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2.2 Principles of Gait Kinematics
Kinematics is the subdivision of mechanics that deals with the geometry of
motion without regard to the forces causing the motion. Kinematics (and also
Kinetics) considers each body segment as a rigid body and kinematics
describes motion of each body segment in terms of displacement, velocity, and
acceleration in space.
The kernel of kinematic analysis is to know the position and orientation
of each body segment (rigid body) in space with respect to time. All of the
kinematic variables can be derived from this information.
Linear displacement, velocity, and acceleration can be calculated from the
position in space with respect to time.
Angular (rotational) displacement, velocity, and acceleration can be from the
orientation in space with respect to time.
A geometry of motion can be described relative to the fixed, global (or
laboratory) space or relative to another body segment (usually just proximal to
the specific body segment). For convenience, we can call the former absolute
kinematic data and the latter relative.
Twelve kinds of kinematic variables are generated from position and
orientation data. (See table 3.1.1) Among these, the most widely used variable
is relative, angular displacement, which is called joint angle. In
clinical and most of research situation, relative linear displacement is
ignored. Absolute angular and linear acceleration are the basic sources of
kinetic (dynamic) calculation. Absolute angular displacement is used to describe
the orientation of pelvis and feet. The pathway of center of gravity (CoG) is a
kind of absolute linear displacement.
Table 3.1.1 Usage of kinematic variables.
|
Linear (from position) |
Angular (Rotational) (from orientation) |
displacement |
Velocity |
acceleration |
displacement |
Velocity |
acceleration |
Absolute |
cog pathway |
|
used for inverse dynamics |
pelvis, foot orientation |
|
used for inverse dynamics |
Relative |
usu. ignored |
|
|
most of joint angles |
|
|
Degrees of freedom (DOF) is the number of independent parameters required to
completely characterize some system. We need 6 DOF - 3 translation (position)
and 3 rotation (orientation) - to completely describe the motion of a rigid body
in 3D space.
Global coordinate system (GCS) is the frame with respect to which positional
data of markers are provided by the stereophotogrammetric system. It is
arbitrary chosen and usually coincides with the photogrammetric calibration
object system.
The axes of GCS are usually defined as X, Y and Z according to right hand rule (hyperlink
to show right hand rule with fig). International
Society of Biomechanics recommended to define the X, Y and Z axes as below:
X coincides with the walking direction
assigned to the subject and points anteriorly.
Y is orthogonal to the floor and points
upwards.
Z goes from the left to the right-hand side
of the subject.
O the origin must lie on the floor and on
the midsagittal plane assigned to the subject.
Local coordinate system (LCS) is a Cartesian coordinate
system fixed on a moving rigid body. To define the LCS of a rigid body, we should
know the 3D positions (with respect to GCS) of at least three non-collinear points
(markers). (hyperlink to show generation of LCS
from 3 markers with animated figure) Without
defining the LCS, we can not describe 3D movement of a rigid body in 6 DOF.
For gait kinematic and kinetic analysis, a number of markers are attached on
specific locations of various body parts. Markers are tracked automatically by
optoelectronic system to be represented as points in 3D space. After automatic
tracking and 3D conversion, each marker has its own positional information/data
in GCS. The configuration of specific locations of markers is called marker set.
There are several conditions to be a good marker set.
Easy
to track automatically
|
Should minimize the chance of hiding or merging of the markers |
At least three noncolinear markers on a body segment
|
At least three markers are attached on a body
segment |
|
Can be reduced to 2 markers if we use virtual markers,
such as joint center |
|
For example, Helen Hayes marker set uses 13 or 15 markers
for 7 body segments. |
Able
to define anatomically relevant LCS
|
To estimate joint centers accurately and to define anatomical planes
(sagittal or coronal) of body segments should be warranted. |
APAS/Gait
can use 5 marker sets. Four marker sets among the 5 are the most widely
used. And one is newly developed specifically for APAS/Gait.
Here
are a brief description and a comparison table of the five marker sets:
1. Original Helen
Hayes(HHo) marker set that used by Davis and Kadaba.
2. Modified Helen
Hayes(HHm) marker set
3. Original Kit Vaughan's marker
set(KVo) - published on his 1st edition of
"Dynamic of human gait"
4. Modified Kit Vaughan's set (KVm) - published on his 2nd edition (CD ROM version)
5. Sun's marker set
* Comparison Table
* Marker sharing
** Marker Name and Position
Anthropometry
for marker sets (Anthro
for kinetics is not included)
** Body Segment Parameters to measure
** Body Segment Parameters to measure
Abbre
|
Full
Name
|
Measurement
|
Used by
|
R,L LL
|
leg length
|
From ASIS to med malleolus
|
HHm, HHo
|
R,L
Wkne
|
Knee width
|
From center of lat epicondyle to
med. epicondyle
|
HHm, HHo
|
R,L
Wank
|
Ankle width
|
From center of lat. Malleolus to
med. Malleolus
|
HHm, HHo
|
R,L
Vdis
|
Vertical distance
|
Vertical distance from GTRO to
ASIS
|
HHm, HHo
|
m_offset1
|
Offset 1
|
Offset
from bony landmark to center of larger marker* = radius of larger marker +
thickness of plate + thickness of skin and subcut tissue
|
HHm, HHo, Sun
|
m_offset2
|
Offset 2
|
Offset from bony landmark to
center of smaller marker = radius of smaller marker + hickness of plate +
thickness of skin and subcut tissue
|
Sun
|
ASISW
|
ASIS width
|
Distance between bilateral ASIS�s
|
HHm, HHo, KVo, KVm
|
R,L
malH
|
Malleolar height
|
Sole of foot to center of lat.
malleolus
|
Kvo, KVm
|
R,L
footL
|
Foot length
|
End of toe to heel
|
Kvo, KVm
|
R,L
footW
|
Foot width
|
Width of metatarsal head area
|
Kvo, KVm
|
R,L
MTHth
|
MT head thickness
|
Thickness of 2nd
metatarsal head
|
Sun, Kvo, KVm, HHm,
HHo,
|
R,L
H2GCMi
|
Heel to GCMi
|
Heel(bone) to GCM insertion
(i
direction)
|
Sun, Kvo, KVm, HHm,
HHo,
|
R,L
H2GCMj
|
Heel to GCMj
|
Heel(bone) to GCM insertion (j
direction)
|
Sun, Kvo, KVm, HHm,
HHo,
|
Beta
|
Beta angle
|
Angle from pelvis x ray analysis
|
HHm, HHo
|
theta
|
Theta angle
|
Angle from pelvis x ray analysis
|
HHm, HHo
|
* Normally use larger markers. Smaller
markers are for medial epicondyle, medial malleolus and heel.
Joint center and segment
axis estimation
*** Joint Center and bony landmarks Estimation
|
Hip
|
Knee
|
Ankle
|
HHo
|
Davis
|
Direction:
perpendicular line from thigh wand marker(R,LTHI_W) to the line between great. Trochanter marker (R,LGTRO) and Lat. Epicondyle
marker (R,LLCON)
Starting
point: Lat. Epicondyle marker (R,LLCON)
Amount:
half of knee width(R,LWkne) + radius of
marker
|
Direction:
perpendicular line from tibia wand marker(R,LTIB_W) to the line between
Lat. Epicondyle marker (R,LLCON) and Lat. Malleolus marker (R,LLMAL)
Starting
point: Lat. Malleolus marker (R,LLMAL)
Amount:
half of knee width(R,Lwank) + radius of
marker
|
HHm
|
Davis
|
Direction:
perpendicular line from thigh wand marker(R,LTHI_W) to the line between hip joint center and Lat. Epicondyle marker (R,LLCON)
Starting
point: Lat. Epicondyle marker (R,LLCON)
Amount:
half of knee width(R,LWkne) + radius of
marker
|
Same as the above
(HHo)
|
KVo
|
K.Vaughn
|
Specific point described by tibia marker based LCS (LCS from R,LCON,
R,LTTUB and R,LLMAL)
|
Specific point described by foot marker based LCS (LCS from R,LMT,
R,LHEEL and R,LLMAL)
for KVo, they use 5th MT head instead of 2nd
one.. But we used 2nd one.
|
KVm
|
K.Vaughn
|
Direction:
perpendicular line from tibia wand marker(R,LTIB_W) to the line between
Lat. Epicondyle marker (R,LLCON) and Lat. Malleolus marker (R,LLMAL)
Starting
point: Lat. Epicondyle marker (R,LLCON)
Amount:
half of knee width(R,LWkne) + radius of
marker
|
Same as the
above(KVo)
for KVm, they use 2nd MT head instead of 5th
one.
|
Sun
|
Bell
|
mid point between Lat. Epicondyle marker (R,LLCON) and Med.
Epicondyle marker(R,LMCON) – virtual marker
|
mid point between Lat. Malleolus marker (R,LLMAL) and Med.
Malleolus marker(R,LMMAL) – virtual marker
|
Definition
of Anatomical plane of each body segments (Anatomy based LCS)
|
Pelvis
|
Thigh
|
Lower
Leg
|
Foot
|
HHo
|
k:
LASIS to RASIS
i:
perpendicular from SACR to k
j
= k �
i
|
j:
from knee jc to hip jc
k:
perpendicular from j to RTHI_W or LTHI_W to j
i
= j �
k
|
j:
from ankle jc to knee jc
k:
perpendicular from j to RTIB_W or LTIB_W to j
i
= j �
k
|
i:
from R,LHEEL to R,LMT
j:
perpendicular from i to ankle jc
k
= i �
j
|
HHm
|
Same
|
Same
as HHo
|
Same
as HHo
|
same
as HHo
|
KVo
|
Same
|
j:
from knee jc to hip jc
i
= j �
(RGTRO- hip jc) or (LGTRO-hip jc) �
j
k
= i �
j
|
j:
from ankle jc to knee jc
i
= j �
(RLCON- knee jc) or (LLCON-knee jc) �
j
k
= i �
j
|
basically
same as HHo
|
KVm
|
Same
|
j:
from knee jc to hip jc
i
= j �
(RTHI_W- hip jc) or (LTHI_W-hip jc) �
j
k
= i �
j
|
j:
from ankle jc to knee jc
i
= j �
(RLCON- knee jc) or (LLCON-knee jc) �
j
k
= i �
j
|
basically
Same as HHo
|
Sun
|
Same
|
j:
from knee jc to hip jc
k:
perpendicular from j to RLCON or LLCON to j
i
= j �
k
|
j:
from ankle jc to knee jc
k:
perpendicular from j to RLMAL or LLMAL to j
i
= j �
k
|
Same
|
New
Sun
|
Same
|
j:
from knee jc to hip jc
i
= j �
(RLCON-RMCON) or j �
(LMCON - LLCON)
i
= j �
k
|
j:
from ankle jc to knee jc
i
= j �
(RLMAL-RMMAL) or j �
(LMMAL - LLMAL)
i
= j �
k
|
Same
|
* Normally use larger markers. Smaller
markers are for medial epicondyle, medial malleolus and heel.
Joint center and segment
axis estimation
Definition
of Anatomical plane of each body segments (Anatomy based LCS)
Joint Angle Calculation
(NJCS)
-
Nonorthogonal
Joint coordination system based on Euler/Cardanic convention
Flexion/Extension
angle : 1st rotation about k of proximal segment
Adduction/Abduction
angle : 2nd rotation about coperpendicular vector between proximal k
and distal j.
Int/Ext
rotation angle: 3rd rotation about j vector of distal segment
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