Comparison of the optoelectronic BTS Smart system and IMU-based MyoMotion system for the assessment of gait variables.

PURPOSE: Although inertial measurement unit (IMU)-based systems have been validated against optoelectronic systems for recording joint kinematics, the accuracy of each system must be evaluated, and measurements from different systems cannot be easily compared. Therefore, this study compared the joint angles recorded using the IMU-based MyoMotion system and the optoelectronic BTS Smart-DX 700 system during Nordic walking. METHODS: The study subject, a long-time Nordic walking instructor, was assigned to walk 12 m/trial (14 trials with 5 sampled gait cycles) at a velocity preferred for Nordic walking. The trials were simultaneously recorded by both systems. The instantaneous lower (ankle, knee, hip) and upper (shoulder, elbow, wrist) limb joint angles were recorded. RESULTS: The joint angles from MyoMotion were significantly larger or smaller (depending on the joint and plane) than those from BTS. CONCLUSIONS: Joint angles measured by MyoMotion are not interchangeable with values from BTS, and IMU-recorded values should be interpreted carefully. However, MyoMotion can still provide information about intra-individual changes based on the joint angle profiles, e.g., following Nordic walking training.

Muscle Coactivation during Stability Exercises in Rhythmic Gymnastics: A Two-Case Study.

Balance exercises in rhythmic gymnastics are performed on tiptoes, which causes overload of foot joints. This study aimed to evaluate the engagement of muscles stabilizing ankle and knee joints in balance exercises and determine exercises which may lead to ankle and knee joint injuries. It was hypothesized that long-term training has an influence on balance control and efficient use of muscles in their stabilizing function. Two rhythmic gymnasts (8 and 21 years old) performed balances on tiptoes (side split with hand support, ring with hand support) and on a flat foot (back split without hand support exercise). Surface electromyography, ground reaction forces, and kinematic parameters of movement were measured. The measuring systems applied were synchronized with the BTS SMART system. The results show the necessity to limit balance exercises on tiptoes in children because gastrocnemius medialis (GM) and gastrocnemius lateralis (GL) activity significantly exceeds their activity. Ankle joint stabilizing activity of GM and GL muscles in the younger gymnast was more important than in the older one. Performing this exercise, the younger gymnast distributed load on the anterior side of the foot while the older one did so on its posterior. Gymnastics coaches should be advised to exclude ring with hand support exercise from the training of young gymnasts.

Index of mechanical work in gait of children with cerebral palsy.

The pathological gait of children with cerebral palsy involves higher mechanical work, which limits their ability to function properly in society. Mechanical work is directly related to walking speed and, although a number of studies have been carried out in this field, few of them analysed the effect of the speed. The study aimed to develop standards for mechanical work during gait of children with cerebral palsy depending on the walking speed. The study covered 18 children with cerebral palsy and 14 healthy children. The BTS Smart software and the author's software were used to evaluate mechanical work, kinetic, potential and rotational energy connected with motion of the children body during walk. Compared to healthy subjects, mechanical work in children with cerebral palsy increases with the degree of disability. It can be expressed as a linear function of walking speed and shows strong and statistically significant correlations with walking gait. A negative statistically significant correlation between the degree of disability and walking speed can be observed. The highest contribution to the total mechanical energy during gait is from mechanical energy of the feet. Instantaneous value of rotational energy is 700 times lower than the instantaneous mechanical energy. An increase in walking speed causes the increase in the effect of the index of kinetic energy on total mechanical work. The method described can provide an objective supplementation for doctors and physical therapists to perform a simple and immediate diagnosis without much technical knowledge.

Three-dimensional human gait pattern - reference data for normal men.

The aim of this research was to establish a kinematic pattern of adult gait for motion analysis system BTS Smart-E used in the research conducted in the Laboratory of Biomechanical Analysis, University School of Physical Education, Wroclaw. This research presents the results of gait patterns for a group of 17 adult males for three speed levels: high (1), preferred (2), and low (3). Subject's sex, age and speed of gait are to be considered in the kinematic normal gait pattern. No statistically significant differences were observed between the right and the left limb. However, differences between the high, preferred and low gait speed were noticeable. An increase in gait speed was related to the change in the angular range of motion in the hip, knee and ankle joints sagittal plane. The range of motion in joints mostly increased with the subjects' speed. No significant differences between the range of motion and speed were observed in the ankle joint.