Inertial human motion capture: From biomechanics to recent sensor fusion methods and back

Inertial measurement units (IMUs) are a promising means to capture human motion, yet obtaining meaningful biomechanical quantities from IMU measurements remains non-trivial. This tutorial-style review focuses on kinematics and introduces four key aspects (inertial human motion capture objective, environmental conditions, subject & attributes, and motion characteristics) to determine how to translate biomechanical problems into adequate formulations for the fusion of inertial sensor measurements. We identify three fundamental challenges for kinematics estimation from IMUs: IMUs do not provide direct information about the joint angle, IMUs do not measure their own orientation, and real-world environments and dynamics compromise sensor reliability. Though there exist widely-used methods to overcome these challenges, they suffer from severe limitations in real-life applications, e.g., the need for sensor-to-segment calibration, and the fact that magnetic field disturbances degrade joint angle accuracy. The full potential for many use-cases hence remains untapped in terms of accuracy and reliability. We share insights into recently proposed methods, e.g., exploiting the human body's kinematic chain constraints, having the potential to overcome these limitations. We also present guiding questions related to the four key aspects and illustrate their use for navigating the methodological landscape for the use-case of lower-extremity joint angle estimation, for which we share open-access code and compare the traditional workflow with three alternatives. Our aim is to bridge the gap between the sensor fusion community developing methods for human motion capture and the biomechanics community in need of accurate, easy-to-use, and reliable methods to study human motion outside of the laboratory.