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Open AccessJournal ArticleDOI

Reliability of four models for clinical gait analysis

TLDR
The modified 'gait2392' model, which included all the joint rotations commonly reported in clinical 3DGA, showed reasonable reliable joint kinematic and kinetic estimates, and allows additional musculoskeletal analysis on surgically adjustable parameters, and is a suitable model for clinical gait analysis.
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This article is published in Gait & Posture.The article was published on 2017-05-01 and is currently open access. It has received 114 citations till now. The article focuses on the topics: Gait (human) & Gait analysis.

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Citations
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Vector field statistical analysis of kinematic and force trajectories (vol 46, pg 2394, 2013)

TL;DR: The statistical parametric mapping (SPM) method as discussed by the authors uses random field theory to objectively identify field regions which co-vary significantly with the experimental design, which is an alternative to scalar extraction.
Journal ArticleDOI

Validation of wearable visual feedback for retraining foot progression angle using inertial sensors and an augmented reality headset

TL;DR: These findings demonstrate that retraining of the FPA using wearable inertial sensing and visual feedback is feasible with effectiveness matching closely an established laboratory method, and may reduce the complexity of gait retraining applications and facilitate their transfer to routine clinical practice.
Journal ArticleDOI

Effects of camera viewing angles on tracking kinematic gait patterns using Azure Kinect, Kinect v2 and Orbbec Astra Pro v2.

TL;DR: In this paper, the authors evaluated the accuracies of three depth sensors [Azure Kinect (AK); Kinect v2 (K2); Orbbec Astra (OA)] for tracking kinematic gait patterns during treadmill walking at five camera viewing angles.
Journal ArticleDOI

Inter-session repeatability of markerless motion capture gait kinematics.

TL;DR: In this article, the reliability of lower limb gait kinematics from video based markerless motion capture using an established experimental protocol for testing reliability was evaluated using three-dimensional pose estimates from the video data were used to compute lower limb joint angles.
Journal ArticleDOI

Are spasticity, weakness, selectivity, and passive range of motion related to gait deviations in children with spastic cerebral palsy? A statistical parametric mapping study

TL;DR: This study enabled the mapping of relationships between clinical impairments and gait deviations in children with CP, by identifying specific parts of the gait cycle that are related to each of these impairments.
References
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Journal ArticleDOI

OpenSim: Open-Source Software to Create and Analyze Dynamic Simulations of Movement

TL;DR: OpenSim is developed, a freely available, open-source software system that lets users develop models of musculoskeletal structures and create dynamic simulations of a wide variety of movements to simulate the dynamics of individuals with pathological gait and to explore the biomechanical effects of treatments.
Journal ArticleDOI

Measurement of lower extremity kinematics during level walking

TL;DR: The relatively small number of body surface markers used in the VICON system render it easy to implement for use in routine clinical gait evaluations and should be a useful reference for describing and comparing pathologic gait patterns.
Journal ArticleDOI

A gait analysis data collection and reduction technique

TL;DR: The gait analysis laboratory provides quantified assessments of human locomotion which assist in the orthopaedic management of various pediatric gait pathologies by utilizing a video-based data collection strategy similar to commercially available systems for motion data collection.
Journal ArticleDOI

Adjustments to Zatsiorsky-Seluyanov's segment inertia parameters.

TL;DR: In this paper, the authors adjust the mean relative center of mass positions and radii of gyration reported by Zatsiorsky et al. in order to reference them to the joint centers or other commonly used landmarks, rather than the original landmarks.
Related Papers (5)
Frequently Asked Questions (12)
Q1. What was the statistical parametric map used for each parameter?

Post hoc scalar field t-test with Bonferroni correction was used to compute a statistical parametric map for each parameter and comparison. 

Before any new model can be used in a clinical setting, its reliability has to be evaluated and compared to a commonly used clinical gait model ( e. g. Plug-in-Gait model ) which was the purpose of this study. The modified けェ ; キデヲンΓヲげ model which included all the joint rotations commonly reported in clinical 3DGA, showed reasonable reliable joint kinematic and kinetic estimates, and allows additional musculoskeletal analysis on surgically adjustable parameters, e. g. muscle-tendon lengths, and, therefore, is a suitable model for clinical gait analysis. 

Vicon Nexus 1.8.5 (Vicon Motion Systems, Oxford, UK) was used to label and filter marker trajectories and filter force plate data, with filters being a Butterworth 4th order zero-lag dual-pass, low pass filter with a cut-off frequency of 6Hz. 

The 3-1-1-DoF-IK model reliability results indicated lower inter- and intra-test SDs for hip internalexternal rotation angles compared to the 3-3-2-DoF-IK model, suggesting that joint constraints, i.e. fewer degrees-of-freedom, might increase the reliability of joint kinematics when using IK. 

In recent years, user friendly musculoskeletal modelling software (e.g. OpenSim [2] and AnyBody [3]) has emerged that additionally enables calculation of muscle-tendon length [4], muscle moment arm [5] and joint contact forces [6]. 

The medial-lateral axis was perpendicular to the previous axis inplane with a virtual point defined by the height adjusted 5th metatarsal head marker(height was set equal to the toe marker during the static pose). 

Many clinical gait laboratories rely on the conventional gait analysis model [7, 8], which employs a computational method termed Direct Kinematics (DK) to calculate joint kinematics. 

The commonly used model in clinical 3DGA is however the conventional gait model, which outputs three rotations for the knee joint and, therefore, the 3-1-1-DoF-IK model would not be suitable in many clinical settings. 

1. The Vicon Plug-in-Gait (PiG-DK) model [7, 8], a variant of the conventional gait analysismodel, used DK to calculate joint kinematics and outputs three rotations for the pelvissegment, hip and knee joint and two rotations for the ankle joint. 

Their confidence in using the conventional gait model is in part due to the demonstrated reliability of kinematic and kinetic data, which suggests that the magnitude of the errors obtained using this model are clinically reasonable [9]. 

The modified Harrington regression equations,using only pelvic width as a regressor [15-17], were used to define the hip joint centre. 

Accurate and reliable placement of these wand marker is challenging [28] and errors in the definition of the knee flexion-extension axis can significantly impact on knee internal-external rotations [29].