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Updated: Sep 30, 2025

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Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
Published on: March 4, 2018
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Markerless vs. Marker-Based Gait Analysis: A Proof of Concept Study
Matteo Moro1,2,3, Giorgia Marchesi1,3, Filip Hesse1
1Department of Informatics, Bioengineering, Robotics and Systems Engineering (DIBRIS), University of Genova, 16145 Genova, Italy.
Sensors (Basel, Switzerland)
|March 10, 2022
Summary
Markerless 3D gait analysis using computer vision and deep learning shows comparable results to marker-based systems. This advancement offers a more accessible and natural alternative for medical and rehabilitation assessments of neuromotor disorders.
Area of Science:
- Biomechanics
- Medical imaging
- Rehabilitation technology
Background:
- Human gait analysis is crucial for evaluating neurological diseases and neuromotor disorders.
- Marker-based motion capture is the gold standard but is costly, time-consuming, and can affect natural movement.
- Markerless videography systems are being developed as alternatives, but quantitative 3D comparisons are scarce.
Purpose of the Study:
- To introduce and evaluate a novel RGB video-based markerless system for 3D gait analysis.
- To quantitatively compare the performance of the markerless system against a traditional marker-based motion capture system.
Main Methods:
- Developed a markerless 3D gait analysis system using computer vision and deep learning.
- Acquired simultaneous data from both markerless and marker-based systems for 16 participants walking indoors.
- Compared spatio-temporal parameters and joint angles between the two systems.
Main Results:
- The markerless system achieved comparable spatio-temporal gait parameters to the marker-based system.
- Joint angle measurements were similar, with only minor underestimation of ankle and knee flexion.
- The findings support the viability of markerless techniques in gait analysis.
Conclusions:
- Markerless 3D gait analysis using deep learning is a feasible and promising alternative to marker-based systems.
- This technology can potentially reduce costs and improve the naturalness of gait assessments in clinical settings.
- Further validation can pave the way for wider adoption in medicine and rehabilitation.

