Universitat Internacional de Catalunya

Treatment Methods in Orthoprosthetics

Treatment Methods in Orthoprosthetics
6
13800
4
First semester
op
ELECTIVE
ELECTIVE
Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff


Email Mariano Fernández  mfernandezfa@uic.es

Introduction

The subject makes available to students the knowledge of the currently existing procedures to correct organic deficiencies, anomalies and alterations of the locomotor system through the indication and preparation of external correction devices (orthoses) or the replacement of organic segments using prostheses. The topics will introduce techniques used in the study of gait and limb movements in human beings as well as the methods of functional stimulation, reinnervation and neuroprosthesis.

The subject will have a high practical content where students can train skills related to orthotic and prosthetic engineering. In the same way, they will access specialized clinical facilities in orthopedic practice where they will be guided by specialists in this area of medicine. Students will work in the orthotics laboratory regarding the design and implementation of the different types of orthotics and prostheses with which to make these procedures available to the patient. Working side by side with renowned professionals in this field will lead to the understanding and completion of the theoretical knowledge acquired, introducing students to the real world of ortho-prosthetic technique.

Pre-course requirements

To have passed the following subjects of the First Year of Bioengineering: Anatomy and Physiology, and Biomaterials and Biocompatibility, and of the Second Year: Fundamental Biomechanics, Applied Pathology, and Fundamentals and Electronic Systems.

Complementary subjects

Neurosciences Applied to Orthotics, Computation, Robotics and Bionics, and Design and Image Diagnosis.


Objectives

To know the existing types of orthotics and prostheses.

To know their biomechanics and performance.

To know their indications.

To know and be able to assess the complementary means for diagnosing the deficiencies to be treated.

To know their design and customisation.

To know the materials used in their manufacture.

To know the electronic systems used in these products.

To know the manufacturing procedures and processes.

3D in design and manufacture of orthotics and prostheses.

Applied bionics.

To know how to adapt orthotics and prostheses to each patient.

Assessment of the different products in view of their functional capacity and results.


Competencies

  • CB3 - Students must have the ability to bring together and interpret significant data (normally within their area of study) and to issue judgements that include a reflection on important issues that are social, scientific or ethical in nature.
  • CB5 - Students have developed the necessary learning skills to undertake subsequent studies with a high degree of autonomy.
  • CE11 - To evaluate manufacturing, metrological and quality control systems and processes.
  • CE13 - To identify, understand and use the principles behind electronics, sensors, air conditioners and systems that acquire biomedical signals
  • CE9 - To apply the basic foundations of elasticity and the resistance of materials to the behaviour of actual volumes.

Learning outcomes

Presentation: Transmitting knowledge and activating cognitive processes in the student, involving their participation, through lessons on each of the topics.


Cooperative learning: Develop active learning through cooperative work strategies among students and fostering shared responsibility to achieve group goals.


Practical learning: The students will attend an Orthotics clinic and laboratory where they will acquire the necessary practical knowledge to indicate an orthosis or prosthesis according to the patient's needs. They will know the different options that exist to solve the different problems presented and will become familiar with the design, preparation, adaptation and repair of the aforementioned elements.


Problem-Based Learning:


From the statement, analysis, processing and solution of real problems

Promoting in the student the responsibility for their own learning

Developing a relevant knowledge base

Developing skills for critical evaluation and the acquisition of new knowledge

Developing skills to address complex problems and possible solutions

Develop skills for interpersonal relationships

Involve the students by encouraging their initiative and enthusiasm

Developing their cognitive, integrative, expression and communication skills


Syllabus

Theoretical contents

Module 0: Signature Introduction

Presentation of the signature. Evaluation methods. General orientation of the practices in the collaborating clinic.

 

Module I: Orthesis and Prosthesis

Theme 1. Ortesis extremidad superior, inferior and rachis

Upper end: Hombro, Codo, Muñeca, Mano

Lower end: Chair, Rodilla, Tobillo, Pie

Rachis: Cervical, Dorsal, Lumbar

Theme 2. Upper and lower extremity prostheses

Superior extremity: Disarticulation Hombro, Brazo, Forebrazo, Mano

Lower end: Disarticulation chair, Muslo, Pierna, Tobillo and pie

Theme 3. Medical and clinical aspects of prosthesis and orthoprosthesis

Complementary methods for diagnosis.

Clinical criteria for the indications of prosthesis and orthoprosthesis.

 

Module II: Modeling and Simulation Applied to Prostheses

Theme 4: Orthosis and lower limb prosthesis

Transfemoral and Transtibial Orthoprosthesis

Components

Shafted orthosis

 

Theme 5: Materials for orthesis

Suitable properties and materials

Polymers and Metals

Rigid and flexible orthosis

 

Theme 6: Orthoprosthesis modeling

numerical simulation

examples

 

Module III: Neuroprosthesis

Theme 7. Introduction to Orthesis and Exoskeletons

Types of exoskeletons

Exoskeleton-user interaction for assistance and recovery

Energy generation (Harvesting)

 

Theme 8. Neuroprosthetic control theory

Introduction to Control Theory

Controllers for postural control and human gait

Bio-inspired controllers

 

Theme 9. Reinervation and electrostimulation

Muscle reinnervation and patient cases, recording and control using EMG

Electroneurography (ENG), types of electrodes, recording and control by ENG

Sensory replacement mechanisms (sensory feedback)

FES (Functional Electrical Stimulation), current waveforms, Therapeutic effects.

 

practical contents

 

Module IV: Clinical Practices

Stay in an orthopedic clinic specializing in prosthesis.

 

Module V: Laboratory Practices

Ergonomic and functional adaptation of an upper limb prosthesis.

Additive manufacturing and rapid prototype applied to the design of orthesis and prosthesis

Processing and interpretation of biomedical signs of the human march.

Printing, fabrication, assembly and programming of the control of an upper limb exoskeleton.

Virtual reality for training and functional rehabilitation with exoskeleton.

Teaching and learning activities

In person



Totally participatory.

Expositive: Transmitting knowledge and activating cognitive processes in the student, involving their participation, through lessons on each of the topics.

Cooperative learning: Developing active learning through cooperative work strategies among students and promoting shared responsibility to achieve group goals.

Practical learning: The students will attend an Orthotoprosthetic clinic and laboratory where they will acquire the practical knowledge necessary to indicate an orthosis or prosthesis based on the patient's needs. They will know the different options that exist to solve the different problems presented, and they will become familiar with the design, preparation, adaptation and repair of such elements.

Problem Based Learning:

• From the statement, analysis, processing and solution of real problems

• Promoting in the student responsibility for their own learning

• Developing a relevant knowledge base

• Developing skills for critical evaluation and the acquisition of new knowledge

• Developing skills to pose complex problems and possible solutions

• Develop skills for interpersonal relationships

• Involve the student by increasing their initiative and enthusiasm

• Developing their cognitive, integrative, expression and communication skills.


Evaluation systems and criteria

In person



The evaluation will consist of the following elements:

A) Report on clinical practices (20%)

B) Partial examination (test type) (30%)

C) Laboratory Practices and Final Project (50%)

 

Important considerations:

  1. Plagiarism, copying or any other action that may be considered cheating will score zero in that evaluation section. Moreover, plagiarism during exams will mean the immediate failure of the whole subject.

  2. In the second-sitting exams, the maximum mark students will be able to obtain is "Excellent" (a mark with honours distinction will not be possible).

  3. Changes of the calendar, exam dates or the evaluation system will not be accepted.

  4. Exchange students (Erasmus and others) or students resitting will be subject to the same conditions as the rest of the students.

Bibliography and resources

Bibliographic resources, images and videos inserted in the class

Complementary basic bibliography:

  • J. Webster, D. Murphy, Atlas of Orthoses and Assistive Devices, 5th Edition. Elsevier 2018. ISBN: 9780323483230.

  • J. Hsu, J. Michael, J. Fisk, AAOS Atlas of Orthoses and Assistive Devices, 4th Ed, Mosby 2008

  • EduExo - The Robotic Exoskeleton Kit. Handbook and Tutorial. Beyond Robotics GmbH, 2019.

  • Farina, D., Jensen, W. and Akay, M. eds., 2013. Introduction to neural engineering for motor rehabilitation (Vol. 40). John Wiley & Sons.

  • Kuiken, T.A., Feuser, A.E.S. and Barlow, A.K. eds., 2013. Targeted muscle reinnervation: a neural interface for artificial limbs. Taylor & Francis.