PTOtherJournal of physical therapy science2017

An estimation of knee and ankle joint angles during extension phase of standing up motion performed using an inertial sensor.

Fang Jin, Takayuki Nagasaki, Chikamune Wada

PMID 28744040

WHAT IT FOUND

A chest-worn inertial sensor estimated knee and ankle angles during standing up in seven healthy men with errors of 2.32 to 4.58 degrees.

It was usable for angle analysis, not center of mass estimation.

Key findings

01The inertial sensor estimated knee and ankle angles during the extension phase of standing up with errors of 2.32 to 4.58 degrees across fast, normal and slow speeds.

02All angle correlation coefficient values between the sensor and motion capture were above 0.795.

03Center-of-mass position was less reliable: horizontal errors were 3.47 to 4.48 cm and vertical errors were 2.86 to 3.19 cm, and the authors did not recommend the system for center-of-mass estimation.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study included only seven healthy male volunteers, with mean age 24 ± 0 years, so it cannot show that the sensor works in older adults or in people who cannot stand up successfully. The movement was tested only during the extension phase of standing up from a 40-cm chair, so it may not apply to other chair heights or to the flexion phase. The model assumed fixed initial knee and ankle angles of 80 degrees and 70 degrees and treated the trunk as one rigid segment, which the authors said can cause error in center-of-mass estimation. Estimation errors were larger at slow standing-up speed, and the authors said this may be related to acceleration integration errors. The paper reports sensor accuracy against motion capture, not clinical outcomes, so it does not show that using the sensor improves assessment or treatment.

The easy way to misread this

Do not read this as evidence that a chest-worn sensor can replace motion capture for clinical sit-to-stand assessment. It was tested in seven healthy men, and the authors did not recommend it for center-of-mass estimation.

Read it on PubMed →