日本人に適した義足足部の検討

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Almost everyone in Jaapn normally wears shoes outdoors, but does not use any kind of foot-wear expect for socks or Japanse "tabi" socks inside his home. Not only is the temperature very high in Japan during summer, but it is also very humid. Therefore, there is need for special lower extermity prosthesis which is more suitable for the Japanese in their daily life. Research on foot-ankle assemblies is being carried out as our initial work. 1. Commercially available foot-ankle assemblies which are made in both foreign countries and Japan were listed and evaluated. Almost all foot-ankle assemblies made in foreign countries are good in quality, but they are not suitable for walking on "tatami mat"; whereas, the domestically produced assemblies do not fit shoes snubly and are also poor in overall quality compared to the imported assemblies. No foot-ankle assemblies which are considered suitable for Japanese A. D. L. could be found among both the foreign an domestically assemblies. 2. A survey was made on 159 lower extermity amputees who are receiving pension in the Kansai area. Among the many different types of foot-ankle assemblies in use, the conventional single axis assemblies are most extensively used in Japan, numbering about 87%. The SACH foot is used somewhat less extensively which is only almost 5%. Most of the amputees have complaints in using their fot-ankle assemblies, which included trouble with the single axixs joint, excessive noise, etc. Most female amputees want to wear shoes with high heels. 3. The above survey shows that lower extermity amputees in Japan need foot-ankle assemblies which are suitable for walking with both shoes (high heels in case of women) and barefoot. We are now making two kinds of experimental foot-ankle assemblies which will be most suitable for hte japanese. One of them has an adjustable couping for variable ankle angle fiting both shoes and barefoot. The other has a connector for various prosthetic feet which completely fits with any types of footwear. Both of them incorporate the SACH foot.
社団法人日本リハビリテーション医学会の論文
1976-06-18

日本人に適した義足足部の検討

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