scholarly journals A 2D Markerless Gait Analysis Methodology: Validation on Healthy Subjects

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Andrea Castelli ◽  
Gabriele Paolini ◽  
Andrea Cereatti ◽  
Ugo Della Croce
Keyword(s):  
Gait Analysis ◽  
Lower Limb ◽  
Sagittal Plane ◽  
Video Camera ◽  
Standing Position ◽  
Parameters Estimation ◽  
Reference Points ◽  
Analysis Methodology ◽  
Spatiotemporal Parameters ◽  
The Cost

A 2D markerless technique is proposed to perform lower limb sagittal plane kinematic analysis using a single video camera. A subject-specific, multisegmental model of the lower limb was calibrated with the subject in an upright standing position. Ankle socks and underwear garments were used to track the feet and pelvis segments, whereas shank and thigh segments were tracked by means of reference points identified on the model. The method was validated against a marker based clinical gait model. The accuracy of the spatiotemporal parameters estimation was found suitable for clinical use (errors between 1% and 3% of the corresponding true values). Comparison analysis of the kinematics patterns obtained with the two systems revealed high correlation for all the joints(0.82<R2<0.99). Differences between the joint kinematics estimates ranged from 3.9 deg to 6.1 deg for the hip, from 2.7 deg to 4.4 deg for the knee, and from 3.0 deg to 4.7 deg for the ankle. The proposed technique allows a quantitative assessment of the lower limb motion in the sagittal plane, simplifying the experimental setup and reducing the cost with respect to traditional marker based gait analysis protocols.

scholarly journals Online Reference Trajectory Adaptation: A Personalized Control Strategy for Lower Limb Exoskeletons

2021 ◽  
Author(s):  
Mohammad Shushtari ◽  
Rezvan Nasiri ◽  
Arash Arami
Keyword(s):  
Cost Function ◽  
Lower Limb ◽  
Interaction Force ◽  
Reference Trajectory ◽  
Time Symmetry ◽  
Spatiotemporal Parameters ◽  
Novel Method ◽  
The Cost ◽  
Limb Rehabilitation ◽  
Lower Limb Rehabilitation

This paper presents a novel method for reference trajectory adaptation in lower limb rehabilitation exoskeletons during walking. Our adaptation rule is extracted from a cost function that penalizes both interaction force and trajectory modification. By adding trajectory modification term into the cost function, we restrict the boundaries of the reference trajectory adaptation according to the patient's motor capacity. The performance of the proposed adaptation method is studied analytically in terms of convergence and optimality. We also developed a realistic dynamic walking simulator and utilized it in performance analysis of the presented method. The proposed trajectory adaptation technique guarantees convergence to a stable, reliable, and rhythmic reference trajectory with no prior knowledge about the human intended motion. Our simulations demonstrate the convergence of exoskeleton trajectories to those of simulated healthy subjects while the exoskeleton trajectories adapt less to the trajectories of patients with reduced motor capacity (less reliable trajectories). Furthermore, the gait stability and spatiotemporal parameters such as step time symmetry and minimum toe off clearance enhanced by the adaptation in all subjects. The presented mathematical analysis and simulation results show the applicability and effectiveness of the proposed method and its potential to be applied for trajectory adaptation in lower limb rehabilitation exoskeletons.

Commercial Video Frame Rates Can Produce Reliable Results for Both Normal and CP Spastic Gait’s Spatiotemporal, Angular, and Linear Displacement Variables

2011 ◽  
Vol 27 (3) ◽  
pp. 266-271 ◽  
Author(s):  
Thomas Nikodelis ◽  
Dimitra Moscha ◽  
Dimitris Metaxiotis ◽  
Iraklis Kollias
Keyword(s):  
Sagittal Plane ◽  
Low Cost ◽  
Video Camera ◽  
Sampling Frequency ◽  
Linear Displacement ◽  
Video Frame ◽  
Spatiotemporal Parameters ◽  
Highly Correlated ◽  
The One ◽  
Stride Parameters

To investigate what sampling frequency is adequate for gait, the correlation of spatiotemporal parameters and the kinematic differences, between normal and CP spastic gait, for three sampling frequencies (100 Hz, 50 Hz, 25 Hz) were assessed. Spatiotemporal, angular, and linear displacement variables in the sagittal plane along with their 1st and 2nd derivatives were analyzed. Spatiotemporal stride parameters were highly correlated among the three sampling frequencies. The statistical model (2 × 3 ANOVA) gave no interactions between the factors group and frequency, indicating that group differences were invariant of sampling frequency. Lower frequencies led to smoother curves for all the variables, with a loss of information though, especially for the 2nd derivatives, having a homologous effect as the one of oversmoothing. It is proposed that in the circumstance that only spatiotemporal stride parameters, as well as angular and linear displacements are to be used, in gait reports, then commercial video camera speeds (25/30 Hz, 50/60 Hz when deinterlaced) can be considered as a low-cost solution to produce acceptable results.

Body balance in a free-standing position in road and off-road cyclists

2014 ◽  
Vol 6 (4) ◽  
Author(s):  
Paulina Hebisz ◽  
Rafal Hebisz ◽  
Marek Zaton
Keyword(s):  
Sagittal Plane ◽  
Standing Position ◽  
The Body ◽  
Free Standing ◽  
Body Balance ◽  
Eyes Closed ◽  
Road Cycling ◽  
Progressive Exercise ◽  
Before And After ◽  
Road Cyclists

AbstractBackground: The purpose of this study was to compare body balance in road and off-road cyclists, immediately before and after the racing season.Material/Methods: Twenty individuals participated in the study and they were divided into two groups: specialists in road-cycling (n = 10) and in off-road cycling (n = 10). Immediately before and after the five-month racing season stabilographic trials were carried out (at rest and after progressive exercise). In assessing body balance the distance and velocity of the centre shifts (in the anterior-posterior and left-right direction) were analysed. The tests were performed with the cyclists’ eyes open, eyes closed, and in feedback.Results: After the racing season, in the off-road cyclists’ group, distance and velocity of the centre of pressure shifts increased after a progressive exercise.Conclusions: In the off-road cyclists’ group the balance of the body in the sagittal plane deteriorated after the racing season. Moreover, after the racing season off-road cyclists were characterized by a worse balance of the body, compared to road cyclists

scholarly journals Economic assessment of a community-based care package for people with lower limb disorder caused by lymphatic filariasis, podoconiosis and leprosy in Ethiopia

2020 ◽  
Vol 114 (12) ◽  
pp. 1021-1034
Author(s):  
Natalia Hounsome ◽  
Mersha Kinfe ◽  
Maya Semrau ◽  
Oumer Ali ◽  
Abraham Tesfaye ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lymphatic Filariasis ◽  
Lower Limb ◽  
Life Quality ◽  
Psychosocial Care ◽  
Northwest Ethiopia ◽  
World Health ◽  
Care Package ◽  
The Cost

Abstract We conducted an implementation research study to integrate a holistic package of physical health, mental health and psychosocial care for podoconiosis, lymphatic filariasis and leprosy into routine healthcare in Gusha cluster, Guagusa Shikudad district, northwest Ethiopia. The healthcare package included training patients in lower limb hygiene and skin care and provision of shoes, hygiene supplies and medication. The implementation activities included training events, workshops, awareness raising, self-help groups, supportive supervision, staff secondments and advisory board meetings. The cost of implementing the care package in Gusha cluster, with a population of 30 558 people, was 802 655 Ethiopian birr (ETB) (£48 159) and the cost of delivering care to 235 participants was 204 388 ETB (£12 263), or 870 ETB (£52) per person. There was a 35% decrease in the mean disability scores (measured using the World Health Organization Disability Assessment Schedule 2.0) and a 45% improvement in the dermatology-specific quality of life (measured using the Dermatology Life Quality Index) at the 3-month follow-up compared with baseline. There were reductions in the number of days with symptoms, days off usual activities/work and days with reduced activity due to illness, all of which were statistically significant. Our pilot suggests that integration of the care package into routine healthcare in Ethiopia may be effective in improving health-related quality of life and disability and reducing time out of economic activity due to illness.

scholarly journals Kinematic Analysis of Lower Limb Joint Asymmetry during Gait in People with Multiple Sclerosis

Symmetry ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 598
Author(s):  
Massimiliano Pau ◽  
Bruno Leban ◽  
Michela Deidda ◽  
Federica Putzolu ◽  
Micaela Porta ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Lower Limb ◽  
Sagittal Plane ◽  
Cross Sectional Study ◽  
Camera Motion ◽  
Cross Sectional ◽  
Temporal Parameters ◽  
Wide Range ◽  
Edss Score ◽  
Spatio Temporal

The majority of people with Multiple Sclerosis (pwMS), report lower limb motor dysfunctions, which may relevantly affect postural control, gait and a wide range of activities of daily living. While it is quite common to observe a different impact of the disease on the two limbs (i.e., one of them is more affected), less clear are the effects of such asymmetry on gait performance. The present retrospective cross-sectional study aimed to characterize the magnitude of interlimb asymmetry in pwMS, particularly as regards the joint kinematics, using parameters derived from angle-angle diagrams. To this end, we analyzed gait patterns of 101 pwMS (55 women, 46 men, mean age 46.3, average Expanded Disability Status Scale (EDSS) score 3.5, range 1–6.5) and 81 unaffected individuals age- and sex-matched who underwent 3D computerized gait analysis carried out using an eight-camera motion capture system. Spatio-temporal parameters and kinematics in the sagittal plane at hip, knee and ankle joints were considered for the analysis. The angular trends of left and right sides were processed to build synchronized angle–angle diagrams (cyclograms) for each joint, and symmetry was assessed by computing several geometrical features such as area, orientation and Trend Symmetry. Based on cyclogram orientation and Trend Symmetry, the results show that pwMS exhibit significantly greater asymmetry in all three joints with respect to unaffected individuals. In particular, orientation values were as follows: 5.1 of pwMS vs. 1.6 of unaffected individuals at hip joint, 7.0 vs. 1.5 at knee and 6.4 vs. 3.0 at ankle (p < 0.001 in all cases), while for Trend Symmetry we obtained at hip 1.7 of pwMS vs. 0.3 of unaffected individuals, 4.2 vs. 0.5 at knee and 8.5 vs. 1.5 at ankle (p < 0.001 in all cases). Moreover, the same parameters were sensitive enough to discriminate individuals of different disability levels. With few exceptions, all the calculated symmetry parameters were found significantly correlated with the main spatio-temporal parameters of gait and the EDSS score. In particular, large correlations were detected between Trend Symmetry and gait speed (with rho values in the range of –0.58 to –0.63 depending on the considered joint, p < 0.001) and between Trend Symmetry and EDSS score (rho = 0.62 to 0.69, p < 0.001). Such results suggest not only that MS is associated with significantly marked interlimb asymmetry during gait but also that such asymmetry worsens as the disease progresses and that it has a relevant impact on gait performances.

scholarly journals On Expressive Features for Gait Analysis using Lower Limb Inertial Sensor Data

2020 ◽  
Vol 53 (2) ◽  
pp. 15990-15997
Author(s):  
Felix Laufer ◽  
Michael Lorenz ◽  
Bertram Taetz ◽  
Gabriele Bleser
Keyword(s):  
Gait Analysis ◽  
Lower Limb ◽  
Inertial Sensor ◽  
Sensor Data

scholarly journals Standard reference values of the upper body posture in healthy middle-aged female adults in Germany

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniela Ohlendorf ◽  
Polyna Sosnov ◽  
Julia Keller ◽  
Eileen M. Wanke ◽  
Gerhard Oremek ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Standing Position ◽  
Repeated Measurements ◽  
Clinical Diagnostics ◽  
Body Posture ◽  
Upper Body ◽  
Back Surface ◽  
Left Shoulder ◽  
Upper Body Posture ◽  
Standard Values

AbstractIn order to classify and analyze the parameters of upper body posture, a baseline in form of standard values is demanded. To this date, standard values have only been published for healthy young women. Data for female adults between 51 and 60 years are lacking. 101 symptom-free female volunteers aged 51–60 (55.16 ± 2.89) years. The mean height of the volunteers was 1.66 ± 0.62 m, with a mean body weight of 69.3 ± 11.88 kg and an average BMI of 25.02 ± 4.55 kg/m2. By means of video raster stereography, a 3D-scan of the upper back surface was measured in a habitual standing position. The confidence interval, tolerance range and ICCs were calculated for all parameters. The habitual standing position is almost symmetrical in the frontal plane the most prominent deviation being a slightly more ventral position of the left shoulder blade in comparison to the right. The upper body (spine position) is inclined ventrally with a minor tilt to the left. In the sagittal plane, the kyphosis angle of the thoracic spine is greater than the lordosis angle of the lumbar spine. The pelvis is virtually evenly balanced with deviations from an ideal position falling under the measurement error margin of 1 mm/1°. There were also BMI influenced postural variations in the sagittal plane and shoulder distance. The ICCs are calculated from three repeated measurements and all parameters can be classified as "almost perfect". Deflections from an ideally symmetric spinal alignment in women aged 51–60 years are small-scaled, with a minimal frontal-left inclination and accentuated sigmoidal shape of the spine. Postural parameters presented in this survey allow for comparisons with other studies as well as the evaluation of clinical diagnostics and applications.

scholarly journals Biologically Inspired Design and Development of a Variable Stiffness Powered Ankle-Foot Prosthesis

2019 ◽  
Vol 11 (4) ◽  
Author(s):  
Alexander Agboola-Dobson ◽  
Guowu Wei ◽  
Lei Ren
Keyword(s):  
Lower Limb ◽  
Degrees Of Freedom ◽  
Sagittal Plane ◽  
Frontal Plane ◽  
Variable Stiffness ◽  
Plane Motion ◽  
Biologically Inspired ◽  
Passive Rotation ◽  
Ground Conditions ◽  
Biologically Inspired Design

Recent advancements in powered lower limb prostheses have appeased several difficulties faced by lower limb amputees by using a series-elastic actuator (SEA) to provide powered sagittal plane flexion. Unfortunately, these devices are currently unable to provide both powered sagittal plane flexion and two degrees of freedom (2-DOF) at the ankle, removing the ankle’s capacity to invert/evert, thus severely limiting terrain adaption capabilities and user comfort. The developed 2-DOF ankle system in this paper allows both powered flexion in the sagittal plane and passive rotation in the frontal plane; an SEA emulates the biomechanics of the gastrocnemius and Achilles tendon for flexion while a novel universal-joint system provides the 2-DOF. Several studies were undertaken to thoroughly characterize the capabilities of the device. Under both level- and sloped-ground conditions, ankle torque and kinematic data were obtained by using force-plates and a motion capture system. The device was found to be fully capable of providing powered sagittal plane motion and torque very close to that of a biological ankle while simultaneously being able to adapt to sloped terrain by undergoing frontal plane motion, thus providing 2-DOF at the ankle. These findings demonstrate that the device presented in this paper poses radical improvements to powered prosthetic ankle-foot device (PAFD) design.

scholarly journals Toward the Gait Analysis and Control of a Powered Lower Limb Orthosis in Ascending and Descending Stairs

2014 ◽  
Vol 79 ◽  
pp. 417-426 ◽  
Author(s):  
Hsien-Yung Huang ◽  
Jian-Shiang Chen ◽  
Chia-En Huang
Keyword(s):  
Gait Analysis ◽  
Lower Limb ◽  
And Control
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