Literature DB >> 31667273

Inter-participant variability data in loading applied on osseointegrated implant by transtibial bone-anchored prostheses during daily activities.

Laurent Frossard1, Barry Leech2, Mark Pitkin3,4.   

Abstract

The data in this paper are related to the research article entitled "Loading applied on osseointegrated implant by transtibial bone-anchored prostheses during daily activities: Preliminary characterization of prosthetic feet" (Frossard et al., 2019: Accepted). This article contains the individual and grouped loading characteristics applied on transtibial osseointegrated implant generated while walking with bone-anchored prostheses including prosthetic feet with different index of anthropomorphicity. Inter-participant variability was presented for (A) the spatio-temporal characteristics, (B) the loading boundaries and (C) the loading local extremum during walking, ascending and descending ramp and stairs. These initial inter-participant variability benchmark datasets are critical to improve the efficacy and safety of prosthetic components for transtibial prostheses as well as the design of future automated algorithms and clinical trials. Online repository contains the files: https://doi.org/10.17632/vhc6sf7ngy.1.
© 2019 The Author(s).

Entities:  

Keywords:  Amputation; Artificial limb; Bone-anchored prosthesis (BAP); Direct skeletal attachment; Feet; Kinetics; Loading; Osseointegrated implants; Osseointegration; Prosthesis; Stiffness

Year:  2019        PMID: 31667273      PMCID: PMC6811920          DOI: 10.1016/j.dib.2019.104510

Source DB:  PubMed          Journal:  Data Brief        ISSN: 2352-3409


Specifications Table The individual data collected for the first time includes the three forces and moments applied on osseointegrated fixation that where generated while walking with transtibial bone-anchored prostheses including prosthetic feet with different index of anthropomorphicity. This information provides valuable insight into inter-participant variability in variables characterizing load profile. The individual loading data presented here constitutes an initial benchmark of spatio-temporal characteristics as well as loading boundaries and local extremum on the anteroposterior, mediolateral and long axes of the implant during walking, ascending and descending ramp and stairs with transtibial bone-anchored prostheses. This baseline information could be used in future meta-analyses or comparative studies involving other cohorts of individuals fitted with transtibial bone-anchored or socket-suspended prostheses, respectively. The inter-participant variability of loading characteristics, more particularly, the range of the loading applied can be used as mechanical constrain input in finite element models. This will be enhancing reflectiveness of the models and, subsequently, improve design efficacy and safety of prosthetic components and osseointegrated implants parts. The inter-participant variability of loading characteristics is critical to assist the design of algorithms capable to characterize in real-time the load profile applied on a residuum during daily activities. This will greatly facilitate processing of large ecological datasets relying on embedded load cell to measure directly forces and moments applied on residuum. The inter-participant variability of loading characteristics provided here can educate the design of subsequent clinical trials testing effect of particular intervention (e.g., effect of choice and alignment of prosthetic components). For instance, the ranges of differences between the usual and Free-Flow feet can informed the sample size required to achieve sufficient statistical power during analytical planning stage.

Data

Inter-participant variability of alignment and position of the tri-axial transducer (iPecLab, RTC, US) in relation to the ankle joint embedded in the instrumented transtibial bone-anchored prosthesis fitted with Free-Flow Foot is illustrated in Fig. 1.
Fig. 1

Inter-participant variability of alignment and position of the tri-axial transducer (iPecLab, RTC, US) in relation to the ankle joint embedded in the instrumented transtibial bone-anchored prosthesis fitted with Free-Flow Foot (Ohio Willow Wood).

Inter-participant variability of alignment and position of the tri-axial transducer (iPecLab, RTC, US) in relation to the ankle joint embedded in the instrumented transtibial bone-anchored prosthesis fitted with Free-Flow Foot (Ohio Willow Wood). The individual and grouped spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual (i.e., P1: RUSH, P2: Trias, P3: Triton) and Free-Flow (Ohio Willow Wood) feet during walking, ascending and descending ramp and stairs are presented in Table 1, Table 4, Table 7, Table 10, Table 13, respectively.
Table 1

Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during walking.

P1P2P3All
USU
 Cadence(Strides/min)46574650 ± 7L
 Gait cycle(s)1.30 ± 0.06L1.05 ± 0.06L1.31 ± 0.07L1.24 ± 0.13L
 Support(%GC)61 ± 2L63 ± 4L66 ± 3L64 ± 3L
FFF
 Cadence(Strides/min)46564449 ± 6L
 Gait cycle(s)1.31 ± 0.05L1.07 ± 0.05L1.37 ± 0.07L1.30 ± 0.13L
 Support(%GC)61 ± 3L64 ± 2L65 ± 2L64 ± 3L

Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV.

Table 4

Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during ascending ramp. P2 performed only one trial with usual leg and was not reported here.

P1P2P3All
USU
 Cadence(Strides/min)403040 ± 10H
 Gait cycle(s)1.50 ± 0.06L1.99 ± 0.19L1.77 ± 0.32L
 Support(%GC)62 ± 3L69 ± 2L66 ± 4L
FFF
 Cadence(Strides/min)38463339 ± 7L
 Gait cycle(s)1.59 ± 0.12L1.29 ± 0.10L1.84 ± 0.13L1.59 ± 0.25L
 Support(%GC)62 ± 2L66 ± 4L69 ± 3L65 ± 4L

Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV.

Table 7

Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during descending ramp.

P1P2P3All
USU
 Cadence(Strides/min)44524647 ± 4L
 Gait cycle(s)1.36 ± 0.08L1.15 ± 0.04L1.32 ± 0.14L1.31 ± 0.13L
 Support(%GC)63 ± 4L60 ± 3L68 ± 4L65 ± 5L
FFF
 Cadence(Strides/min)42525048 ± 5L
 Gait cycle(s)1.43 ± 0.09L1.16 ± 0.06L1.21 ± 0.07L1.26 ± 0.13L
 Support(%GC)61 ± 3L62 ± 3L63 ± 3L62 ± 3L

Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV.

Table 10

Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during ascending stairs.

P1P2P3All
USU
 Cadence(Strides/min)34422534 ± 9H
 Gait cycle(s)1.76 ± 0.11L1.42 ± 0.05L2.42 ± 0.20L1.94 ± 0.44H
 Support(%GC)56 ± 3L59 ± 1L61 ± 3L59 ± 3L
FFF
 Cadence(Strides/min)33442534 ± 9H
 Gait cycle(s)1.81 ± 0.06L1.36 ± 0.04L2.35 ± 0.13L1.70 ± 0.43H
 Support(%GC)55 ± 2L65 ± 5L50 ± 8L59 ± 8L

Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV.

Table 13

Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during descending stairs.

P1P2P3All
USU
 Cadence(Strides/min)20231519 ± 4H
 Gait cycle(s)1.53 ± 0.13L1.31 ± 0.02L1.99 ± 0.19L1.78 ± 0.32L
 Support(%GC)62 ± 4L54 ± 2L69 ± 2L65 ± 6L
FFF
 Cadence(Strides/min)21231620 ± 3L
 Gait cycle(s)1.42 ± 0.11L1.32 ± 0.05L1.84 ± 0.13L1.54 ± 0.26L
 Support(%GC)60 ± 3L60 ± 4L69 ± 3L63 ± 5L

Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV.

Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during walking. Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV. Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during walking. Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis. Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during walking. Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis. Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during ascending ramp. P2 performed only one trial with usual leg and was not reported here. Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV. Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during ascending ramp. Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis. Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during ascending ramp. H: High PV, L: Low PV. NOTE: P2 performed only one trial with USU leg and was not reported here. Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis. Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during descending ramp. Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV. Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during descending ramp. Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis. Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet descending ramp. Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis. Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during ascending stairs. Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV. Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during ascending stairs. Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis. Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during ascending stairs. Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis. Mean and standard deviation of spatio-temporal characteristics including cadence, duration of gait cycle and support phase while using usual and Free-Flow feet during descending stairs. Note: P1, P2, P3: Individual participants, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV. The individual and grouped loading boundaries including minimum and maximum of magnitude of forces, expressed in %BW and N, and moments, expressed in %BWm and Nm, applied on the anteroposterior, mediolateral and long axes of the implant fitted with usual and Free-Flow feet during walking, ascending and descending ramp and stairs are presented in Table 2, Table 5, Table 8, Table 11, Table 14, respectively.
Table 2

Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during walking.

P1
P2
P3
All
MinMaxMinMaxMinMaxMinMax
USU
 F AP(%BW)−10.0732.23−4.4239.05−16.0017.28−16.0039.05
 F ML(%BW)−0.9714.21−8.007.40−3.349.29−8.0014.21
 F LG(%BW)−2.64105.49−12.02110.87−10.88108.01−12.02110.87
 M AP(%BWm)−1.830.80−1.210.62−1.910.61−1.910.80
 M ML(%BWm)−2.459.78−3.018.66−2.618.17−3.019.78
 M LG(%BWm)−0.800.82−0.380.79−0.460.60−0.800.82
 F AP(N)−107.75344.96−35.32312.22−90.7197.96−107.75344.96
 F ML(N)−10.38152.15−63.9359.16−18.9552.64−63.93152.15
 F LG(N)−28.311,129.25−96.08886.40−61.66612.21−96.081,129.25
 M AP(Nm)−19.608.56−9.664.99−10.853.46−19.608.56
 M ML(Nm)−26.23104.64−24.0469.22−14.8246.29−26.23104.64
 M LG(Nm)−8.528.75−3.066.29−2.603.42−8.528.75
FFF
 F AP(%BW)−7.4827.52−4.5141.20−13.1618.94−13.1641.20
 F ML(%BW)−2.8114.25−8.295.70−3.789.53−8.2914.25
 F LG(%BW)−23.52101.95−12.53102.50−5.54106.84−23.52106.84
 M AP(%BWm)−1.490.53−0.651.11−1.770.84−1.771.11
 M ML(%BWm)−2.056.75−3.238.08−2.268.22−3.238.22
 M LG(%BWm)−0.540.55−0.410.69−0.400.59−0.540.69
 F AP(N)−80.06294.61−36.05329.36−74.58107.35−80.06329.36
 F ML(N)−30.08152.52−66.2545.56−21.4454.00−66.25152.52
 F LG(N)−251.751,091.39−100.19819.50−31.43605.60−251.751,091.39
 M AP(Nm)−15.925.72−5.208.91−10.024.76−15.928.91
 M ML(Nm)−21.9872.23−25.8264.64−12.7946.60−25.8272.23
 M LG(Nm)−5.835.86−3.255.49−2.243.35−5.835.86

Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Table 5

Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during ascending ramp.

P1
P2
P3
All
MinMaxMinMaxMinMaxMinMax
FFF
 F AP(%BW)−0.8034.940.1648.35−9.5316.48−9.5348.35
 F ML(%BW)−1.9413.83−4.354.76−3.165.79−4.3513.83
 F LG(%BW)−5.52103.09−3.6099.41−6.49109.26−6.49109.26
 M AP(%BWm)−1.000.44−0.340.46−2.050.34−2.050.46
 M ML(%BWm)−0.319.61−0.819.61−0.2312.02−0.8112.02
 M LG(%BWm)−0.221.08−0.550.42−0.090.42−0.551.08
 F AP(N)−8.57373.981.31386.60−54.0493.42−54.04386.60
 F ML(N)−20.81148.01−34.7538.06−17.8932.83−34.75148.01
 F LG(N)−59.061,103.56−28.76794.76−36.77619.33−59.061,103.56
 M AP(Nm)−10.684.75−2.753.66−11.631.93−11.634.75
 M ML(Nm)−3.36102.87−6.4676.85−1.3168.13−6.46102.87
 M LG(Nm)−2.3111.56−4.373.35−0.522.40−4.3711.56
USU
 F AP(%BW)0.0939.792.9434.02−11.7212.36−11.7239.79
 F ML(%BW)−0.3211.99−4.031.77−1.887.33−4.0311.99
 F LG(%BW)−1.79103.65−3.00101.61−10.71110.13−10.71110.13
 M AP(%BWm)−0.160.78−0.720.05−1.510.24−1.510.78
 M ML(%BWm)−0.7313.17−0.3810.53−0.3810.78−0.7313.17
 M LG(%BWm)−0.180.87−0.630.00−0.180.63−0.630.87
 F AP(N)0.91425.9223.47271.98−66.4270.04−66.42425.92
 F ML(N)−3.40128.35−32.1914.16−10.6841.57−32.19128.35
 F LG(N)−19.161,109.52−24.01812.36−60.73624.22−60.731,109.52
 M AP(Nm)−1.718.37−5.760.37−8.541.37−8.548.37
 M ML(Nm)−7.85140.95−3.0684.20−2.1561.10−7.85140.95
 M LG(Nm)−1.989.33−5.010.01−1.033.55−5.019.33
All
 F AP(%BW)−0.8039.790.1648.35−11.7216.48−11.7248.35
 F ML(%BW)−1.9413.83−4.354.76−3.167.33−4.3513.83
 F LG(%BW)−5.52103.65−3.60101.61−10.71110.13−10.71110.13
 M AP(%BWm)−1.000.78−0.720.46−2.050.34−2.050.78
 M ML(%BWm)−0.7313.17−0.8110.53−0.3812.02−0.8113.17
 M LG(%BWm)−0.221.08−0.630.42−0.180.63−0.631.08
 F AP(N)−8.57425.921.31386.60−66.4293.42−66.42425.92
 F ML(N)−20.81148.01−34.7538.06−17.8941.57−34.75148.01
 F LG(N)−59.061,109.52−28.76812.36−60.73624.22−60.731,109.52
 M AP(Nm)−10.688.37−5.763.66−11.631.93−11.638.37
 M ML(Nm)−7.85140.95−6.4684.20−2.1568.13−7.85140.95
 M LG(Nm)−2.3111.56−5.013.35−1.033.55−5.0111.56

Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Table 8

Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during descending ramp.

P1
P2
P3
All
MinMaxMinMaxMinMaxMinMax
USU
 F AP(%BW)−20.0523.80−6.2347.95−18.7411.76−20.0547.95
 F ML(%BW)−0.9312.50−5.886.43−2.599.16−5.8812.50
 F LG(%BW)−4.27109.30−21.9286.82−6.53105.63−21.92109.30
 M AP(%BWm)−2.200.45−0.440.32−1.600.35−2.200.45
 M ML(%BWm)−4.253.99−2.575.23−4.020.63−4.255.23
 M LG(%BWm)−0.660.40−0.320.52−0.310.28−0.660.52
 F AP(N)−214.58254.78−49.78383.37−106.2066.69−214.58383.37
 F ML(N)−9.95133.76−46.9951.37−14.6951.93−46.99133.76
 F LG(N)−45.721,170.03−175.22694.12−36.99598.72−175.221,170.03
 M AP(Nm)−23.544.79−3.542.57−9.061.98−23.544.79
 M ML(Nm)−45.4942.68−20.5341.82−22.793.58−45.4942.68
 M LG(Nm)−7.014.26−2.544.18−1.741.59−7.014.26
FFF
 F AP(%BW)−12.8025.16−6.2347.95−14.666.53−14.6647.95
 F ML(%BW)−1.4714.05−5.886.43−1.377.76−5.8814.05
 F LG(%BW)−1.84110.12−21.9286.82−3.33108.99−21.92110.12
 M AP(%BWm)−1.890.33−0.440.32−0.790.34−1.890.34
 M ML(%BWm)−3.604.93−2.575.23−3.720.27−3.725.23
 M LG(%BWm)−0.550.62−0.320.52−0.310.29−0.550.62
 F AP(N)−137.04269.30−49.78383.37−83.0937.02−137.04383.37
 F ML(N)−15.73150.37−46.9951.37−7.7443.99−46.99150.37
 F LG(N)−19.741,178.84−175.22694.12−18.89617.80−175.221,178.84
 M AP(Nm)−20.193.53−3.542.57−4.501.93−20.193.53
 M ML(Nm)−38.4852.78−20.5341.82−21.091.55−38.4852.78
 M LG(Nm)−5.866.69−2.544.18−1.741.66−5.866.69

Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Table 11

Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during ascending stairs.

P1
P2
P3
All
MinMaxMinMaxMinMaxMinMax
USU
 F AP(%BW)−0.2642.13−2.8837.90−14.9514.81−14.9542.13
 F ML(%BW)−1.1215.20−4.858.25−3.226.93−4.8515.20
 F LG(%BW)−1.34105.93−4.2899.29−20.92100.12−20.92105.93
 M AP(%BWm)−0.360.89−0.840.56−0.691.39−0.841.39
 M ML(%BWm)−0.2410.46−0.697.29−0.707.45−0.7010.46
 M LG(%BWm)−0.250.89−1.010.74−0.550.09−1.010.89
 F AP(N)−2.74450.96−23.13303.87−84.7783.93−84.77450.96
 F ML(N)−12.03162.73−38.8966.12−18.2639.29−38.89162.73
 F LG(N)−14.321,133.99−34.35796.14−118.59567.52−118.591,133.99
 M AP(Nm)−3.899.55−6.764.53−3.937.90−6.769.55
 M ML(Nm)−2.52111.94−5.5358.43−3.9442.21−5.53111.94
 M LG(Nm)−2.639.50−8.135.96−3.100.51−8.139.50
FFF
 F AP(%BW)−0.7429.02−1.5039.02−14.2112.31−14.2139.02
 F ML(%BW)−0.0413.43−4.588.23−2.786.05−4.5813.43
 F LG(%BW)−0.45106.63−3.49103.29−3.04106.28−3.49106.63
 M AP(%BWm)−0.780.41−0.421.31−1.141.16−1.141.31
 M ML(%BWm)−0.077.59−0.557.58−0.723.51−0.727.59
 M LG(%BWm)−0.680.38−0.751.19−0.500.17−0.751.19
 F AP(N)−7.97310.65−11.99312.89−80.5569.76−80.55312.89
 F ML(N)−0.43143.76−36.7565.97−15.7734.28−36.75143.76
 F LG(N)−4.851,141.42−28.02828.23−17.25602.43−28.021,141.42
 M AP(Nm)−8.374.41−3.3410.49−6.446.60−8.3710.49
 M ML(Nm)−0.7181.29−4.3960.74−4.1019.90−4.3981.29
 M LG(Nm)−7.324.12−6.049.54−2.840.95−7.329.54

Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Table 14

Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during descending stairs.

P1
P2
P3
All
MinMaxMinMaxMinMaxMinMax
USU
 F AP(%BW)−3.2029.11−0.4232.57−16.987.87−16.9832.57
 F ML(%BW)−1.6716.73−9.365.53−2.296.87−9.3616.73
 F LG(%BW)0.00100.00−4.70105.28−10.65112.07−10.65112.07
 M AP(%BWm)−0.840.68−0.820.44−1.530.29−1.530.68
 M ML(%BWm)−0.748.03−0.706.88−2.362.46−2.368.03
 M LG(%BWm)−0.531.18−0.760.05−0.180.77−0.761.18
 F AP(N)−34.25311.56−3.32260.38−96.2544.62−96.25311.56
 F ML(N)−17.84179.10−74.8444.24−12.9638.96−74.84179.10
 F LG(N)0.011,070.45−37.59841.72−60.35635.24−60.351,070.45
 M AP(Nm)−9.017.30−6.533.52−8.691.65−9.017.30
 M ML(Nm)−7.9085.95−5.5754.99−13.3713.92−13.3785.95
 M LG(Nm)−5.7112.59−6.100.42−1.024.39−6.1012.59
FFF
 F AP(%BW)−3.6029.36−0.3938.54−11.426.28−11.4238.54
 F ML(%BW)−0.2115.81−8.974.70−1.967.20−8.9715.81
 F LG(%BW)0.88100.37−13.43104.80−2.19106.85−13.43106.85
 M AP(%BWm)−1.470.21−0.301.38−1.110.19−1.471.38
 M ML(%BWm)−0.476.29−1.186.49−1.232.17−1.236.49
 M LG(%BWm)−0.610.90−0.970.10−0.580.54−0.970.90
 F AP(N)−38.58314.31−3.12308.10−64.7235.62−64.72314.31
 F ML(N)−2.25169.28−71.6837.56−11.1140.80−71.68169.28
 F LG(N)9.461,074.47−107.35837.88−12.43605.67−107.351,074.47
 M AP(Nm)−15.722.22−2.3711.01−6.321.09−15.7211.01
 M ML(Nm)−5.0467.35−9.4251.93−6.9612.28−9.4267.35
 M LG(Nm)−6.579.67−7.760.77−3.263.06−7.769.67

Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Loading boundaries including minimum and maximum magnitude of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during descending stairs. Note: P1, P2, P3: Individual participants, Min: minimum magnitude, Max: maximum magnitude, F: force expressed in %BW and N, M: moments expressed in %BWm and Nm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis. The individual and grouped mean and standard deviation of individual onset, expressed in percentage of support phase, and magnitude of the local extrema of forces in %BW and moments in %BWm applied on the anteroposterior, mediolateral and long axes of the implant fitted with usual and Free-Flow feet during walking, ascending and descending ramp and stairs are presented in Table 3, Table 6, Table 9, Table 12, Table 15, respectively.
Table 3

Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during walking.

P1P2P3All
USU
Onset
F AP19.85 ± 3.67H5.42 ± 3.01H17.09 ± 5.64H12.99 ± 6.97H
F AP284.38 ± 3.57L78.63 ± 12.94L84.84 ± 3.31L83.23 ± 7.42L
F ML164.46 ± 20.35H33.32 ± 9.38H35.36 ± 6.84L39.77 ± 15.47H
F LG131.23 ± 7.88H36.84 ± 16.14H49.69 ± 19.22H43.40 ± 18.57H
M AP191.54 ± 4.35L90.37 ± 24.83H96.13 ± 3.58L93.94 ± 12.79L
M ML112.46 ± 5.43H14.47 ± 6.91H12.64 ± 2.29L13.06 ± 4.43H
M ML283.00 ± 6.35L80.00 ± 7.31L72.93 ± 4.55L76.38 ± 6.99L
Magnitude
F AP1−7.70 ± 2.17H−2.42 ± 1.31H−13.26 ± 1.28L−9.65 ± 4.85H
F AP228.62 ± 2.49L36.70 ± 2.24L13.99 ± 1.53L22.07 ± 10.15H
F ML112.41 ± 1.16L5.16 ± 1.63H8.30 ± 0.62L8.22 ± 2.53H
F LG196.49 ± 3.90L102.04 ± 5.14L103.65 ± 2.46L102.05 ± 4.36L
M AP10.68 ± 0.12L0.02 ± 0.13H−0.01 ± 0.06H0.11 ± 0.27H
M ML1−2.05 ± 0.38L−2.46 ± 0.52H−1.79 ± 0.35L−2.00 ± 0.49H
M ML2
9.25 ± 0.38
L
8.22 ± 0.31
L
7.44 ± 0.41
L
7.94 ± 0.78
L
FFF
Onset
F AP113.11 ± 7.10H3.79 ± 3.31H19.92 ± 8.53H15.11 ± 9.62H
F AP279.50 ± 5.29L78.14 ± 6.50L81.46 ± 3.27L80.09 ± 5.68L
F ML173.00 ± 6.90L36.29 ± 25.20H33.56 ± 5.06L43.41 ± 20.85H
F LG155.39 ± 24.94H45.29 ± 22.11H40.52 ± 14.54H45.68 ± 19.78H
M AP194.06 ± 4.11L45.50 ± 23.49H97.42 ± 3.94L72.30 ± 20.02H
M ML113.56 ± 3.90H9.07 ± 3.05H11.56 ± 2.71H11.50 ± 3.68H
M ML283.67 ± 5.10L74.21 ± 7.78L74.76 ± 3.78L76.95 ± 7.00L
Magnitude
F AP1−5.56 ± 1.68H−1.14 ± 1.36H−10.65 ± 1.14L−7.49 ± 3.92H
F AP223.69 ± 3.67L38.53 ± 1.31L16.68 ± 1.31L22.87 ± 8.69H
F ML112.39 ± 1.21L3.58 ± 0.78H8.31 ± 0.55L8.23 ± 3.20H
F LG197.47 ± 2.49L94.62 ± 4.97L102.68 ± 1.73L99.69 ± 4.60L
M AP10.31 ± 0.10H0.37 ± 0.20H−0.04 ± 0.08H0.90 ± 0.56H
M ML1−1.50 ± 0.27L−1.76 ± 0.56H−1.69 ± 0.29L−1.63 ± 0.37H
M ML26.31 ± 0.34L7.62 ± 0.33L7.45 ± 0.55L7.19 ± 0.70L

Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Table 6

Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during ascending ramp. H: High PV, L: Low PV. NOTE: P2 performed only one trial with USU leg and was not reported here.

P1P2P3All
USU
Onset
F AP158.83 ± 23.02H84.70 ± 3.30L75.12 ± 18.13H
F ML146.67 ± 18.65H29.20 ± 11.45H35.82 ± 15.94H
F LG148.00 ± 25.80H65.20 ± 16.12H59.65 ± 20.91H
M AP181.17 ± 29.46H73.10 ± 8.28L73.82 ± 20.38H
M ML11.33 ± 0.52H4.50 ± 2.32H3.24 ± 2.36H
M ML282.17 ± 3.25L69.60 ± 12.01L74.29 ± 11.02L
M LG167.40 ± 15.84H65.70 ± 9.71L68.82 ± 13.65L
Magnitude
F AP138.44 ± 1.59L10.65 ± 1.14L21.83 ± 13.87H
F ML111.03 ± 0.83L5.20 ± 1.11H7.06 ± 3.27H
F LG195.93 ± 5.17L102.45 ± 5.43L100.10 ± 5.92L
M AP1−0.08 ± 0.06H−1.40 ± 0.09L−0.90 ± 0.65H
M ML1−0.01 ± 0.46H−0.24 ± 0.10H−0.10 ± 0.35H
M ML211.93 ± 0.97L10.47 ± 0.16L10.99 ± 0.91L
M LG1
0.80 ± 0.15
L


0.47 ± 0.08
L
0.55 ± 0.22
H
FFF
Onset
F AP172.71 ± 16.82H40.40 ± 5.50L82.67 ± 3.93L67.06 ± 20.49H
F ML150.43 ± 16.99H47.80 ± 4.92L22.50 ± 7.31H40.39 ± 17.14H
F LG154.57 ± 23.28H66.20 ± 19.47H70.50 ± 3.21L63.11 ± 18.32H
M AP165.14 ± 20.28H49.80 ± 4.32L74.67 ± 2.58L64.06 ± 15.86H
M ML11.71 ± 0.49H2.40 ± 0.55H4.50 ± 1.38H2.83 ± 1.50H
M ML276.29 ± 7.89L80.20 ± 1.79L73.17 ± 3.31L76.33 ± 5.82L
M LG165.29 ± 12.72L67.60 ± 18.47H72.83 ± 2.79L68.44 ± 12.28L
Magnitude
F AP129.40 ± 1.81L42.61 ± 3.90L14.98 ± 1.10L28.26 ± 11.33H
F ML111.90 ± 1.42L3.68 ± 0.97H4.63 ± 0.75L7.19 ± 4.02H
F LG198.74 ± 4.18L96.31 ± 2.16L105.14 ± 4.25L100.20 ± 5.15L
M AP1−0.74 ± 0.19H−0.26 ± 0.08H−1.96 ± 0.09L−1.01 ± 0.73H
M ML10.07 ± 0.21H0.01 ± 0.18H−0.13 ± 0.10H−0.01 ± 0.18H
M ML28.97 ± 0.46L8.84 ± 0.56L11.75 ± 0.23L9.86 ± 1.44L
M LG10.85 ± 0.15L0.21 ± 0.14H0.36 ± 0.05L0.51 ± 0.31H

Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Table 9

Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet descending ramp.

P1P2P3All
USU
Onset
F AP124.89 ± 9.52H6.00 ± 3.56H39.00 ± 12.08H29.04 ± 15.60H
F ML173.56 ± 10.37L69.00 ± 23.15H58.00 ± 14.32H65.08 ± 15.86H
F LG149.22 ± 13.22H54.50 ± 14.46H54.54 ± 14.40H52.69 ± 13.68H
M AP151.89 ± 17.34H68.75 ± 34.22H60.31 ± 14.23H58.69 ± 19.18H
M ML135.78 ± 12.42H19.25 ± 7.68H64.46 ± 10.46L47.58 ± 20.87H
M ML289.89 ± 2.76L67.00 ± 14.72H96.31 ± 2.87L89.58 ± 11.73L
M LG191.22 ± 5.61L71.50 ± 34.89H89.92 ± 7.22L87.54 ± 15.17L
Magnitude
F AP1−13.36 ± 3.12H−2.81 ± 2.49H−17.00 ± 1.13L−13.56 ± 5.40H
F ML110.80 ± 1.13L4.64 ± 1.44H6.84 ± 1.02L7.87 ± 2.54H
F LG1103.20 ± 4.96L71.50 ± 15.28H103.12 ± 2.57L98.28 ± 13.22L
M AP1−1.93 ± 0.18L−0.33 ± 0.08H−1.22 ± 0.17L−1.33 ± 0.57H
M ML1−4.04 ± 0.24L−2.28 ± 0.21L−3.56 ± 0.23L−3.53 ± 0.63L
M ML23.35 ± 0.57L4.72 ± 0.43L0.06 ± 0.29H1.91 ± 1.99H
M LG1
0.22 ± 0.12
H
0.34 ± 0.07
H
0.19 ± 0.06
H
0.22 ± 0.10
H
FFF
Onset
F AP126.50 ± 16.44H6.00 ± 3.56H24.20 ± 9.17H20.09 ± 13.20H
F ML170.30 ± 8.00L69.00 ± 23.15H38.07 ± 9.02H61.77 ± 23.19H
F LG134.80 ± 14.97H54.50 ± 14.46H45.33 ± 21.36H46.43 ± 19.88H
M AP148.80 ± 16.95H68.75 ± 34.22H52.67 ± 17.88H63.89 ± 25.10H
M ML125.20 ± 9.41H19.25 ± 7.68H33.20 ± 10.61H26.51 ± 10.93H
M ML293.40 ± 5.30L67.00 ± 14.72H96.07 ± 3.17L88.17 ± 11.81L
M LG189.50 ± 4.03L71.50 ± 34.89H87.80 ± 7.78L87.43 ± 11.84L
Magnitude
F AP1−9.10 ± 3.02H−2.81 ± 2.49H−13.80 ± 0.75L−9.03 ± 5.34H
F ML111.39 ± 1.43L4.64 ± 1.44H6.80 ± 0.56L7.09 ± 3.25H
F LG1103.82 ± 4.83L71.50 ± 15.28H103.42 ± 2.45L98.26 ± 9.74L
M AP1−1.70 ± 0.25L−0.33 ± 0.08H−0.72 ± 0.07L−0.81 ± 0.65H
M ML1−2.80 ± 0.84H−2.28 ± 0.21L−3.19 ± 0.32L−2.61 ± 0.88H
M ML21.59 ± 1.51H4.72 ± 0.43L−0.10 ± 0.15H1.46 ± 1.82H
M LG10.22 ± 0.19H0.34 ± 0.07H0.21 ± 0.05H0.26 ± 0.14H

Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Table 12

Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during ascending stairs.

P1P2P3All
USU
Onset
F AP172.40 ± 25.13H24.67 ± 7.09H19.20 ± 7.56H40.92 ± 30.22H
F ML141.80 ± 25.82H27.67 ± 4.51L40.00 ± 18.23H37.85 ± 19.26H
F LG182.00 ± 4.69L65.33 ± 28.88H75.40 ± 5.68L75.62 ± 14.16L
M AP172.60 ± 33.32H100.00 ± 0.00L76.60 ± 5.50L80.46 ± 22.53H
M ML12.00 ± 0.00L6.00 ± 4.00H13.20 ± 15.48H7.23 ± 10.45H
M ML283.40 ± 3.97L76.67 ± 11.02L81.80 ± 4.09L81.23 ± 6.19L
M LG18.00 ± 6.00H7.33 ± 4.16H27.00 ± 7.48H15.15 ± 11.34H
M LG257.20 ± 21.58H55.00 ± 26.29H94.80 ± 3.03L71.15 ± 25.55H
Magnitude
F AP135.72 ± 4.55L36.35 ± 2.60L13.27 ± 1.29L27.23 ± 11.86H
F ML113.90 ± 1.51L6.37 ± 2.13H6.16 ± 0.60L9.18 ± 4.09H
F LG199.33 ± 5.12L93.83 ± 6.90L97.96 ± 2.72L97.53 ± 4.90L
M AP10.53 ± 0.18H−0.09 ± 0.12H1.28 ± 0.07L0.68 ± 0.57H
M ML10.16 ± 0.32H0.11 ± 0.69H−0.15 ± 0.42H0.03 ± 0.44H
M ML29.93 ± 0.42L6.96 ± 0.44L6.41 ± 1.21L7.89 ± 1.85H
M LG1−0.06 ± 0.11H−0.58 ± 0.38H−0.47 ± 0.07L−0.34 ± 0.29H
M LG2
0.68 ± 0.17
H
0.55 ± 0.24
H
0.04 ± 0.04
H
0.41 ± 0.34
H
FFF
Onset
F AP182.25 ± 0.96L37.00 ± 17.23H43.40 ± 32.04H48.83 ± 26.96H
F ML131.75 ± 12.28H42.67 ± 21.14H46.80 ± 12.13H41.39 ± 17.40H
F LG169.75 ± 24.51H76.78 ± 4.18L63.20 ± 18.74H71.44 ± 15.25H
M AP175.75 ± 37.35H49.33 ± 23.59H67.00 ± 26.57H60.11 ± 28.41H
M ML12.00 ± 0.00L1.44 ± 0.53H16.80 ± 18.94H5.83 ± 11.56H
M ML283.75 ± 0.50L77.78 ± 3.99L82.40 ± 2.30L80.39 ± 4.03L
M LG128.50 ± 3.11L18.22 ± 8.03H44.00 ± 19.66H27.67 ± 15.77H
M LG272.50 ± 14.93H73.89 ± 11.15L87.00 ± 27.42H77.22 ± 17.72H
Magnitude
F AP126.97 ± 1.49L36.07 ± 2.08L9.19 ± 3.91H26.58 ± 11.95H
F ML112.93 ± 0.42L5.38 ± 1.70H5.71 ± 0.43L7.15 ± 3.40H
F LG1102.67 ± 3.79L97.36 ± 3.87L97.21 ± 5.79L98.50 ± 4.77L
M AP10.01 ± 0.16H0.86 ± 0.29H0.84 ± 0.35H0.66 ± 0.45H
M ML10.08 ± 0.11H−0.05 ± 0.09H−0.34 ± 0.37H−0.10 ± 0.25H
M ML27.26 ± 0.30L6.45 ± 0.86L3.19 ± 0.33L5.72 ± 1.76H
M LG1−0.38 ± 0.23H−0.53 ± 0.13H−0.34 ± 0.16H−0.44 ± 0.18H
M LG20.30 ± 0.10H0.68 ± 0.34H0.12 ± 0.04H0.44 ± 0.35H

Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Table 15

Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during descending stairs.

P1P2P3All
USU
Onset
F AP164.60 ± 6.69L66.50 ± 3.54L87.10 ± 5.20L78.06 ± 12.31L
F ML157.80 ± 15.45H24.50 ± 2.12L55.80 ± 11.17H52.71 ± 15.61H
F LG142.40 ± 12.20H30.50 ± 28.99H42.00 ± 18.18H40.76 ± 17.05H
M AP151.80 ± 40.79H7.00 ± 0.00L10.00 ± 23.22H52.65 ± 29.61H
M ML164.80 ± 4.92L55.50 ± 4.95L81.40 ± 10.62L73.47 ± 13.20L
Magnitude
F AP125.01 ± 2.61L30.18 ± 2.85L4.90 ± 1.97H13.78 ± 11.24H
F ML113.36 ± 2.67H4.30 ± 1.75H5.88 ± 0.64L7.89 ± 3.96H
F LG192.02 ± 6.70L95.08 ± 7.25L105.46 ± 6.07L100.25 ± 8.78L
M AP10.42 ± 0.19H0.38 ± 0.08H0.12 ± 0.10H0.99 ± 0.52H
M ML1
6.91 ± 0.94
L
6.19 ± 0.97
L
1.51 ± 0.57
H
3.65 ± 2.73
H
FFF
Onset
F AP173.67 ± 8.43L62.80 ± 10.06L85.88 ± 6.29L71.00 ± 15.40H
F ML166.83 ± 15.65H32.40 ± 18.46H51.13 ± 16.61H51.16 ± 20.75H
F LG141.00 ± 13.48H23.80 ± 18.54H54.63 ± 20.44H42.21 ± 21.27H
M AP136.00 ± 45.55H7.80 ± 1.30L18.88 ± 32.89H34.21 ± 35.11H
M ML172.67 ± 8.45L53.20 ± 5.02L80.25 ± 9.63L70.74 ± 13.73L
Magnitude
F AP125.83 ± 3.10L32.90 ± 4.97L4.88 ± 1.92H19.31 ± 12.45H
F ML113.63 ± 2.07L3.75 ± 0.71L5.86 ± 0.94L7.76 ± 4.38H
F LG197.78 ± 3.23L91.50 ± 16.43L102.20 ± 2.40L97.92 ± 9.24L
M AP10.05 ± 0.09H1.20 ± 0.21L0.13 ± 0.06H0.68 ± 0.55H
M ML15.55 ± 0.55L5.56 ± 1.03L1.82 ± 0.28L3.98 ± 1.98H

Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Mean and standard deviation of onset in percentage of support phase and magnitude of up to three local extremum of forces and moments applied on the three anatomical axes of the implant fitted prosthesis including usual and Free-Flow feet during descending stairs. Note: P1, P2, P3: Individual participants, F: force expressed in %BW, M: moments expressed in %BWm, USU: usual feet, FFF: Free-Flow feet, H: High PV, L: Low PV, AP: Anteroposterior axis, ML: Mediolateral axis, LG: long axis.

Alignment

The information about the alignment is provided in Fig. 1.

Level walking

The spatio-temporal characteristics, loading boundaries as well as onset and magnitude of up to three local extremum during walking are presented in Table 1, Table 2, Table 3.

Ascending ramp

The spatio-temporal characteristics, loading boundaries as well as onset and magnitude of up to three local extremum during ascending ramp are presented in Table 4, Table 5, Table 6.

Descending ramp

The spatio-temporal characteristics, loading boundaries as well as onset and magnitude of up to three local extremum during descending ramp are presented in Table 7, Table 8, Table 9.

Ascending stairs

The spatio-temporal characteristics, loading boundaries as well as onset and magnitude of up to three local extremum during ascending stairs are presented in Table 10, Table 11, Table 12.

Descending stairs

The spatio-temporal characteristics, loading boundaries as well as onset and magnitude of up to three local extremum during descending stairs are presented in Table 13, Table 14, Table 15.

Experimental design, materials, and methods

Recording of daily activities

Participants fitted with transtibial bone-anchored prostheses including with their own or Free-Flow prosthetic foot performed three and five trials of five standardized daily activities including straight-line level walking (5–10 m walkway), ascending and descending ramp (2.5 m, 13.7 deg incline) and stairs (3 stairs, 20 cm height, 24.5 cm deep, 100 cm wide) following protocol previously used for individuals with transfemoral amputation [1], [2], [3], [4], [5], [6]. Participants were instructed to complete each activity at a self-selected comfortable pace as well as to use handrails and take sufficient rest between trials to avoid fatigue if needed.

Apparatus to measure loading

For each activity, the raw loading data was recorded directly using a state-of-the-art portable kinetic system (iPecsLab, RTC Inc, US) including a tri-axial transducer sending forces and moments data wirelessly data (200 Hz) applied on the implant to a receiver connected to a laptop nearby with an accuracy better than 1 N and 1 Nm, respectively [5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15]. The raw loading datasets were imported into a Matlab program and offset according to load yielded during calibration and further expressed in Nm and percentage of bodyweight (%BWm).

Extraction of loading characteristics

Spatio-temporal characteristics including cadence, duration of gait cycle and support phase were determined after manual detection of heel contacts and toe offs using pattern on the forces applied on anteroposterior and long axes of the implant [12]. All loading characteristics were normalized as percentage of the bodyweight. Onsets of the loading local extremum were reported as percentage of support phase after it was time-normalized from 0 to 100% each gait cycle [12]. The loading boundaries per activity corresponding to magnitude of minimum and maximum of the three components of forces and moments for all gait cycles considered without consideration for the time of occurrence. The loading local extremum for each of the three components of forces and moments corresponded points of inflection between loading slopes that occur consistently over successive gait cycles for a given activity across all participants. The local extremum were detected semi-automatically using searches of maximum or minimum loading magnitude within a set time window.

Variability

Individual variability of each loading characteristics was determined using the percentage of variation (PV = absolute [[standard deviation/mean] ×100]). We considered than a PV inferior or superior to 20% indicated a low (L) or high (H) variability, respectively [5].

Specifications Table

Subject areaBiomechanics
More specific subject areaGait analysis of individuals using lower limb prosthesis
Type of dataFigure, table
How data was acquiredThree participants walked consecutively with two instrumented transtibial bone-anchored prostheses including their own prosthetic feet and Free-Flow foot. Loading profile was recorded by a state-of-the-art portable kinetic system (iPecLab, RTC Inc, US) including a multi-axis transducer attached to osseointegrated fixation.
Data formatRaw and Analyzed
Experimental factorsAll loading data were time-normalized from 0 to 100% during the support phase
Experimental featuresParticipants were asked to perform up to five trials of level walking in straight-line, ascending and descending ramp and stairs at self-selected comfortable pace with transtibial bone-anchored prostheses fitted with connector, a transducer attached with pyramidal adaptors, a pylon, either their own or Free-Flow prosthetic foot.
Data source locationBrisbane, Australia, Queensland University of Technology
Data accessibilityData is with this article. Transparency data associated with this article can be found in the online version at https://doi.org/10.17632/vhc6sf7ngy.1
Related research articleFrossard, L., B. Leech, and M. Pitkin, Loading applied on osseointegrated implant by transtibial bone-anchored prostheses during daily activities: Preliminary characterization of prosthetic feet. Accepted [1].
Value of the Data

The individual data collected for the first time includes the three forces and moments applied on osseointegrated fixation that where generated while walking with transtibial bone-anchored prostheses including prosthetic feet with different index of anthropomorphicity. This information provides valuable insight into inter-participant variability in variables characterizing load profile.

The individual loading data presented here constitutes an initial benchmark of spatio-temporal characteristics as well as loading boundaries and local extremum on the anteroposterior, mediolateral and long axes of the implant during walking, ascending and descending ramp and stairs with transtibial bone-anchored prostheses. This baseline information could be used in future meta-analyses or comparative studies involving other cohorts of individuals fitted with transtibial bone-anchored or socket-suspended prostheses, respectively.

The inter-participant variability of loading characteristics, more particularly, the range of the loading applied can be used as mechanical constrain input in finite element models. This will be enhancing reflectiveness of the models and, subsequently, improve design efficacy and safety of prosthetic components and osseointegrated implants parts.

The inter-participant variability of loading characteristics is critical to assist the design of algorithms capable to characterize in real-time the load profile applied on a residuum during daily activities. This will greatly facilitate processing of large ecological datasets relying on embedded load cell to measure directly forces and moments applied on residuum.

The inter-participant variability of loading characteristics provided here can educate the design of subsequent clinical trials testing effect of particular intervention (e.g., effect of choice and alignment of prosthetic components). For instance, the ranges of differences between the usual and Free-Flow feet can informed the sample size required to achieve sufficient statistical power during analytical planning stage.

  11 in total

1.  Transducer-based comparisons of the prosthetic feet used by transtibial amputees for different walking activities: a pilot study.

Authors:  Edward Schreiber Neumann; Kartheek Yalamanchili; Justin Brink; Joon S Lee
Journal:  Prosthet Orthot Int       Date:  2012-02-17       Impact factor: 1.895

2.  Kinetics of transfemoral amputees with osseointegrated fixation performing common activities of daily living.

Authors:  Winson C C Lee; Laurent A Frossard; Kerstin Hagberg; Eva Haggstrom; Rickard Brånemark; John H Evans; Mark J Pearcy
Journal:  Clin Biomech (Bristol, Avon)       Date:  2007-04-02       Impact factor: 2.063

3.  Magnitude and variability of loading on the osseointegrated implant of transfemoral amputees during walking.

Authors:  Winson C C Lee; Laurent A Frossard; Kerstin Hagberg; Eva Haggstrom; David Lee Gow; Steven Gray; Rickard Brånemark
Journal:  Med Eng Phys       Date:  2007-10-31       Impact factor: 2.242

4.  Monitoring of the load regime applied on the osseointegrated fixation of a trans-femoral amputee: a tool for evidence-based practice.

Authors:  Laurent Frossard; Nathan Stevenson; James Smeathers; Eva Häggström; Kerstin Hagberg; John Sullivan; David Ewins; David Lee Gow; Steven Gray; Rickard Brånemark
Journal:  Prosthet Orthot Int       Date:  2008-03       Impact factor: 1.895

5.  Load-relief of walking AIDS on osseointegrated fixation: instrument for evidence-based practice.

Authors:  Laurent Frossard; Kerstin Hagberg; Eva Haggstrom; Richard Branemark
Journal:  IEEE Trans Neural Syst Rehabil Eng       Date:  2009-02       Impact factor: 3.802

6.  Load applied on bone-anchored transfemoral prosthesis: characterization of a prosthesis-a pilot study.

Authors:  Laurent Frossard; Eva Häggström; Kerstin Hagberg; Rickard Brånemark
Journal:  J Rehabil Res Dev       Date:  2013

7.  Apparatus for monitoring load bearing rehabilitation exercises of a transfemoral amputee fitted with an osseointegrated fixation: a proof-of-concept study.

Authors:  Laurent Frossard; David Lee Gow; Kerstin Hagberg; Nicola Cairns; Bill Contoyannis; Steven Gray; Richard Brånemark; Mark Pearcy
Journal:  Gait Posture       Date:  2009-11-18       Impact factor: 2.840

8.  Dynamic input to determine hip joint moments, power and work on the prosthetic limb of transfemoral amputees: ground reaction vs knee reaction.

Authors:  Laurent Frossard; Laurence Cheze; Raphael Dumas
Journal:  Prosthet Orthot Int       Date:  2011-06       Impact factor: 1.895

9.  Cross-validation of a portable, six-degree-of-freedom load cell for use in lower-limb prosthetics research.

Authors:  Sara R Koehler; Yasin Y Dhaher; Andrew H Hansen
Journal:  J Biomech       Date:  2014-02-15       Impact factor: 2.712

10.  Inter-participant variability data in characterization of anthropomorphicity of prosthetic feet fitted to bone-anchored transtibial prosthesis.

Authors:  Laurent Frossard; Barry Leech; Mark Pitkin
Journal:  Data Brief       Date:  2019-07-23
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  1 in total

1.  Loading Effect of Prosthetic Feet's Anthropomorphicity on Transtibial Osseointegrated Implant.

Authors:  Mark Pitkin; Laurent Frossard
Journal:  Mil Med       Date:  2021-01-25       Impact factor: 1.437

  1 in total

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