Validation of a multisegment foot and ankle kinematic model for pediatric gait

IEEE Trans Neural Syst Rehabil Eng. 2004 Mar;12(1):122-30. doi: 10.1109/TNSRE.2003.822758.

Abstract

This paper reports the development, accuracy, reliability, and validation protocol of a four-segment pediatric foot and ankle model. The four rigid body segments include: 1) tibia and fibula; 2) hindfoot--talus, navicular, and calcaneus; 3) forefoot--cuboid, cuneiforms, and metatarsals; and 4) hallux. A series of Euler rotations compute relative angles between segments. Validation protocol incorporates linear and angular testing for accuracy and reliability. Linear static system resolution is greatest in the Y orientation at 0.10 +/- 0.14 mm and 0.05 level of significance and 99.96% accuracy. Dynamic linear resolution and accuracy are 0.43 +/- 0.39 mm and 99.8%, respectively. Angular dynamic resolution computes to 0.52 +/- 3.36 degrees at 99.6% accuracy. These calculations are comparable to the Milwaukee adult foot and ankle model.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Ankle / anatomy & histology
  • Ankle / physiology
  • Ankle Joint / anatomy & histology
  • Ankle Joint / physiology*
  • Biomechanical Phenomena / methods
  • Child
  • Foot / anatomy & histology*
  • Foot / physiology*
  • Gait / physiology*
  • Humans
  • Image Enhancement / methods*
  • Imaging, Three-Dimensional / methods*
  • Models, Biological
  • Pediatrics / methods
  • Phantoms, Imaging
  • Reproducibility of Results
  • Rotation
  • Sensitivity and Specificity
  • Video Recording / methods*