Assessment of Waveform Similarity in Clinical Gait Data: The Linear Fit Method

The assessment of waveform similarity is a crucial issue in gait analysis for the comparison of kinematic or kinetic patterns with reference data. A typical scenario is in fact the comparison of a patient's gait pattern with a relevant physiological pattern. This study aims to propose and validate a simple method for the assessment of waveform similarity in terms of shape, amplitude, and offset. The method relies on the interpretation of these three parameters, obtained through a linear fit applied to the two data sets under comparison plotted one against the other after time normalization. The validity of this linear fit method was tested in terms of appropriateness (comparing real gait data of 34 patients with cerebrovascular accident with those of 15 healthy subjects), reliability, sensitivity, and specificity (applying a cluster analysis on the real data). Results showed for this method good appropriateness, 94.1% of sensitivity, 93.3% of specificity, and good reliability. The LFM resulted in a simple method suitable for analysing the waveform similarity in clinical gait analysis.

[1]  Tao Liu,et al.  A Wearable Ground Reaction Force Sensor System and Its Application to the Measurement of Extrinsic Gait Variability , 2010, Sensors.

[2]  L. Defebvre,et al.  Kinematic angular parameters in PD: reliability of joint angle curves and comparison with healthy subjects. , 2008, Gait & posture.

[3]  T Claire Davies,et al.  The effect of hydrotherapy treatment on gait characteristics of hereditary spastic paraparesis patients. , 2014, Gait & posture.

[4]  S. Paolucci,et al.  Seven Capital Devices for the Future of Stroke Rehabilitation , 2012, Stroke research and treatment.

[5]  S. Simon Gait Analysis, Normal and Pathological Function. , 1993 .

[6]  Peter H Veltink,et al.  Ambulatory estimation of foot placement during walking using inertial sensors. , 2010, Journal of biomechanics.

[7]  Manuela Galli,et al.  A polynomial function of gait performance. , 2007, Functional neurology.

[8]  A Leardini,et al.  Inter-laboratory consistency of gait analysis measurements. , 2012, Gait & posture.

[9]  A Cappozzo,et al.  Mobility assessment of patients with facioscapulohumeral dystrophy. , 2007, Clinical biomechanics.

[10]  F. Lacquaniti,et al.  Motor patterns in human walking and running. , 2006, Journal of neurophysiology.

[11]  R. B. Davis,et al.  A gait analysis data collection and reduction technique , 1991 .

[12]  S. Delp,et al.  Capacity to increase walking speed is limited by impaired hip and ankle power generation in lower functioning persons post-stroke. , 2009, Gait & posture.

[13]  Idsart Kingma,et al.  Optimal inertial sensor location for ambulatory measurement of trunk inclination. , 2009, Journal of biomechanics.

[14]  Tao Liu,et al.  Development of a wearable sensor system for quantitative gait analysis , 2009 .

[15]  T Chau,et al.  A review of analytical techniques for gait data. Part 2: neural network and wavelet methods. , 2001, Gait & posture.

[16]  Sheldon R Simon,et al.  Quantification of human motion: gait analysis-benefits and limitations to its application to clinical problems. , 2004, Journal of biomechanics.

[17]  I. Davis,et al.  The symmetry angle: a novel, robust method of quantifying asymmetry. , 2008, Gait & posture.

[18]  David G Lloyd,et al.  Repeatability of gait data using a functional hip joint centre and a mean helical knee axis. , 2003, Journal of biomechanics.

[19]  Aurelio Cappozzo,et al.  Reconstruction of skeletal movement using skin markers: comparative assessment of bone pose estimators , 2006, Journal of NeuroEngineering and Rehabilitation.

[20]  Aurelio Cappozzo,et al.  Joint kinematics estimate using wearable inertial and magnetic sensing modules. , 2008, Gait & posture.

[21]  J Mizrahi,et al.  Some gait characteristics of below-knee amputees and their reflection on the ground reaction forces. , 1986, Engineering in medicine.

[22]  G. Zilvold,et al.  Consistency of surface EMG patterns obtained during gait from three laboratories using standardised measurement technique , 1997 .

[23]  Andrea Cereatti,et al.  A linear method for curve comparison in gait data , 2009 .

[24]  Marco Iosa,et al.  Functional taping: a promising technique for children with cerebral palsy , 2010, Developmental medicine and child neurology.

[25]  Richard Baker,et al.  Two methods of calculating thorax kinematics in children with myelomeningocele. , 2004, Clinical biomechanics.

[26]  Giovanni Morone,et al.  Relations or agreement between 6 minute walking distance and 10 meter walking speed? , 2012, Archives of physical medicine and rehabilitation.

[27]  Helena Saraste,et al.  Kinetics of compensatory gait in persons with myelomeningocele. , 2005, Gait & posture.

[28]  Roman Kamnik,et al.  An inertial and magnetic sensor based technique for joint angle measurement. , 2007, Journal of biomechanics.

[29]  Victoria L Chester,et al.  An extended index to quantify normality of gait in children. , 2007, Gait & posture.

[30]  H. K. Ramakrishnan,et al.  Repeatability of kinematic, kinetic, and electromyographic data in normal adult gait , 1989, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[31]  B. Dobkin,et al.  Reliability and Validity of Bilateral Ankle Accelerometer Algorithms for Activity Recognition and Walking Speed After Stroke , 2011, Stroke.

[32]  M Crivellini,et al.  Use of the normalcy index for the evaluation of gait pathology. , 2004, Gait & posture.

[33]  T Chau,et al.  A review of analytical techniques for gait data. Part 1: Fuzzy, statistical and fractal methods. , 2001, Gait & posture.

[34]  Aurelio Cappozzo,et al.  Journal of Neuroengineering and Rehabilitation Assessment of Level-walking Aperiodicity , 2022 .

[35]  Joyce P Trost,et al.  Measurement and management of errors in quantitative gait data. , 2004, Gait & posture.

[36]  Giovanni Morone,et al.  Letter by Iosa et al regarding article, "Reliability and validity of bilateral ankle accelerometer algorithms for activity recognition and walking speed after stroke". , 2011, Stroke.

[37]  Alfred D. Grant Gait Analysis: Normal and Pathological Function , 2010 .

[38]  James G Richards,et al.  A method for analyzing joint symmetry and normalcy, with an application to analyzing gait. , 2006, Gait & posture.