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A partir da necessidade de medir a força aplicada em uma muleta ou bengala quando o paciente está caminhando, o que seria extremamente complexo com uma balança comum, desenvolveu-se meios utilizando sensores e circuitos eletrônicos que possibilitem tal aquisição do valor da força aplicada. O sensor utilizado foi acoplado na própria haste da muleta. O circuito eletrônico constituiu-se das seguintes etapas: a de amplificação, a de conversão analógica-digital e a de um microcontrolador para gerenciar todo o processo. Para que os dados referentes à carga descarregada na muleta fossem tratados de uma maneira que o pesquisador ou o clínico tivessem facilidade de compreensão e análise, um software foi desenvolvido. Este permite a construção de gráficos e análises estatísticas. Foram desenvolvidos ainda, configurações que permitissem sincronismo com outros equipamentos de análise de forças de marcha. O trabalho conta também com exemplos práticos de aquisições com pacientes que possuem alguma debilidade motora, demonstrando a utilidade da muleta instrumentalizada no apoio ao clínico ou em pesquisas na área de engenharia de reabilitação. / Because of the necessity of measuring the forces in a cane or crutch while the patient walking, an extremely complex task, a system has been developed to measure these forces, using sensors and electronic circuits. The sensors have been applied directly to the shaft of the metal crutch. The electronic circuit has the following stages: amplification, analog to digital conversion and the microcontroler to manage the whole process. A software has been developed to analyze the data and to be user friendly. The software allows the construction of graphics and the statistical analysis. This project has also shown practical examples with patients that have some gait pathologies, showing the usefulness of the instrumented crutch in supporting the physician, or in the rehabilitation engineering research.

Made available in DSpace on 2014-06-11T19:22:31Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-04-27Bitstream added on 2014-06-13T20:08:24Z : No. of bitstreams: 1 sanches_maa_me_ilha.pdf: 1862589 bytes, checksum: e3625c1d280204f136503179cec091dd (MD5) / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / Este trabalho descreve um sistema eletrônico implementado com o objetivo de monitorar os esforços exercidos pelos membros superiores e inferiores de pacientes. O sistema é constituído por transdutores, circuitos de condicionamento de sinais, circuito de comunicação e um software para a aquisição de dados, além da visualização em um microcomputador. São descritos dois tipos de transdutores, construídos com extensômetros metálicos, um para conexão em muletas e o outro projetado para ser inserido em palmilhas. Os fundamentos teóricos necessários para o projeto destes transdutores são apresentados, bem como os esquemas dos circuitos implementados. É descrita a metodologia utilizada para a determinação das características estáticas e dinâmicas dos transdutores. Estes apresentaram respostas lineares, excelente repetibilidade, e faixa dinâmica que atende às finalidades do projeto. Foi desenvolvido um software com interface gráfica contendo várias telas que possibilitam diferentes análises e armazenamento de informações. Utilizando o sistema, foram realizadas, com êxito, medições de forças exercidas pelos membros inferiores e superiores de pacientes normais e hemiplégicos. / This work describes the development of a computer-based system able for monitoring forces acting on patients’ upper and lower limbs. The system consists of insoles and crutches instrumented with load cells, signal conditioning circuits, data acquisition system, and a computer. The results of the static and dynamic measurements can be presented in the screen of a computer through graphs and tables, and stored in a data base, to follow-up the development of a patient treatment. The program was developed in Visual Basic, and the communication uses the USB port. All transducers presented linear response, small hysteresis, excellent repeatability and resolution. Static and dynamic measurements performed with the transducers are presented as well as the visualization of the forces exerted on the plantar area and upper limbs of healthy and hemiplegic patients.

Orientador: Aparecido Augusto de Carvalho / Banca: Augusto Cesinando de Carvalho / Banca: Cláudio Kitano / Resumo: Este trabalho descreve um sistema eletrônico implementado com o objetivo de monitorar os esforços exercidos pelos membros superiores e inferiores de pacientes. O sistema é constituído por transdutores, circuitos de condicionamento de sinais, circuito de comunicação e um software para a aquisição de dados, além da visualização em um microcomputador. São descritos dois tipos de transdutores, construídos com extensômetros metálicos, um para conexão em muletas e o outro projetado para ser inserido em palmilhas. Os fundamentos teóricos necessários para o projeto destes transdutores são apresentados, bem como os esquemas dos circuitos implementados. É descrita a metodologia utilizada para a determinação das características estáticas e dinâmicas dos transdutores. Estes apresentaram respostas lineares, excelente repetibilidade, e faixa dinâmica que atende às finalidades do projeto. Foi desenvolvido um software com interface gráfica contendo várias telas que possibilitam diferentes análises e armazenamento de informações. Utilizando o sistema, foram realizadas, com êxito, medições de forças exercidas pelos membros inferiores e superiores de pacientes normais e hemiplégicos. / Abstract: This work describes the development of a computer-based system able for monitoring forces acting on patients' upper and lower limbs. The system consists of insoles and crutches instrumented with load cells, signal conditioning circuits, data acquisition system, and a computer. The results of the static and dynamic measurements can be presented in the screen of a computer through graphs and tables, and stored in a data base, to follow-up the development of a patient treatment. The program was developed in Visual Basic, and the communication uses the USB port. All transducers presented linear response, small hysteresis, excellent repeatability and resolution. Static and dynamic measurements performed with the transducers are presented as well as the visualization of the forces exerted on the plantar area and upper limbs of healthy and hemiplegic patients. / Mestre

A partir da necessidade de medir a força aplicada em uma muleta ou bengala quando o paciente está caminhando, o que seria extremamente complexo com uma balança comum, desenvolveu-se meios utilizando sensores e circuitos eletrônicos que possibilitem tal aquisição do valor da força aplicada. O sensor utilizado foi acoplado na própria haste da muleta. O circuito eletrônico constituiu-se das seguintes etapas: a de amplificação, a de conversão analógica-digital e a de um microcontrolador para gerenciar todo o processo. Para que os dados referentes à carga descarregada na muleta fossem tratados de uma maneira que o pesquisador ou o clínico tivessem facilidade de compreensão e análise, um software foi desenvolvido. Este permite a construção de gráficos e análises estatísticas. Foram desenvolvidos ainda, configurações que permitissem sincronismo com outros equipamentos de análise de forças de marcha. O trabalho conta também com exemplos práticos de aquisições com pacientes que possuem alguma debilidade motora, demonstrando a utilidade da muleta instrumentalizada no apoio ao clínico ou em pesquisas na área de engenharia de reabilitação. / Because of the necessity of measuring the forces in a cane or crutch while the patient walking, an extremely complex task, a system has been developed to measure these forces, using sensors and electronic circuits. The sensors have been applied directly to the shaft of the metal crutch. The electronic circuit has the following stages: amplification, analog to digital conversion and the microcontroler to manage the whole process. A software has been developed to analyze the data and to be user friendly. The software allows the construction of graphics and the statistical analysis. This project has also shown practical examples with patients that have some gait pathologies, showing the usefulness of the instrumented crutch in supporting the physician, or in the rehabilitation engineering research.

BACKGROUND: In order to maintain non-weight bearing restrictions of the lower extremity, an assistive device must be utilized. Currently most devices require the restricted limb to be held in a static position while the contralateral extremity provides forward propulsion. Atrophy and disuse conditions ensue rapidly, slowing healing and prolonging recovery. A hands-free single crutch (HFSC) utilizes both lower extremities, potentially reducing atrophy. The purpose of this study was to examine the Electromyography (EMG) differences between a HFSC and standard axillary crutches (SAC). METHODS: A prospective, crossover study was performed using 21 healthy volunteers from an active duty foot and ankle clinic. Demographic data was obtained and then subjects were fitted with a HFSC and SAC. Wireless surface EMG sensors were applied to the belly of the rectus femoris (RF), vastus lateralis (VL), lateral gastrocnemius (LG), and the gluteus maximus (GM) by a board-certified orthopedic surgeon. Subjects then ambulated at a self-selected velocity for 30 meters, while 15 seconds of the gait cycle was recorded for each device. Mean muscle activity and the maximum voluntary isometric contraction (MVIC) were recorded. RESULTS: The RF, GM, and LG showed statistically significant increased levels of muscle activity while using the HFSC compared to SAC (respectively P = 0.05, P = 0.03, P = 0.03). The VL did not show statistically higher muscle activity while using the HFSC (P = 0.051). The RF, GM, and VL showed statistically significant higher MVIC percentages while using the HFSC compared to using SAC (respectively P = 0.005, P = 0.005, P = 0.013). The LG did not show statistically higher MVIC percentage while using the HFSC (P = 0.076). CONCLUSION: The HFSC subjects demonstrated increased muscle recruitment and intensity while maintaining cyclic contractions consistent with bipedal gait pattern. SAC demonstrated less recruitment and intensity with an isometric pattern regardless of the phase of gait. / 2022-06-04T00:00:00Z

Yes / Background/Aims: Partial weight-bearing protocols are commonly incorporated into hospital, clinical and field-based rehabilitation to enhance recovery, particularly in patients following cartilage surgeries. Overloading can affect healing time and the stability or integrity of the healing structure, however underloading can also be detrimental, as adequate weight bearing encourages the healing process—for example, osteoblastic stimulation. Therefore, accurate reproducibility of these protocols could be considered essential to the rehabilitation process. The aim of this study was to determine the accuracy with which weight-bearing protocols (20%, 50% or 80% of body weight) could be reproduced shortly after being taught. Methods: Thirty participants were taught three partial weight-bearing protocols (20%, 50% and 80% of body weight), using bathroom scales. Participants ability to reproduce their target load for each protocol was assessed statically using bathroom scales and dynamically with a force plate using a three-point elbow crutch-assisted gait. Participants were assessed 10 minutes after being taught. Errors between actual and target load during these trials was calculated. Findings: Accuracy assessed with scales was comparatively good for all target loads, however dynamic trials using the force plate showed an inverse relationship between all error measures and target loads (i.e. 20% > 50% > 80% body weight; all P<0.01). The peak error was double the intended load at 20% of body weight (95% CI: 11.9% body weight, 24.1% body weight). At 80% of body weight, the peak error was not significantly different from zero. Conclusions: The static method of instruction of partial weight-bearing protocols, using bathroom scales, does not seem to translate accurately to dynamic motion, and therefore affects adherence to medical instruction. Practitioners should be aware of the potential errors in reproducing these loads and the potential effect on rehabilitation. These results would suggest that practitioners should be cautious when using bathroom scales to teach partial weight-bearing protocols and not to rely on them to assess reproduction accuracy during gait

Yes / Background: Partial weight bearing protocols are commonly incorporated into rehabilitation to enhance recovery. Patients are often prescribed protocols that refer to a percentage of their body weight, such as 20% weight bearing, that should be placed through the healing limb during activities such as walking (gait). In order to achieve these partial weight baring protocols patients are usually provided with walking aids such as crutches. Accurate reproducibility of and compliance with these protocols could be considered essential to the rehabilitation process, however poor reproducibility of partial weight bearing protocols during crutch assisted gait using a current method of instruction has been shown. Aims: The aim of this study was to determine whether a more dynamic method of partial weight bearing protocol instruction, was more accurately reproduced. Methods: In total, 16 participants were randomly allocated to one of two groups and were taught 20% partial weight bearing using two different methods of instruction. A participant’s ability to reproduce their target load using crutch assisted gait was assessed using a force plate. Findings: The mean error for the static method of instruction was significantly greater than the more dynamic method. Conclusion: As seen previously, the static method of instruction of partial weight bearing protocols, using bathroom scales, does not seem to translate accurately to dynamic motion; however, the more dynamic method assessed in this study appears to result in more accurate reproducibility.