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Verification of Reliability and Validity of Trunk Forward Tilt Angle Measurement During Gait Using 2-Dimensional
Shinno Iijima1, Makoto Shiomi1, Tsuyoshi Hara2
1Department of Medical Technology, University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.
Journal of Chiropractic Medicine
|June 22, 2023
Summary
This study confirms that 2-dimensional motion analysis using Kinovea software reliably and validly measures trunk forward tilt angle during gait in young adults. The findings support its use in clinical and research settings.
Area of Science:
- Biomechanics
- Gait Analysis
- Motion Analysis
Background:
- Trunk forward tilt angle is a key parameter in gait analysis.
- Accurate measurement is crucial for understanding biomechanical alterations.
- 2-dimensional motion analysis offers a potentially accessible method for such measurements.
Purpose of the Study:
- To verify the reliability and validity of trunk forward tilt angle measurement during gait.
- To assess the performance of open-source Kinovea software for this specific application.
Main Methods:
- 48 healthy young adults participated in the study.
- Synchronous 2D motion analysis (Kinovea) and 3D motion analysis were performed during normal gait.
- Intraclass correlation coefficient, minimum detectable change, and Bland-Altman analysis were used to evaluate measurement accuracy.
Main Results:
- Kinovea demonstrated high reliability with intraclass correlation coefficients of 0.925 (maximum) and 0.918 (minimum).
- Correlation coefficients with 3D analysis were strong (r=0.964 to 0.970).
- Low measurement error (average difference -0.51° to -0.55°, SD 0.66° to 0.91°) was observed.
Conclusions:
- 2-dimensional motion analysis using Kinovea is a reliable and valid method for measuring trunk forward tilt angle during gait in young adults.
- This approach provides a cost-effective and accessible tool for gait research and clinical practice.

