Relationship between socket pressure and EMG of two muscles in trans-femoral stumps during gait.

The biomechanical interaction between the leg stump and the prosthetic socket is critical in achieving close-to-normal ambulation. Although many investigations have been performed to understand the biomechanics of trans-tibial sockets, few studies have measured the socket interface pressure for transfemoral amputees. Furthermore, no report has examined how the residual muscle activities in the transfemoral stump affect the socket interface pressure characteristics during gait. In this study, an experimental method was developed to measure the trans-femoral socket interface pressures and EMG of muscles in the stumps of two trans-femoral amputees. Also, the measurement of three-dimensional prosthetic locomotion was synchronized to understand detailed socket biomechanics. Based on the experimental results, a significant correlation (P < 0.05) was found between the measured temporal EMG amplitude and the interface pressure at the knee flexor (biceps femoris) and extensor (rectus femoris). Therefore, the residual muscle activity of a trans-femoral amputee's stump could be an important factor affecting socket-interface pressure changes during ambulation.