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Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
Published on: March 4, 2018
[How reliable are data from 3d-gait analysis]
B Westhoff1, M A Hirsch, H Hefter
1Orthopädische Klinik der Heinrich-Heine-Universität, Düsseldorf. westhoff@med.uni-duesseldorf.de
Summary
Three-dimensional computerized gait analysis demonstrates excellent test-retest reliability in healthy individuals, particularly for sagittal plane kinematics and time-distance parameters. This technology is valuable for assessing movement disorders.
Area of Science:
- Biomechanics
- Movement Science
- Clinical Measurement
Background:
- Three-dimensional computerized gait analysis is a sophisticated tool for evaluating human locomotion.
- Assessing the reliability of such systems is crucial for their clinical application.
- Previous studies have explored gait analysis, but test-retest reliability needs further investigation.
Purpose of the Study:
- To determine the test-retest reliability of 3-dimensional computerized gait analysis in healthy subjects.
- To provide preliminary data on the consistency of gait measurements.
- To establish the validity of this method for clinical use.
Main Methods:
- Ten healthy participants underwent two gait analysis trials within a 2-hour period.
- A 3-dimensional computerized gait analysis system (VICON 512) collected kinetic, kinematic, and time-distance data.
- Markers were reapplied between trials, and Pearson's correlation coefficients were calculated.
Main Results:
- Excellent reliability (r = 0.86-0.99) was observed for time-distance and sagittal plane kinematics.
- High reliability (r = 0.90-0.98) was found for power parameters.
- Lower reliability (r = 0.59-0.89) was noted for frontal and transverse plane kinematics, with the hip joint's transverse plane measures showing the poorest reliability.
Conclusions:
- Three-dimensional computerized gait analysis exhibits excellent test-retest reliability, especially for sagittal plane measures.
- The findings support the use of this method for analyzing and evaluating outcomes in movement disorders.
- This technology is a valuable tool for both conservative and operative treatment assessments.

