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Tilt-Twist Method Using Inertial Sensors to Assess Spinal Posture During Gait

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Advances in Service and Industrial Robotics (RAAD 2019)

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 980))

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Abstract

In the clinical context, the need to estimate spinal posture during gait is constantly growing. The most functional way to achieve this goal is first to model the rachis as a multibody structure with rigid segments and second to apply the tilt-twist method. Inertial Measurement Units (IMUs) are the suitable instrumentation to do this because they are portable, low cost, not invasive and free from laboratory constraints. The aim of this pilot study was the assessment of spinal angles by applying the tilt-twist method to IMUs data. A marker stereo-photogrammetric system (Optitrack) was adopted as gold standard. Three IMUs (MTx Xsens) were positioned on C7, T12 and S1 vertebral levels. A young healthy subject performed a gait trial at a self-selected speed. Data analysis focused on rotation matrices obtained simultaneously from both the instrumentations. Post-processing algorithms identified movement values of flexion-extension and lateral bending from both IMUs and stereo-photogrammetric system. Comparison graph with the obtained angular patterns showed very similar trends for the three spinal segments. Inertial sensors are suitable to be used to assess spinal posture during gait.

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References

  1. Tysnes, O.B., Storstein, A.: Epidemiology of Parkinson’s disease. J. Neural Transm. 124, 901–905 (2017). https://doi.org/10.1007/s00702-017-1686-y

    Article  Google Scholar 

  2. Doherty, K.M., van de Warrenburg, B.P., Peralta, M.C., Silveira-Moriyama, L., Azulay, J.P., Gershanik, O.S., Bloem, B.R.: Postural deformities in Parkinson’s disease. Lancet Neurol. 10, 538–549 (2011). https://doi.org/10.1016/S1474-4422(11)70067-9

    Article  Google Scholar 

  3. Esat, I.I., Ozada, N.: Articular human joint modelling. Robotica 28, 321–339 (2010). https://doi.org/10.1017/S0263574709990592

    Article  Google Scholar 

  4. Gastaldi, L., Lisco, G., Pastorelli, S.: Evaluation of functional methods for human movement modelling. Acta Bioeng. Biomech. 17, 31–38 (2015). https://doi.org/10.5277/ABB-00151-2014-03

    Article  Google Scholar 

  5. Sofuwa, O., Nieuwboer, A., Desloovere, K., Willems, A.M., Chavret, F., Jonkers, I.: Quantitative gait analysis in Parkinson’s disease: comparison with a healthy control group. Arch. Phys. Med. Rehabil. 86, 1007–1013 (2005). https://doi.org/10.1016/j.apmr.2004.08.012

    Article  Google Scholar 

  6. Weidow, J., Tranberg, R., Saari, T., Kärrholm, J.: Hip and knee joint rotations differ between patients with medial and lateral knee osteoarthritis: gait analysis of 30 patients and 15 controls. J. Orthop. Res. 1–9 (2006). https://doi.org/10.1002/jor.20194

    Article  Google Scholar 

  7. Kay, R.M., Dennis, S., Rethlefsen, S., Reynolds, R.A.K., Skaggs, D.L., Tolo, V.T.: The effect of preoperative gait analysis on orthopaedic decision making. Clin. Orthop. Relat. Res. 372, 217–222 (2003). https://doi.org/10.1097/00003086-200003000-00023

    Article  Google Scholar 

  8. Hartmann, A., Luzi, S., Murer, K., de Bie, R.A., de Bruin, E.D.: Concurrent validity of a trunk tri-axial accelerometer system for gait analysis in older adults. Gait Posture 29, 444–448 (2009). https://doi.org/10.1016/j.gaitpost.2008.11.003

    Article  Google Scholar 

  9. Agostini, V., Gastaldi, L., Rosso, V., Knaflitz, M., Tadano, S.: A wearable magneto-inertial system for gait analysis (H-Gait): validation on normalweight and overweight/obese young healthy adults. Sensors (Switzerland) 17, 2406 (2017). https://doi.org/10.3390/s17102406

    Article  Google Scholar 

  10. Lai, P.P.K., Leung, A.K.L., Li, A.N.M., Zhang, M.: Three-dimensional gait analysis of obese adults. Clin. Biomech. 23, 2–6 (2008). https://doi.org/10.1016/j.clinbiomech.2008.02.004

    Article  Google Scholar 

  11. Muro-de-la-Herran, A., García-Zapirain, B., Méndez-Zorrilla, A.: Gait analysis methods: an overview of wearable and non-wearable systems, highlighting clinical applications. Sensors (Switzerland) 14, 3362–3394 (2014). https://doi.org/10.3390/s140203362

    Article  Google Scholar 

  12. Crawford, N.R., Yamaguchi, G.T., Dickman, C.A.: A new technique for determining 3-D joint angles: the tilt/twist method. Clin. Biomech. 14, 153–165 (1999)

    Article  Google Scholar 

  13. Bonev, I., Zlatanov, D., Gosselin, C..: Advantages of the modified Euler angles in the design and control of PKMs. In: Proceeding Parallel Kinematic Machines International Conference, pp. 171–188 (2002)

    Google Scholar 

  14. Goodvin, C., Park, E.J., Huang, K., Sakaki, K.: Development of a real-time three-dimensional spinal motion measurement system for clinical practice, pp. 1061–1075 (2006). https://doi.org/10.1007/s11517-006-0132-3

    Article  Google Scholar 

  15. Bauer, C.M., Rast, F.M., Ernst, M.J., Kool, J., Oetiker, S., Rissanen, S.M., Suni, J.H., Kankaanpää, M.: Concurrent validity and reliability of a novel wireless inertial measurement system to assess trunk movement. J. Electromyogr. Kinesiol. 25, 782–790 (2015). https://doi.org/10.1016/j.jelekin.2015.06.001

    Article  Google Scholar 

  16. Leardini, A., Biagi, F., Merlo, A., Belvedere, C., Benedetti, M.G.: Multi-segment trunk kinematics during locomotion and elementary exercises. Clin. Biomech. 26, 562–571 (2011). https://doi.org/10.1016/j.clinbiomech.2011.01.015

    Article  Google Scholar 

  17. Leardini, A., Berti, L., Begon, M., Allard, P.: Effect of trunk sagittal attitude on shoulder, thorax and pelvis three-dimensional kinematics in able-bodied subjects during gait. PLoS One 8, 1–7 (2013). https://doi.org/10.1371/journal.pone.0077168

    Article  Google Scholar 

  18. Needham, R., Naemi, R., Healy, A.: Multi-segment kinematic model to assess three-dimensional movement of the spine and back during gait, pp. 1–12 (2015). https://doi.org/10.1177/0309364615579319

    Article  Google Scholar 

  19. Ceccato, J.C., de Sèze, M., Azevedo, C., Cazalets, J.R.: Comparison of trunk activity during gait initiation and walking in humans. PLoS One 4, e8193 (2009). https://doi.org/10.1371/journal.pone.0008193

    Article  Google Scholar 

  20. Crosbie, J., Vachalathiti, R., Smith, R.: Patterns of spinal motion during walking. Gait Posture 5, 6–12 (1997). https://doi.org/10.1016/S0966-6362(96)01066-1

    Article  Google Scholar 

  21. Panero, E., Digo, E., Agostini, V., Gastaldi, L.: Comparison of different motion capture setups for gait analysis : validation of spatio-temporal parameters estimation. In: MeMeA 2018 - 2018 IEEE International Symposium on Medical Measurements and Applications. Proceedings, pp. 1–6 (2018). https://doi.org/10.1109/memea.2018.8438653

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Acknowledgments

The present research has been partially supported by MIUR grant Dipartimenti di Eccellenza 2018–2022 (E11G18000350001).

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Correspondence to Elisa Digo .

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Digo, E., Pierro, G., Pastorelli, S., Gastaldi, L. (2020). Tilt-Twist Method Using Inertial Sensors to Assess Spinal Posture During Gait. In: Berns, K., Görges, D. (eds) Advances in Service and Industrial Robotics. RAAD 2019. Advances in Intelligent Systems and Computing, vol 980. Springer, Cham. https://doi.org/10.1007/978-3-030-19648-6_44

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