3D gait assessment in young and elderly subjects using foot-worn inertial sensors

This study describes the validation of a new wearable system for assessment of 3D spatial parameters of gait. The new method is based on the detection of temporal parameters, coupled to optimized fusion and de-drifted integration of inertial signals. Composed of two wirelesses inertial modules attached on feet, the system provides stride length, stride velocity, foot clearance, and turning angle parameters at each gait cycle, based on the computation of 3D foot kinematics. Accuracy and precision of the proposed system were compared to an optical motion capture system as reference. Its repeatability across measurements (test-retest reliability) was also evaluated. Measurements were performed in 10 young (mean age 26.1 +/- 2.8 years) and 10 elderly volunteers (mean age 71.6 +/- 4.6 years) who were asked to perform U-shaped and 8-shaped walking trials, and then a 6-min walking test (6 MWT). A total of 974 gait cycles were used to compare gait parameters with the reference system. Mean accuracy +/- precision was 1.5 +/- 6.8 cm for stride length, 1.4 +/- 5.6 cm/s for stride velocity, 1.9 +/- 2.0 cm for foot clearance, and 1.6 +/- 6.1 degrees for turning angle. Difference in gait performance was observed between young and elderly volunteers during the 6 MWT particularly in foot clearance. The proposed method allows to analyze various aspects of gait, including turns, gait initiation and termination, or inter-cycle variability. The system is lightweight, easy to wear and use, and suitable for clinical application requiring objective evaluation of gait outside of the lab environment. (C) 2010 Elsevier Ltd. All rights reserved.

Measurement of Multi-segment Foot Joint Angles During Gait Using a Wearable System

Kamiar Aminian, Xavier Crevoisier, Julien Favre, Hossein Rouhani

Usually the measurement of multi-segment foot and ankle complex kinematics is done with stationary motion capture devices which are limited to use in a gait laboratory. This study aimed to propose and validate a wearable system to measure the foot and ankle complex joint angles during gait in daily conditions, and then to investigate its suitability for clinical evaluations. The foot and ankle complex consisted of four segments (shank, hindfoot, forefoot, and toes), with an inertial measurement unit (3D gyroscopes and 3D accelerometers) attached to each segment. The angles between the four segments were calculated in the sagittal, coronal, and transverse planes using a new algorithm combining strap-down integration and detection of low-acceleration instants. To validate the joint angles measured by the wearable system, three subjects walked on a treadmill for five minutes at three different speeds. A camera-based stationary system that used a cluster of markers on each segment was used as a reference. To test the suitability of the system for clinical evaluation, the joint angle ranges were compared between a group of 10 healthy subjects and a group of 12 patients with ankle osteoarthritis, during two 50-m walking trials where the wearable system was attached to each subject. On average, over all joints and walking speeds, the RMS differences and correlation coefficients between the angular curves obtained using the wearable system and the stationary system were 1 deg and 0.93, respectively. Moreover, this system was able to detect significant alteration of foot and ankle function between the group of patients with ankle osteoarthritis and the group of healthy subjects. In conclusion, this wearable system was accurate and suitable for clinical evaluation when used to measure the multi-segment foot and ankle complex kinematics during long-distance walks in daily life conditions. [DOI: 10.1115/1.4006674]

2012

Drift Reduction for Inertial Sensor Based Orientation and Position Estimation in the Presence of High Dynamic Variability During Competitive Skiing and Daily-Life Walking

Benedikt Fasel

Nowadays inertial sensors are extensively used for gait analysis. They can be used to perform temporal event detection (i.e. step detection) and to estimate the orientation of the feet and other body segments to determine walking speed and distance. Usually, orientation is estimated from integration of the measured angular velocity. Prior to integration of measured acceleration to obtain speed, the gravity component has to be estimated and removed. During each integration small measurement errors accumulate and result in so-called drift. Since the first uses of inertial sensors for gait analysis methods have been presented to model, estimate and remove the drift. The proposed methods worked well for relatively slow movements and movements taking place in the sagittal plane. Many methods also relied on periodically occurring static phases such as the stance phase during walking to correct the drift. Inertial sensors could also be used to track higher dynamic movements, for example in sports. Potential applications focus on two aspects: performance analysis and injury prevention. To better explain and predict performance, in-field measurements to assess the coordination, kinematics, and dynamics are key. While traditional movement analysis (e.g. video analysis) can answer most of the questions related to both performance and injury, they are cumbersome and complex to use in-field. Inertial sensors, however, are perfectly suited since they allow to measure the movement in any environment and are not restricted to certain capture volumes. Nevertheless, most sports have very high movement dynamics (e.g. fast direction changes, high speeds) and are therefore challenging for computing reliable estimates of orientation, speed and position. The inertial measurements are compromised by noise and movements oftentimes don't provide static or slow phases used in gait analysis for drift correction. Therefore, the present thesis aimed to propose and validate new methods to model, estimate and remove drift in sports and for movements taking place outdoors in uncontrolled environments. Three different strategies were proposed to measure the movement of classical cross-country skiing and ski mountaineering, alpine ski racing, and outdoor walking over several kilometres. For each activity specific biomechanical constraints and movement dynamics were exploited. The proposed methods rely only on inertial sensors and magnetometers and are able to provide orientation, speed, and position information with an accuracy and precision close to existing gold standards. The most complete system was designed in alpine ski racing, probably one of the most challenging sports for movement analysis. Extreme vibrations, high speeds of over 120 km/h and a timing resolution below 0.01 seconds require maximum accuracy and precision. The athlete's posture and the kinematics of his centre of mass both in a relative athlete-centred frame and in a global Earth-fixed frame could be obtained with high accuracy and precision. Where 3D video analysis requires a very complex experimental setup and takes several hours of post processing to analyse a single turn of a skier, the proposed system allows to measure multiple athletes and complete runs within minutes. Thus, new experimental designs to assess performance and injury risk in alpine ski racing became feasible, greatly helping to gain further knowledge about this highly complex and risky sport.

EPFL2017

Measurement of Multi-segment Foot Joint Angles During Gait Using a Wearable System

Kamiar Aminian, Xavier Crevoisier, Julien Favre, Hossein Rouhani

2012

Drift Reduction for Inertial Sensor Based Orientation and Position Estimation in the Presence of High Dynamic Variability During Competitive Skiing and Daily-Life Walking

Benedikt Fasel

EPFL2017