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Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder

Three-dimensional gait analysis (3DGA) is shown to be a useful clinical tool for the evaluation of gait abnormality due to movement disorders. However, ...

Fujita Health University

Recently, three-dimensional (3D) closed curve trajectories of markers placed at strategic body locations, called cyclograms or Lissajous-like graphs, are used for treadmill gait analysis. A simple method is presented to reduce the effect of patient positioning variation. After breaking down movement into three components (anterior-posterior, medial-lateral and superior-inferior), the time-series data and time-inverted data are serially concatenated. A fast Fourier transform (FFT) is done, and a high-pass filter (except 0 Hz) is applied to the anterior-posterior and medial-lateral components. Next an inverse FFT is executed, and the posterior half of the outcome, corresponding to time-inverted data, is deleted. The 3D closed curve is then reconstructed. Results showed that the proposed method was able to reduce the effect of patient positioning variation. Since the adjusted curve is simply a symbolized gait pattern, the method might be useful as an adjunct tool in observational gait analysis.

Simple method to reduce the effect of patient positioning variation on three-dimensional motion analysis during treadmill gait.

Gait assessment is important to determine the most effective strategy to regain gait function during stroke rehabilitation. To understand the mechanisms that cause abnormal gait patterns, it is useful to objectively identify and quantify the abnormal gait patterns. Objective assessment also helps evaluate the efficacy of treatments and can be used to provide suggestions for treatment.

Quantitative assessment of retropulsion of the hip, excessive hip external rotation, and excessive lateral shift of the trunk over the unaffected side in hemiplegia using three-dimensional treadmill gait analysis.

The toe clearance of a paretic limb in the swing phase of gait is related to tripping, which is considered a major cause of falls. The biomechanical factors for obtaining toe clearance are more complicated in hemiparetic gait than that in normal gait because of the compensatory movements during swing phase. Understanding the biomechanical factors should help in targeting the point for rehabilitative interventions.

Kei Ohtsuka

Faculty of Rehabilitation,
School of Health Science,
Faculty of Rehabilitation, School of Health Science

Fujita Health University

Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder

Kei Ohtsuka

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Fujita Health University

Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder

Faculty of Rehabilitation,
School of Health Science,
Faculty of Rehabilitation, School of Health Science