Donders Institute for Brain, Cognition and Behaviour
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Thesis defense Vera Kooiman (Donders Series 637)

8 February 2024

Promotors: prof. dr. ir. N.J.J. Verdonschot, prof. dr. V.G.M. Weerdesteyn
Co-promotor: dr. R.A. Leijendekkers

Gait analysis in transfemoral prosthetic users: biomechanics, metabolic cost, and cortical involvement

Amputation of a leg, specifically above the knee, has a major impact on functioning in daily life, with learning to walk with a leg prosthesis being one of the first steps in the rehabilitation process. This thesis evaluates existing and new developments in prosthetic technology to improve daily life for people using leg prosthesis. Research shows that a bone-anchored prosthesis, where an implant connects the prosthetic components directly to the skeleton, has minor benefits for people who do not experience problems using their socket prosthesis. In addition, a new smart and intuitive bone-anchored above-the-knee prosthesis has been developed within EU Horizon 2020 MyLeg project. The spherical ankle joint, adjustable ankle stiffness and active knee component have potentially benefits for a user's functioning. Nevertheless, substantial design improvements are needed to make a significant impact.