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Updated: May 13, 2025

Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
Comparison of markerless and marker-based motion analysis accounting for differences in local reference frame
Camilla Antognini1, Ariana Ortigas-Vásquez2, Christopher Knowlton3
1Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA; Department of Biomedical Engineering, University of Illinois at Chicago, Chicago, IL, USA.
Markerless motion analysis shows promise, but differences with marker-based systems were noted. Applying a reference frame alignment method (REFRAME) significantly improved agreement, suggesting most discrepancies stem from local frame orientation differences.
Area of Science:
- Biomechanics
- Motion Analysis
- Kinesiology
Background:
- Markerless motion capture offers an alternative to marker-based systems.
- Previous studies reported kinematic signal differences between markerless and marker-based systems.
- The cause of these discrepancies, specifically reference frame alignment, remains under-assessed.
Purpose of the Study:
- To systematically assess if reference frame alignment inconsistencies explain differences between markerless and marker-based kinematic signals.
- To apply a reference frame alignment method (REFRAME) to markerless knee kinematic data.
- To determine the impact of REFRAME on the agreement between markerless and marker-based kinematic data.
Main Methods:
- Ten healthy subjects performed walking trials.
- Simultaneous data acquisition using markerless (Theia3D) and marker-based (Qualisys) systems.
- Application of the REFRAME method to align local coordinate systems and kinematic analysis in Visual3D.
Main Results:
- REFRAME optimized markerless kinematic signals, involving average rotations of the tibia and femur coordinate systems.
- Post-REFRAME analysis showed improved agreement between markerless and marker-based data across all planes.
- Root-mean-square error significantly decreased in sagittal, frontal, and transverse planes.
Conclusions:
- Most differences between markerless and marker-based kinematic data are likely due to local frame orientation inconsistencies.
- The REFRAME method effectively reduces discrepancies, enhancing the reliability of markerless motion analysis.
- Markerless kinematic signals fundamentally represent similar underlying motion waveforms as marker-based systems.
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