The validation of a low-cost inertial measurement unit system to quantify simple and complex upper-limb joint angles

The purpose of this research was to validate the use of a low-cost IMU system to measure upper-limb joint angles by comparing it to passive optical motion capture measures. Fifteen participants (five females; 25.9 ± 4.7 years) completed one trial of four simple range of motion (ROM) movements (elbow flexion/extension, shoulder abduction/adduction, shoulder flexion/extension, and shoulder internal/external rotation), and three complex functional daily tasks [hand to: back pocket (HBP), contralateral shoulder (HCS), head (HTH)]. Movements were measured, simultaneously, using fourteen OptiTrack cameras and five Notch® IMUs. The mean joint angle difference between devices ranged from 0.10° ± 3.11° for the HBP shoulder internal/external movement to 44.95° ± 3.50° for the simple ROM shoulder internal/external rotation movement. Nine of sixteen movement and plane comparisons showed significant differences between the device-specific movement cycle waveforms. Eleven of the comparisons showed either fixed and/or proportional biases (fixed only: 9; proportional only: 1; both fixed and proportional: 1). Due to multiple movements having large amplitude errors, low waveform similarities, and/or statistically significant mean differences between the Notch® IMUs and the gold-standard motion capture devices, we cannot recommend that Notch® IMUs are valid devices for measuring upper-limb joint angles during simple ROM and complex functional daily tasks.