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Updated: Jun 2, 2026

Subject-specific Musculoskeletal Model for Studying Bone Strain During Dynamic Motion
Published on: April 11, 2018
An ankle joint model-based image-matching motion analysis technique
Kam-Ming Mok1, Daniel Tik-Pui Fong, Tron Krosshaug
1Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China; The Hong Kong Jockey Club Sports Medicine and Health Sciences Centre, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China. kmmok@ort.cuhk.edu.hk
A new model-based image-matching (MBIM) technique accurately measures ankle joint motion. This method shows excellent validity and reliability in both barefoot and shoed conditions for kinematic analysis.
Area of Science:
- Biomechanics
- Kinesiology
- Medical Imaging
Background:
- Accurate measurement of ankle joint kinematics is crucial for diagnosing and treating lower limb pathologies.
- Traditional motion analysis techniques can be invasive or limited in certain conditions.
Purpose of the Study:
- To introduce and validate a novel model-based image-matching (MBIM) technique for ankle joint kinematic measurement.
- To assess the accuracy, intra-rater reliability, and inter-rater reliability of the MBIM technique.
Main Methods:
- Five cadaveric specimens underwent full ankle range of motion in barefoot and shoed conditions.
- Ankle kinematics were analyzed using both bone-pin marker-based and MBIM techniques.
- Quantitative analysis of kinematic data including root mean square errors and Intraclass Correlation Coefficients (ICCs).
Main Results:
- The MBIM technique demonstrated root mean square errors of less than 3° for all ankle motion angles.
- Average intra-rater reliability (ICCs) exceeded 0.928, and inter-rater reliability (ICCs) exceeded 0.948.
- Excellent validity and reliability were confirmed for MBIM in both barefoot and shoed conditions.
Conclusions:
- The model-based image-matching (MBIM) technique provides accurate and reliable ankle joint kinematic measurements.
- MBIM is a viable non-invasive alternative for assessing ankle motion in various conditions.
- This technique has significant potential for clinical applications in gait analysis and rehabilitation.
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