DOI QR코드

DOI QR Code

A numerical method for improving the reliability of knee translation measurement in skin marker-based motion analysis

  • 투고 : 2013.02.16
  • 심사 : 2015.03.02
  • 발행 : 2014.12.25

초록

In skin-marker based motion analysis, knee translation measurement is highly dependent on a pre-selected reference point (functional center) on each segment determined by the location of anatomical landmarks. However, the placement of skin markers on palpable anatomical landmarks (i.e., femoral epicondyles) has limited reproducibility. Thus, it produces large variances in knee translation measurement among different subjects, as well as across studies. In order improve the repeatability of knee translation measurement, in this study an optimization method was introduced, by which the femoral functional center was numerically determined. At that point the knee anteroposterior translation during the stance phase of walking was minimized. This new method was tested on 30 healthy subjects during walking in gait lab with motion capture system. Using this new method, the impact of skin marker position (at anatomical landmarks) on the knee translation measurement has been minimized. In addition, the ranges of anteroposterior knee translations during stance phase were significantly (p<0.001) smaller than those measured by conventional method which relies on a pre-selected functional center ($11.1{\pm}3.5mm$ vs. $19.9{\pm}5.5mm$). The results of anteroposterior translation using this new method were very close to a previously reported knee translation (12.4 mm) from dual fluoroscopic imaging technique. Moreover, this new method increased the reproducibility of knee translation measurement by 50%.

키워드

참고문헌

  1. Andriacchi, T.P. and Alexander, E.J. (2000), "Studies of human locomotion: past, present and future", J. Biomech., 33(10), 1217-1224. https://doi.org/10.1016/S0021-9290(00)00061-0
  2. Andriacchi, T.P., Alexander, E.J., Toney, M.K., Dyrby, C. and Sum, J. (1998), "A point cluster method for in vivo motion analysis: applied to a study of knee kinematics", J. Biomech. Eng., 120(6), 743-749. https://doi.org/10.1115/1.2834888
  3. Andriacchi, T.P., Dyrby, C.O. and Johnson, T.S. (2003), "The use of functional analysis in evaluating knee kinematics", Clin. Orthop. related res., 410, 44-53. https://doi.org/10.1097/01.blo.0000062383.79828.f5
  4. Bell, A.L., Pedersen, D.R. and Brand, R.A. (1990), "A comparison of the accuracy of several hip center location prediction methods", J. Biomech., 23(6), 617-621. https://doi.org/10.1016/0021-9290(90)90054-7
  5. Bland, J.M. and Altman, D.G. (1986), "Statistical methods for assessing agreement between two methods of clinical measurement", Lancet, 1(8476), 307-310.
  6. Cappozzo, A., Catani, F., Croce, U.D. and Leardini, A. (1995), "Position and orientation in space of bones during movement: anatomical frame definition and determination", Clin. Biomech. (Bristol, Avon), 10(4), 171-178. https://doi.org/10.1016/0268-0033(95)91394-T
  7. Cappozzo, A., Della Croce, U., Leardini, A. and Chiari, L. (2005), "Human movement analysis using stereophotogrammetry. Part 1: theoretical background", Gait & posture, 21(2), 186-196.
  8. Daniel, D.M., Stone, M.L., Sachs, R. and Malcom, L. (1985), "Instrumented measurement of anterior knee laxity in patients with acute anterior cruciate ligament disruption", Am. J. sports medicine, 13(6), 401-407. https://doi.org/10.1177/036354658501300607
  9. Della Croce, U., Leardini, A., Chiari, L. and Cappozzo, A. (2005), "Human movement analysis using stereophotogrammetry. Part 4: assessment of anatomical landmark misplacement and its effects on joint kinematics", Gait & posture, 21(2), 226-237. https://doi.org/10.1016/j.gaitpost.2004.05.003
  10. Delp, S.L., Anderson, F.C., Arnold, A.S., Loan, P., Habib, A., John, C.T., Guendelman, E. and Thelen, D.G. (2007), "OpenSim: open-source software to create and analyze dynamic simulations of movement", IEEE Trans. Biomed. Eng., 54(11), 1940-1950. https://doi.org/10.1109/TBME.2007.901024
  11. Dyrby, C.O. and Andriacchi, T.P. (2004), "Secondary motions of the knee during weight bearing and nonweight bearing activities", J. Orthop. Res., 22(4), 794-800. https://doi.org/10.1016/j.orthres.2003.11.003
  12. Fletcher, R. (1971), "A modified Marquardt subroutine for nonlinear least squares", Atomic Energy Research Establishment report R6799, Harwell, England.
  13. Gao, B. and Zheng, N. (2010), "Alterations in three-dimensional joint kinematics of anterior cruciate ligament-deficient and -reconstructed knees during walking", Clin. Biomech. (Bristol, Avon), 25(3), 222-229. https://doi.org/10.1016/j.clinbiomech.2009.11.006
  14. Gao, B. and Zheng, N.N. (2008), "Investigation of soft tissue movement during level walking: translations and rotations of skin markers", J. Biomech., 41(15), 3189-3195. https://doi.org/10.1016/j.jbiomech.2008.08.028
  15. Grood, E.S. and Suntay, W.J. (1983), "A joint coordinate system for the clinical description of threedimensional motions: application to the knee", J. Biomech. Eng., 105(2), 136-144. https://doi.org/10.1115/1.3138397
  16. Iwaki, H., Pinskerova, V. and Freeman, M.A. (2000), "Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee", J. Bone. Joint. Surg. Br., 82(8), 1189-1195. https://doi.org/10.1302/0301-620X.82B8.10717
  17. Kadaba, M.P., Ramakrishnan, H.K. and Wootten, M.E. (1990), "Measurement of lower extremity kinematics during level walking", J. Orthop. Res., 8(3), 383-392. https://doi.org/10.1002/jor.1100080310
  18. Kozanek, M., Hosseini, A., Liu, F., Van de Velde, S.K., Gill, T.J., Rubash, H.E. and Li, G. (2009), "Tibiofemoral kinematics and condylar motion during the stance phase of gait", J. Biomech., 42(12), 1877-1884. https://doi.org/10.1016/j.jbiomech.2009.05.003
  19. Lafortune, M.A., Cavanagh, P.R., Sommer, H.J., 3rd and Kalenak, A. (1992), "Three-dimensional kinematics of the human knee during walking", J. Biomech., 25(4), 347-357. https://doi.org/10.1016/0021-9290(92)90254-X
  20. Leardini, A., Chiari, L., Della Croce, U. and Cappozzo, A. (2005), "Human movement analysis using stereophotogrammetry. Part 3. Soft tissue artifact assessment and compensation", Gait & posture, 21(2), 212-225. https://doi.org/10.1016/j.gaitpost.2004.05.002
  21. Scanlan, S.F., Chaudhari, A.M., Dyrby, C.O. and Andriacchi, T.P. (2010), "Differences in tibial rotation during walking in ACL reconstructed and healthy contralateral knees", J. Biomech., 43(9), 1817-1822. https://doi.org/10.1016/j.jbiomech.2010.02.010
  22. Selvik, G. (1989), "Roentgen stereophotogrammetry. A method for the study of the kinematics of the skeletal system", Acta Orthop. Scandinavica, 232, 1-51.
  23. Spoor, C.W. and Veldpaus, F.E. (1980), "Rigid body motion calculated from spatial co-ordinates of markers", J. Biomech., 13(4), 391-393. https://doi.org/10.1016/0021-9290(80)90020-2
  24. Tang, G., Qian, L.W., Wei, G.F., Wang, H.S. and Wang, C.T. (2012), "Development of software for human muscle force estimation", Com. Meth. Biomech. Biomed. Eng., 15(3), 275-283. https://doi.org/10.1080/10255842.2010.527835
  25. Tang, G., Zhang, X.A., Zhang, L.L., Wang, H.S., Nie, W.Z. and Wang, C.T. (2011), "A technical method using musculoskeletal model to analyse dynamic properties of muscles during human movement", Com. Meth. Biomech. Biomed. Eng., 14(7), 615-620. https://doi.org/10.1080/10255842.2010.493508
  26. Waite, J.C., Beard, D.J., Dodd, C.A., Murray, D.W. and Gill, H.S. (2005), "In vivo kinematics of the ACLdeficient limb during running and cutting", Knee Surg Sports Traumatol Arthrosc, 13(5), 377-384. https://doi.org/10.1007/s00167-004-0569-6
  27. Wang, H., Chen, T., Koff, M.F., Hutchinson, I.D., Gilbert, S., Choi, D., Warren, R.F., Rodeo, S.A. and Maher, S.A. (2014a), "Image based weighted center of proximity versus directly measured knee contact location during simulated gait", J. Biomech., 47(10), 2483-2489. https://doi.org/10.1016/j.jbiomech.2014.04.010
  28. Wang, H., Fleischli, J.E., Hutchinson, I.D. and Zheng, N.N. (2014b), "Knee moment and shear force are correlated with femoral tunnel orientation after single-bundle anterior cruciate ligament reconstruction", Am. J. sports Med., 42(10), 2377-2385. https://doi.org/10.1177/0363546514541232
  29. Wang, H., Fleischli, J.E. and Nigel Zheng, N. (2012), "Effect of lower limb dominance on knee joint kinematics after anterior cruciate ligament reconstruction", Clin. Biomech. (Bristol, Avon), 27(2), 170-175. https://doi.org/10.1016/j.clinbiomech.2011.08.006
  30. Wang, H., Fleischli, J.E. and Zheng, N.N. (2013), "Transtibial versus anteromedial portal technique in single-bundle anterior cruciate ligament reconstruction: outcomes of knee joint kinematics during walking", Am. J. sports Med., 41(8), 1847-1856. https://doi.org/10.1177/0363546513490663
  31. Wang, H. and Zheng, N. (2010a), "Knee rotation and loading during spin and step turn", Int J. Sports Med., 31(10), 742-746. https://doi.org/10.1055/s-0030-1261942
  32. Wang, H. and Zheng, N.N. (2010b), "Knee joint secondary motion accuracy improved by quaternion-based optimizer with bony landmark constraints", J. Biomech. Eng., 132(12), 124502. https://doi.org/10.1115/1.4002856
  33. Woltring, H.J., Huiskes, R., de Lange, A. and Veldpaus, F.E. (1985), "Finite centroid and helical axis estimation from noisy landmark measurements in the study of human joint kinematics", J. Biomech., 18(5), 379-389. https://doi.org/10.1016/0021-9290(85)90293-3