Effect of skin movement artifact on knee kinematics during gait and cutting motions measured in vivo

Benoit, Daniel L.; Ramsey, Dan K.; Lamontagne, Mario; Xu, Lanyi; Wretenberg, Per; Renström, Per

Affiliations

¹Institution for Surgical Sciences, Section of Sports Medicine, Karolinska Institute, Stockholm, Sweden

²Department of Orthopaedics, Karolinska Hospital, Stockholm, Sweden

³Department of Mechanical Engineering, University of Delaware, 106 Spencer Lab, Newark, DE 19711, USA

⁴Department of Physical Therapy, University of Delaware, Newark, DE, USA

⁵Institution for Surgical Sciences, Section of Orthopaedics, Karolinska Institute, Stockholm, Sweden

⁶School of Human Kinetics, University of Ottawa, Ottawa, Canada

⁷Department of Mechanical Engineering, University of Ottawa, Ottawa, Canada

Abstract and keywords

Eight healthy male subjects had intra-cortical bone-pins inserted into the proximal tibia and distal femur. Three reflective markers were attached to each bone-pin and four reflective markers were mounted on the skin of the tibia and thigh, respectively. Roentgen-stereophotogrammetric analysis (RSA) was used to determine the anatomical reference frame of the tibia and femur. Knee joint motion was recorded during walking and cutting using infrared cameras sampling at 120 Hz. The kinematics derived from the bone-pin markers were compared with that of the skin-markers. Average rotational errors of up to 4.4° and 13.1° and translational errors of up to 13.0 and 16.1 mm were noted for the walk and cut, respectively. Although skin-marker derived kinematics could provide repeatable results this was not representative of the motion of the underlying bones. A standard error of measurement is proposed for the reporting of 3D knee joint kinematics.

Keywords: Soft tissue artifacts; Movement analysis; In vivo; Three-dimensional analysis; Knee joint

Links

DOI: 10.1016/j.gaitpost.2005.04.012

WoS: A1997XP39800001

History

Received: 2004-11-6

Revised: 2005-03-25

Accepted: 2005-04-9

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