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Gait Kinematics Index, Global Symmetry Index and Gait Deviations Profile: Concept of a new comprehensive method of gait pathology evaluation

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The objective of the work was to define a new comprehensive method of evaluating gait pathology (Gait Kinematics Index, Global Symmetry Index and Gait Deviations Profile). Methods: The article presents in detail a mathematical algorithm of a new comprehensive method of evaluating gait pathology. Input data for the algorithm are the kinematic parameters of gait. The method is based on the determination of the following parameters: standardized angular variables (Wji), kinematic indicators of gait (KIj), gait cycle indicators (GCIi), Gait Kinematic Index (GKI), Gait Deviations Profile (GDP, GDPj), Global Symmetry Index (GSI) and Symmetry Indices (SIj) for kinematic gait values. The algorithm is based on the determination of the difference between results obtained in relation to the kinematics of movement of a given patient and the average value obtained in relation to the standard in each percentage of a gait cycle. The proposed method was tested using results obtained for 59 healthy persons and one patient with locomotor function disorder. Results: The GKI values for the reference group amounted to 0.89 ± 0.23. Information which can be obtained using the proposed gait assessment method was presented using an example of a patient with the disorder of locomotor functions. Areas of gait deviations, which were identified on the basis of the determined indicators, were presented in a graphic form using GDP. Conclusions: The new gait assessment method makes it possible to identify gait using a single numerical value, evaluate movements in individual joints and in subsequent moments as well as to assess the symmetry of gait.
Rocznik
Strony
61--73
Opis fizyczny
Bibliogr. 26 poz., tab.
Twórcy
  • Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland
  • Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland
autor
  • Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland
autor
  • Students’ Scientific Circle “Biokreatywni”, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland
autor
  • Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland
autor
  • Department of Biomechanics, Chair of Theory and Methodology of Sport, Faculty of Sport Sciences, Poznan University of Physical Education, Poznań, Poland
  • Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Zabrze, Poland
Bibliografia
  • [1] AMMANN-REIFFER C., BASTIAENEN C.H.G., KLÖTI C., VAN HEDEL H.J.A., Concurrent Validity of Two Gait Performance Measures in Children with Neuromotor Disorders, Phys. Occup. Ther. Pediatr., 2019, 39 (2), 181–192.
  • [2] BAKER R., MCGINLEY J.L., SCHWARTZ M.H., BEYNON S., ROZUMALSKI A., GRAHAM H.K., TIROSH O., The gait profile score and movement analysis profile, Gait and Posture, 2009, 30 (3), 265–269.
  • [3] BARTON G.J., HAWKEN M.B., SCOTT M.A., SCHWARTZ M.H., Movement Deviation Profile: A measure of distance from normality using a self-organizing neural network, Hum. Mov. Sci., 2012, 31, 284–294.
  • [4] BŁAZKIEWICZ M., WISZOMIRSKA I., WIT A., Comparison of four methods of calculating the symmetry of spatialtemporalparameters of gait, Acta of Bioengineering and Biomechanics, 2014, 16 (1), 29–35.
  • [5] MICHAEL H., SCHWARTZ GOUELLE A., MÉGROT F., PRESEDO A., HUSSON I., YELNIK A., PENNEÇOT G.F., The gait variability index: a new way to quantify fluctuation magnitude of spatiotemporal parameters during gait, Gait Posture, 2013, 38, 461–465.
  • [6] GUNEL M.K., MUTLU A., TARSUSLU T., LIVANELIOGLU A., Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy, Springer, 2009, 168, 477–485.
  • [7] GUZIK A., DRUŻBICKI M., PRZYSADA G., SZCZEPANIK M., BAZARNIK-MUCHA K., KWOLEK A., The use of the Gait Variability Index for the evaluation of individuals after a stroke, Acta of Bioengineering and Biomechanics, 2018, 20 (2), 171–177.
  • [8] HALEY S.M., COSTER W.J., KAO Y-C., DUMAS H.M., FRAGALA-PINKHAM M.A., KRAMER J.M., LUDLOW L.H., MOED R., Lessons fron Use of Pediatric Evaluation of Disability Inventory (PEDI): Where Do We Go From Here?, Pediatr. Phys. Ther., 2010, 22, 69–75.
  • [9] JOCHYMCZYK-WOŹNIAK K., NOWAKOWSKA K., MICHNIK R., GZIK M., KOWALCZYKOWSKI D., Three-dimensional adults gait pattern – reference data for healthy adults aged between 20 and 24, [in:] Innovation in biomedical engineering (eds.) M. Gzik, E. Tkacz, Z. Paszenda, E. Piętka, Cham: Springer International Publishing, Advances in Intelligent System and Computing, 2019, Vol. 925, 2194–5357, 169–176.
  • [10] JOCHYMCZYK-WOŹNIAK K., NOWAKOWSKA K., POLECHOŃSKI J., SŁADCZYK S., MICHNIK R., Physiological Gait versus Gait in VR on Multidirectional Treadmill – Comparative Analysis, Medicina, 2019, 55 (9), 517.
  • [11] JURKOJĆ J., WODARSKI P., MICHNIK R., BIENIEK A., GZIK M., GRANEK A., The Standard Deviation of Differential Index as an innovation diagnostic tool based on kinematic parameters for objective assessment of a upper limb motion pathology, Acta of Bioengineering and Biomechanics, 2017, 19 (4), 77–87.
  • [12] JURKOJĆ J., WODARSKI P., MICHNIK R., NOWAKOWSKA K., BIENIEK A., GZIK M., The Upper Limb Motion Deviation Index: A new comprehensive index of upper limb motion pathology, Acta of Bioengineering and Biomechanics, 2017, 19 (2), 175–185.
  • [13] MCMULKIN M.L., MACWILLIAMS B.A., Application of the Gillette Gait Index, Gait Deviation Index and Gait Profile Score to multiple clinical pediatric populations, Gait and Posture, 2015, 41, 608–612.
  • [14] MOLLOY M., MCDOWELL B.C., KERR C., COSGROVE A.P., Further evidence of validity of the Gait Deviation Index, Gait and Posture, 2010, 31, 479–482.
  • [15] NOWAKOWSKA K., MICHNIK R., JOCHYMCZYK-WOŹNIAK K., JURKOJĆ J., MANDERA M., KOPYTA I., Application of gait index assessment to monitor the treatment progress in patients with cerebral palsy, [in:] Information Technologies in Medicine 5th International Conference, ITIB, Kamień Śląski, Poland, June 20–22, 2016 Proceedings, E. Piętka, P. Badura, J. Kawa, W. Wieclawek (Eds.), Cham: Springer, Advances in Intelligent System and Computing, 2016, 472, Vol. 2, 75–85.
  • [16] RUTKOWSKA-KUCHARSKA A., KOWAL M., WINIARSKI S., Relationship between asymmetry of gait and muscle torque in patients after unilateral transfemoral amputation, Applied Bionics and Biomechanics, 2018, Article ID 5190816, https:// doi.org/10.1155/2018/5190816
  • [17] SADEGHI H., ALLARD P., PRINCE F., LABELLE H., Symmetry and limb dominance in able-bodied gait: a review, Gait and Posture, 2000, 12 (1), 34–45.
  • [18] SALBACH N.M., GUILCHER S.J.T., JAGLAL S.B., Physical therapists’ perceptions and use of standardized assessments of walking ability post-stroke, J. Rehabil. Med., 43 (6), 543–549.
  • [19] SCHUTTE L.M. et al., An index for quantifying deviations from normal gait, Gait & Posture, 2000, 11, 25–31.
  • [20] SCHWARTZ M.H., ROZUMALSKI A., The gait deviation index: A new comprehensive index of gait pathology, Gait and Posture, 2008, 28, 351–357.
  • [21] SCHWARTZ M., ROZUMALSKI A., The GDI-Kinetic: A new index for quantifying kinetic deviations from normal gait, Gait and Posture, 2011, 33, 730–732.
  • [22] SYCZEWSKA M., GRAFF K., KALINOWSKA M., SZCZERBIK E., DOMANIECKI J., Influence of the structural deformity of the spine on the gait pathology in scoliotic patients, Gait and Posture, 2012, 35, 209–213.
  • [23] WINIARSKI S., DUBIEL-WUCHOWICZ K., RUTKOWSKAKUCHARSKA A., Symmetry of support scull and vertical position stability in synchronized swimming, Acta of Bioengineering and Biomechanics, 2013, 15 (1), 113–122.
  • [24] WINIARSKI S., RUTKOWSKA-KUCHARSKA A., POZOWSKI A., ALEKSANDROWICZ K., A New Method of Evaluating the Symmetry of Movement Used to Assess the Gait of Patients after Unilateral Total Hip Replacement, Applied Bionics and Biomechanics, 2019, 7863674, DOI: 10.1155/2019/7863674.
  • [25] VAUGHAN, C.L., DAVIS, B.L., O’CONNOR, J.C., Dynamics of Human Gait, Kiboho Publishers: Cape Town, South Africa, 1999.
  • [26] ŻUK M., TRZECIAK M., Anatomical protocol for gait analysis: joint kinematics measurement and its repeatability, Journal of Theoretical and Applied Mechanics, 2017, 55 (1), 369–376.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-10e0e46b-b844-48bb-93c7-55578e25ab57
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