35] d w Í m Ð Ä n e Í òç Ç n d 2.6 Ò è ß ± æ ƒõ Ä dò±œ c Ðck ú Ðc dc ò ÀÑð Ìö dò Â Ä ô È Ä c ð d dò dò Ä õ Û Ì d~ óu Ä d dò Šc žšÿ ß Â ƒ Ê Ä ðc ŸÄ òì [36] d 8232 Ï ö Ñ 20 s Ë ¾ ¾ dò [37] d~ ý Ä Ú x c e c î e c î î Ýû Âì cdò Ú ð d Ñ ¾ Û î Ä dò À Ä î [38] d Ä t Ä Î h w Ð î dä ³ [39] Ä ÂÍŠ Í Å j ÌŠ Í Ä Â z rò Â m cešï î Íî 3 Ä ß ò} Ö dà [40] Ôò Ä Í À m dò d Í eà e À j Á gð d dò cdò Ð òg d d Î«P 0.3 N 0.7 N Ê ( ) d { dò eà j Å h 3 dòú qdò c d r ûd Â ¾ ÂÀ CAD/CAM Ä ÂÀì Ô d [41] Èíò¾ î Ä î ÄÁ ò eš/í 3D Á È Êµc È À î d Èd ò eš/í Î ƒ È «È á f dœá ß CAD/CAM Î Í Â î ð d óu Éœ t Âön Ÿ Â ûd æ ÈÍ Â Ã/ ¾sd ì } [42] 1 í 25 Í d gð w n ½ í È MIMICScSURFACERcSOLIDWORKS òí e Í nò Î«ÌÒ òí e Á d ò n ß Ä Âc Â ¾ d [43] Ä Í Í eš Ä Å tƒ Ä ÈdÄ Í È Í Ç ß gð P.O. Box 1200, Shenyang

6 dèí e Í Â ¾ Ì òí e Á üådä Í Èí Ÿ n û x œ t Þ Âcgðc c ý i d 3 Conclusion Ä ð Í ð Í ÀÄ ð t Ä «Åz î d w Â Ä ô È Ñð ð ŠŸ dòd ß dò dò Š žš Ÿ [44] w«é Ä ô È d dò d ò ß s Ë º sz ð s Ëx m «Š Îòg î Î«n ì j ~ Â Ð g x [45-46] d dòs Ä ò Î Ôc Š dñ dò Ä eà æò ~x ð ûìšæü dòs Ä ê j ý [47] d Ç e Í æ j ð d dòdò Ä Ñ j ±Œ { j ð d Ä î Š Ä ÐÝû Ÿc œýû ½ d «h é ««ÌrÀ{ È ö{ ï örºäg ºw r Â q Ìrq Ù ŒŒ Œ ï Œ ŽŒŽÙ qœœ ŒŒ y Å ³²Œ¼q ƒ Œ ˆ Ÿ Ø± Œ²Ÿ rð Â mrq ŒŒ ³ nw ü Í qœ Œ qq ŒŒ ˆ ² ¼ÂØ x Ø À q gñë Âv ¼ ö {e ¼ Ô{ ˆüo wt Èxö Ì qo ¼ s «Ž«4 õ h References [1] Ú ²,, s,}. p²x k Í Œ œ uí jo Ÿ ³q Ã[J]. f zu{ g, 2010, 14(13): [2] n,, ÉÄ,}. öë qœ ö ØŒ [J]. nç,2008,25(4): [3] i. jxœ f [J].f g,2002,6(20): [4] if,i. ² µƒ œ ² ÁÈq [J]. f u y,2001,8(11): [5] Gerzeli S, Torbica A, Fattore G. Cost utility analysis of knee prosthesis with complete microprocessor control (C-leg) compared with mechanical technology in trans-femoral amputees. Eur J Health Econ. 2009;10(1): [6] ¾,Ÿ é. Œ ü ²Ùœ ( ) u {[J]. ü,1997,6(2): [7] Zhang M, Roberts C. Comparison of computational analysis with clinical measurement of stresses on below-knee residual limb in a prosthetic socket. Med Eng Phys. 2000;22(9): [8] uil.œ - ü ö nq È [J].gy ü,1995,12: [9] uil.w öº gqœ Í [J].Îy n,1996, 11,12: [10] i.jxœ f [J].f g, 2002,6(20): [11] ±.œ u [M].äs:é Çfx,2010: [12] Thompson H. Performance enhancement: Superhuman athletes. Nature. 2012;487(7407): [13] Postema K, Hermens HJ, de Vries J, et al. Energy storage and release of prosthetic feet. Part 1: Biomechanical analysis related to user benefits. Prosthet Orthot Int. 1997;21(1): [14] Rouse EJ, Hargrove LJ, Peshkin MA, et al. Design and validation of a platform robot for determination of ankle impedance during ambulation. Conf Proc IEEE Eng Med Biol Soc. 2011;2011: [15] Brown MB, Allison AR, Millard-Stafford ML. Running prosthesis facilitates greater speed, peak aerobic capacity, and improved exercise economy in amputee runners. Medicine & Science in Sport & Exercise. 2007;39(Suppl.): S [16] Silver-Thorn B, Current T, Kuhse B. Preliminary investigation of residual limb plantarflexion and dorsiflexion muscle activity during treadmill walking for trans-tibial amputees. Prosthet Orthot Int. 2012;36(4): PMID: [17] Fey NP, Klute GK, Neptune RR. Optimization of prosthetic foot stiffness to reduce metabolic cost and intact knee loading during below-knee amputee walking: a theoretical study. J Biomech Eng. 2012;134(11): [18] Takahashi KZ, Stanhope SJ. Mechanical energy profiles of the combined ankle-foot system in normal gait: Insights for prosthetic designs. Gait Posture Apr 26. [19] Nolan L. Carbon fibre prostheses and running in amputees: a review. Foot Ankle Surg. 2008;14(3): [20] Herr H. Exoskeletons and orthoses: classification, design challenges and future directions. J Neuroeng Rehabil Jun 18;6:21. ISSN CN /R CODEN: ZLKHAH 8233

7 [21] Pailler D, Sautreuil P, Piera JB, et al. Evolution in prostheses for sprinters with lower-limb amputation. Ann Readapt Med Phys. 2004g;47(6): [22] Wilson JR, Asfour S, Abdelrahman KZ, et al. A new methodology to measure the running biomechanics of amputees. Prosthet Orthot Int. 2009;33(3): [23] Buckley JG. Biomechanical adaptations of transtibial amputee sprinting in athletes using dedicated prostheses. Clin Biomech (Bristol, Avon). 2000;15(5): [24] Czerniecki JM, Gitter A, Munro C. Joint moment and muscle power output characteristics of below knee amputees during running: the influence of energy storing prosthetic feet. J Biomech. 1991;24(1): [25] Hirons R. Preparing our Paralympians: research and development at Ossur, UK. Interview by Sarah A. Curran. Prosthet Orthot Int Sep;36(3): [26] Ciobanu O. The use of CAD/CAM and rapid fabrication technologies in prosthesis and orthotics manufacturing. Rev Med Chir Soc Med Nat Iasi. 2012;116(2): [27] Hafner BJ, Sanders JE, Czerniecki JM, et al. Transtibial energy-storage-and-return prosthetic devices: a review of energy concepts and a proposed nomenclature. J Rehabil Res Dev. 2002;39(1):1-11. [28] Zmitrewicz RJ, Neptune RR, Walden JG, et al. The effect of foot and ankle prosthetic components on braking and propulsive impulses during transtibial amputee gait. Arch Phys Med Rehabil. 2006;87(10): [29] Barr JB, Wutzke CJ, Threlkeld AJ. Longitudinal gait analysis of a person with a transfemoral amputation using three different prosthetic knee/foot pairs. Physiother Theory Pract. 2012;28(5): [30] Sanderson DJ, Martin PE. Joint kinetics in unilateral below-knee amputee patients during running. Arch Phys Med Rehabil. 1996;77(12): [31] Beyaert C, Grumillier C, Martinet N, et al. Compensatory mechanism involving the knee joint of the intact limb during gait in unilateral below-knee amputees. Gait Posture. 2008; 28(2): [32] Brouwer BJ, Allard P, Labelle H. Running patterns of juveniles wearing SACH and single-axis foot components. Arch Phys Med Rehabil. 1989b;70(2): [33] Nolan L, Patritti BL, Simpson KJ. A biomechanical analysis of the long-jump technique of elite female amputee athletes. Med Sci Sports Exerc. 2006;38(10): [34] Nolan L, Lees A. The influence of lower limb amputation level on the approach in the amputee long jump. J Sports Sci. 2007; 25(4): [35] Versluys R, Beyl P, Van Damme M, et al. Prosthetic feet: state-of-the-art review and the importance of mimicking human ankle-foot biomechanics. Disabil Rehabil Assist Technol. 2009;4(2): [36], É,z.w ü g ö œ È q n[j].f zu{ g,2009,13(25): [37] ÊÚ,Ê. jxîé œ u È fq n [J].f k,2004,10(10): [38] Yeung LF, Leung AK, Zhang M, et al. Long-distance walking effects on trans-tibial amputees compensatory gait patterns and implications on prosthetic designs and training. Gait Posture. 2012;35(2): [39] «, º,it,}. ƒä œ ~ä [J]. é -Ž y f,2007,47(5): [40],, h,}. y nœ tƒq g qu{[j]. mgç z,2008,25(5): [41] l,,,}. fƒä œ qmg z u{[j]. f mgç z, 2004,23(6): [42] hg,«,ˆü,}. œ - mg [J]. f ç,2007,22(1): [43], ø, À,}. œ ~ q [J]. f zu{ g, 2010,14(48): [44] McNealy LL, Gard SA. Effect of prosthetic ankle units on the gait of persons with bilateral trans-femoral amputations. Prosthet Orthot Int. 2008;32(1): [45] Ê, l,,}. Åñ ƒä œ É q [J]. mgç z,2004,21(4): [46] f,çi²,ç,}. { º mk²ù g Ilizarov Àfq n[j]. f u y,2012,20 (21): [47] Pailler D, Sautreuil P, Piera JB, et al. Evolution in prostheses for sprinters with lower-limb amputation. Ann Readapt Med Phys. 2004;47(6): P.O. Box 1200, Shenyang

Microsoft Word - 会协(2016)36号.doc

Microsoft Word - 会协(2016)36号.doc k á}» st f ¼~ é~ºpíö ¼~ Ÿd ä Ê { q³u c c g»â» g»â ü Ãâ Á u n«q r Å È» fòw g»â È Ç xd Ç É Ç ä»d î Á ð t WOZDQJ#FLFSDRUJFQ 1 Ò ù œè g»â È Ç w g»â È Ç x f «g»â» 2016 8 12 ¹ ²È gù¹ k g»â»d «g»â» 2 œè ¼~ Ÿd