A new method for estimating joint parameters from motion data.
Joint centers and axes of rotation (joint parameters) are central to all branches of movement analysis. In gait analysis, the standard protocol used to determine hip and knee joint parameters is prone to errors arising from palpation, anthropometric regression equations, and misplaced alignment devices. Several alternative methods have been proposed, but to date none have been shown to be accurate and reliable enough for use in the clinical setting. This article describes a new method for joint parameter estimation. The new method can be summarized as follows: (i) the motions of two adjacent segments spanning a single joint are tracked, (ii) the axis of rotation between every pair of observed segment configurations is computed, (iii) the most likely intersection of all axes (effective joint center) and most likely orientation of the axes (effective joint axis) is found. Initial validation of the method was conducted on a hinged mechanical analog and a single healthy adult subject. For the analog, the center was found to be within 3.8 mm of the geometric center and 2.0 degrees of the geometric axis (standard deviation). For the adult subject, hip centers varied on the order of 1-3 mm, knee centers by 3-9 mm, and knee axes by 2.0 degrees. The results suggest that the new method is an objective, precise, and practical alternative to the standard clinical approach.
Schwartz
Michael H
MH
Gillette Children's Specialty Healthcare, Center for Gait and Motion Analysis, 200 East University Avenue, St. Paul, MN 55101, USA. schwa021@tc.umn.edu
Rozumalski
Adam
A
D000328:Adult; D005684:Gait; D006621:Hip Joint / Q000502:physiology*; D006801:Humans; D007719:Knee Joint / Q000502:physiology*; D008954:Models, Biological; D009038:Motion; D009985:Orthopedics / Q000379:methods*; D016059:Range of Motion, Articular; D012399:Rotation