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Ch07-I044963.fm  Page 27  Tuesday, August 1, 2006  12:30 PM
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                                          12:30 PM
                           Tuesday, August 1,2006
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                                 STUDY OF THE DESIGN METHOD                OF
                                      AN ANKLE-FOOT-ORTHOSIS


                                                              2
                                             1
                                  Yasuhiro Mine , Takamichi Takashima , Hiroshi  Fujimoto J
                                          1
                                            National Vocational Rehabilitation  Center
                                   (The Graduate  School of Human Sciences, Waseda  University)
                                   4-2 Namiki, Tokorozawa-City,  Saitama, 359-0042 Japan
                                   National Rehabilitation Center  for Persons with Disabilities
                                   4-2 Namiki, Tokorozawa-City,  Saitama, 359-0042 Japan
                                  3
                                   The Faculty  School of Human  Sciences, Waseda University
                                 2-579-15 Mikajima Tokorozawa-City,  Saitama 359-1192 Japan



                   ABSTRACT
                   Ankle-Foot  Orthoses  (AFO)  are  orthotics  for  patients  having  pathological  gait  represented  by  the
                   stroke.  In  this  study  three-dimensional  digital  data  from  a physical  object  was  extracted  by  using
                   3D-digitizer.  If we have  a 3D  digitized  orthotic  model,  the  shape  can be  modified  easily  and  Finite
                   Element  Analysis  (FEA)  and  Stereo-Lithography  (Rapid-Prototyping  System:RPS)  can  be  easily
                   done.  Continuing  the  research,  we  then  focused  on  patients  suffering  from  hemiplegics  stroke  in
                   order to develop  a method  of fabricating  the AFO, which  fit patients  even  more. The major  purpose
                   of  this  study  is  to  produce  an  orthotic  design  method  for  fitting  each  patient  by  measuring  spastic
                   muscle  action  and  by  deducing  parameters  for  an  orthosis  from  the  data.  We  will  have  to  consider
                   how the outcomes of measurements should be processed as parameters  in the design of 3DCAD.
                   KEYWORDS

                   Spasticity, Hemiplegic gait, Rehabilitation, Orthosis, 3Ddesign, Measurement
                   INTRODUCTION

                   Ankle-Foot  Orthoses  (AFO) are orthotics  for the patients who have the  pathological gait represented
                   by the stroke. They were using for the rehabilitation approach,  and they  support the pathological gait.
                   The conventional method  of fabricating  the plastic AFO  as follows:  a plaster  cast  of the leg is made,
                   then  a thermoplastic  resin  is molded,  with  the  basic  form  of  the  orthosis  shaped  by  trimming,  and
                   finally  the  fixtures  are  attached.  The  orthosis  is  adjusted  by  means  of  having  the  patient  wear  the
                   orthosis.  In  this  study,  three-dimensional  digital  data  from  a  physical  object  was  extracted  using  a
                   3D-digitizer.  The process of digital  scanning is made  possible when  some control lines are drawn on
                   the plaster model, and then the model is scanned  along these  control  lines. If we have  a 3D  digitized
                   orthotic model, the shape can be modified  easily and FEA and RPS can be easily done.
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