Home⇛Recoletos Multidisciplinary Research Journal⇛vol. 1 no. Special Issue (2025)

Design and Development of an Ankle Rehabilitation Device

Jillian A. Bejoc | Randy K. Salazar | Lovelyn Tipon | Lance Aldwin Adlaon | Ulysses Cutamora | Alex Aparicio | Nera Mae Lagahid | Joselito Kuizon Jr | Janclyde Espinosa | Rhonieljoyd Navales | Francisco Emmanuel Munsayac Jr. Iii | Nilo T. Bugtai

Discipline: bioengineering, medical and biomedical engineering

 

Abstract:

Background: Ankle injuries significantly impair function and mobility. Timely physical therapy is crucial for minimizing complications, accelerating healing, and facilitating a quicker return to everyday life. Lapses in therapy adherence can have detrimental consequences, prolonging recovery and potentially leading to long-term limitations. This project intends to design and develop an assistive device prototype for foot ankle rehabilitation, improving access to and adherence to necessary therapy. Methods: A patient’s narrative on her experience with ankle injury and rehabilitation offered crucial information for designing and developing the ankle rehabilitation assistive device. A series of discussions led to establishing design requirements and device specifications ready for prototyping. Experts in engineering, nursing and medical care, physical therapy, and ergonomics contributed to innovating physical rehabilitation therapy. A prototype was constructed and subjected to functionality testing and initial evaluations. Results: Results of the prototype functionality tests show a need to make several adjustments, including changes in the driving mechanisms— improvements in the load capacity, programming, and control fine-tuning. Conclusion: Future work on the prototype includes the implementation of the functional test results. Subjecting the prototype to clinical testing and validation, developing and integrating the mobile app, IP registration, and commercialization.



References:

  1. AliExpress. (n.d.). Adjustable ankle rehabilitation foot pedal trainer. Retrieved May 13, 2025, from https://www.aliexpress.com/item/1005006232835995.html?gatewayAdapt=glo2ita
  2. Ankle and foot. (2018, February 5). Musculoskeletal Key. https://musculoskeletalkey.com/ankle-and-foot-2/
  3. Arthritis Foundation. (n.d.). Ankle anatomy. https://www.arthritis.org/health-wellness/about-arthritis/where-it-hurts/ankle-anatomy
  4. Asia Pacific Fragility Fracture Alliance. (2021, November 26). Bone fractures: A systematic analysis from the Global Burden of Disease Study 2019. https://apfracturealliance.org/bone-fractures-a-systematic-analysis-from-the-global-burden-of-disease-study-2019/
  5. Bayón, C., Hoorn, M. van, Barrientos, A., Rocón, E., Trost, J. P., & Asseldonk, E. van. (2023). Perspectives on ankle-foot technology for improving gait performance of children with cerebral palsy in daily-life: Requirements, needs and wishes. Journal of Neuroengineering and Rehabilitation, 20(1). https://doi.org/10.1186/s12984-023-01162-3
  6. Bleakley, C. M., O’Connor, S. R., Tully, M. A., Rocke, L. G., MacAuley, D. C., Bradbury, I., Keegan, S., & McDonough, S. M. (2010). Effect of accelerated rehabilitation on function after ankle sprain: Randomised controlled trial. BMJ, 340, c1964. https://doi.org/10.1136/bmj.c1964
  7. Cieza, A., Causey, K., Kamenov, K., Hanson, S. W., Chatterji, S., & Vos, T. (2020). Global estimates of the need for rehabilitation based on the global burden of disease study 2019: A systematic analysis for the global burden of disease study 2019. The Lancet, 396(10267). https://doi.org/10.1016/s0140-6736(20)32340-0
  8. Clinical Gate. (2015, March 11). The leg, ankle, and foot. https://clinicalgate.com/the-leg-ankle-and-foot/
  9. Conner, B. C., Remec, N. M., Michaels, C. M., Wallace, C. W., Andrisevic, E., & Lerner, Z. F. (2022). Relationship between ankle function and walking ability for children and young adults with cerebral palsy: A systematic review of deficits and targeted interventions. Gait & Posture, 91, 165–178. https://doi.org/10.1016/j.gaitpost.2021.10.024
  10. Crescencio, V., Wyndyll, S., Alajas, J., Torralba, K., Jude, R. , & Salazar, R. (2018). Lower limb kinematic analysis and design [Unpublished undergraduate thesis]. University of San Jose-Recoletos.
  11. Díaz, I., Gil, J. J., & Sánchez, E. (2011). Lower-Limb robotic rehabilitation: Literature review and challenges. Journal of Robotics, 2011, 1–11. https://doi.org/10.1155/2011/759764
  12. Dinkel, D., Rech, J. P., Hassan, M., DeSpiegelaere, H., Johanning, J., Pipinos, I., & Myers, S. (2023). A comparison of the perceptions of wearing an ankle foot orthosis by individuals with peripheral artery disease according to their baseline-level of physical activity. Journal of Bodywork and Movement Therapies, 35, 268–272. https://doi.org/10.1016/j.jbmt.2023.04.050
  13. Foot and ankle structure and function. (2023, March 30). Physiopedia. https://www.physio-pedia.com/index.php?title=Foot_and_Ankle_Structure_and_Function&oldid=329337
  14. Horak, F. B. (1987). Clinical measurement of postural control in adults. Physical Therapy, 67(12), 1881–1885. https://doi.org/10.1093/ptj/67.12.1881
  15. Jack, K., McLean, S. M., Moffett, J. K., & Gardiner, E. (2010). Barriers to treatment adherence in physiotherapy outpatient clinics: A systematic review. Manual Therapy, 15(3), 220–228. https://doi.org/10.1016/j.math.2009.12.004
  16. Ji, Y. H., Shin, D. B., Hwang, S. H., Han, Y. H., Lee, S. C., Jang, H. Y., & Han, C. S. (2018). Ankle module for wearable gait rehabilitation robot (Korean Patent No. 1019129200000) World Intellectual Property Organization (WIPO). https://patentscope.wipo.int/search/en/detail.jsf?docId=KR219380216&_cid=P11-M6U6WW-12161-1
  17. Kyriacou, H., Mostafa, A. M., Davies, B. M., & Khan, W. S. (2021). Principles and guidelines in the management of ankle fractures in adults. Journal of Perioperative Practice, 31(11), 175045892096902. https://doi.org/10.1177/1750458920969029
  18. Management of ankle sprains. (2025). Physiopedia. https://www.physio-pedia.com/index.php?title=Management_of_Ankle_Sprains&oldid=366925
  19. Martínez-Jiménez, E. M., Losa-Iglesias, M. E., Becerro-de-Bengoa-Vallejo, R., Díaz-Velázquez, J. I., López-López, D., Calvo-Lobo, C., & Rodríguez-Sanz, D. (2020). Immediate effects of intermittent bilateral ankle plantar flexors static stretching on balance and plantar pressures. Journal of Manipulative and Physiological Therapeutics, 43(1), 24–31. https://doi.org/10.1016/j.jmpt.2019.02.012
  20. Mehrholz, J., Pohl, M., Platz, T., Kugler, J., & Elsner, B. (2018). Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke. Cochrane Database of Systematic Reviews, 9(9). Cochrane Library. https://doi.org/10.1002/14651858.cd006876.pub5
  21. Moltedo, M., Baček, T., Verstraten, T., Rodriguez-Guerrero, C., Vanderborght, B., & Lefeber, D. (2018). Powered ankle-foot orthoses: The effects of the assistance on healthy and impaired users while walking. Journal of NeuroEngineering and Rehabilitation, 15(1), 1–25. https://doi.org/10.1186/s12984-018-0424-5
  22. National Institute for Health and Care Excellence. (2022, January 18). Rehabilitation after traumatic injury. https://www.nice.org.uk/guidance/ng211
  23. Nursultan, Z., Marco, C., & Balbayev, G. (2023). A portable robotic system for ankle joint rehabilitation. Electronics, 12(20), 4271. https://doi.org/10.3390/electronics12204271
  24. Ramadi, A., Beaupre, L. A., Heinrichs, L., & Pedersen, M. E. (2022). Recovery and return to activity 1 year after ankle fracture managed with open reduction and internal fixation: A prospective longitudinal cohort study. Foot & Ankle Orthopaedics, 7(2). https://doi.org/10.1177/24730114221091806
  25. Rehabilitation protocol for ankle fracture with ORIF. (n.d.). Massachusetts General Hospital. https://www.massgeneral.org/assets/mgh/pdf/orthopaedics/sports-medicine/physical-therapy/rehabilitation-protocol-for-ankle-fracture-with-orif.pdf
  26. RehabMart. (n.d.). Total Ankle Trainer ROM machine with two pedals. Retrieved May 13, 2025, from https://www.rehabmart.com/product/total-ankle-trainer-rom-machine-two-pedals-51473.html
  27. Runge, C. F., Shupert, C. L., Horak, F. B., & Zajac, F. E. (1999). Ankle and hip postural strategies defined by joint torques. Gait & Posture, 10(2), 161–170. https://doi.org/10.1016/s0966-6362(99)00032-6
  28. Sabalbal, M., Johnson, M., & McAlister, V. C. (2013). Absence of the genicular arterial anastomosis as generally depicted in textbooks. Annals of the Royal College of Surgeons of England, 95(6), 405–409. https://doi.org/10.1308/003588413x13629960046831
  29. Sale, P., Lombardi, V., & Franceschini, M. (2012). Hand robotics rehabilitation: Feasibility and preliminary results of a robotic treatment in patients with hemiparesis. Stroke Research and Treatment, 2012. https://doi.org/10.1155/2012/820931
  30. Shorter, K. A., Xia, J., Hsiao-Wecksler, E. T., Durfee, W. K., & Kogler, G. F. (2013). Technologies for powered ankle-foot orthotic systems: Possibilities and challenges. IEEE/ASME Transactions on Mechatronics, 18(1), 337–347. IEEE Xplore. https://doi.org/10.1109/TMECH.2011.2174799
  31. Slimmon, D., & Brukner, P. (2010). Sports ankle injuries: Assessment and management. Australian Family Physician, 39(1/2), 18–22. Informit. https://search.informit.org/doi/10.3316/informit.711096749930841
  32. Terrio, T. (2013). Ankle rehabilitation device (U.S. Patent No. 8,439,854 B2). World Intellectual Property Organization (WIPO). https://patentscope.wipo.int/search/en/detail.jsf?docId=US43449081&_cid=P11-M6U6WW-12161-34
  33. Vaughan, C. L., Davis, B. L., & O’Connor, J. C. (1999). Dynamics of human gait (2nd ed.). Kiboho Publishers.
  34. Vykoukal, J. (2021, December 22). The best exercises for broken ankles. Vive Health. https://www.vivehealth.com/blogs/resources/exercises-for-broken-ankle
  35. Walsh, T. P., Merlo, G., Rutter, C., Abell, B., Platt, S., & Arnold, J. B. (2022). Cost-Effectiveness of interventions for musculoskeletal foot and ankle conditions: A systematic review. Arthritis Care & Research, 74(4), 626–637. https://doi.org/10.1002/acr.24514
  36. Wilken, J., Rao, S., Estin, M., Saltzman, C., & Yack, H. J. (2011). A new device for assessing ankle dorsiflexion motion: Reliability and validity. Journal of Orthopaedic & Sports Physical Therapy, 41(4), 274–280. https://doi.org/10.2519/jospt.2011.3397
  37. World Health Organization. (2022, July 14). Musculoskeletal health. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions
  38. Xia, B. (2019). Medical joint rehabilitation physical therapy device based on ergonomics (Chinese Patent No. CN109806128A). World Intellectual Property Organization (WIPO). https://patentscope.wipo.int/search/en/detail.jsf?docId=CN243497943&_cid=P11-M6U6WW-12161-3
  39. Yamada, N., Okamoto, S., Akiyama, Y., & Yamada, Y. (2020). Principal motion analysis of manual stretching techniques for the ankle joints. Journal of Physical Therapy Science, 32(9), 584–590. https://doi.org/10.1589/jpts.32.584
  40. Zhang, L., Qin, T., Wen, C., Wang, X., Wang, P., Chen, Z., Zhu, H., Pei, Y., Wang, Y., & Li, L. (2016). Ankle foot rehabilitation training device and balance training system (Chinese Patent No. CN103961240B).World Intellectual Property Organization (WIPO). https://patentscope.wipo.int/search/en/detail.jsf?docId=KR219380216&_cid=P11-M6U6WW-12161-1
  41. Zoss, A. B., Kazerooni, H., & Chu, A. (2006). Biomechanical design of the Berkeley lower extremity exoskeleton (BLEEX). IEEE/ASME Transactions on Mechatronics, 11(2), 128–138. IEEE Xplore. https://doi.org/10.1109/tmech.2006.871087

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