A digital workflow for personalized design of the interface parts integrated in a powered ankle foot orthosis (PAFO)

The use of actuated exoskeletons in gait rehabilitation increased significantly in recent years. Although most of these exoskeletons are produced with a generic cuff, at the foot and ankle there are a lot of bony prominences and a limited amount of soft tissue, making it less comfortable. Furthermore, a proper alignment of the actuation systems is essential for the correct functioning of the exoskeleton. Therefore, we propose a digital workflow for the design of bespoke cuffs as interface parts of a powered ankle foot orthoses (PAFO). Moreover, this digital workflow permits the creation of axis and points of reference for the anatomical features which allows not only for the creation of custom-made cuffs but also for the integration and alignment of the PAFO mechanical components and actuation unit.