Knee Kinematics of ACL-deficient patients: A development of a portable motion analysis system

Pui Wa Fung, Kam Ming Mok, Ruen Shan Leow, Sai Chuen Fu, Patrick Shu Hang Yung, Kai Ming Chan

Abstract

This study is to compare the knee kinematic measurements between the novel portable skin marker-based motion analysis system (Opti-Knee®) and a conventional system (Vicon®). Nineteen subjects were recruited and asked to perform stair descent with lower limb placed with skin markers. Knee kinematic data was computed from the trajectories of the skin markers. Pearson’s correlation coefficient and Root-mean-square deviation (RMSD) were used to analyze the data. For the waveform, sagittal plane rotation is strongly positive correlated between systems, while for axial and coronal plane rotation, it was moderately to strongly positive correlated in both normal (ACLN) and ACL-deficient (ACLD) group. Substantial difference between two groups was found in correlation of abduction/adduction in both stance and swing phase, as well as in external/internal rotation in all selected regions of interest. Moreover, the RMSD was larger in ACLN than in ACLD in three planes of rotation. The capability of Opti-Knee® in tracking lower limb sagittal plane rotation was comparable to Vicon®. However, for coronal and axial plane rotation, although the correlation to Vicon® in kinematic waveforms was moderately high, their ROM and peak values substantially deviated from the values in Vicon®.


Keywords

Anterior cruciate ligament; Dynamic knee stability; Sports injury; Stair descent; Tibiofemoral kinematics

References

Carse, B., Meadows, B., Bowers, R., & Rowe, P. (2013). Affordable clinical gait analysis: An assessment of the marker tracking accuracy of a new low-cost optical 3D motion analysis system. Physiotherapy, 99(4), 347-351. https://doi.org/10.1016/j.physio.2013.03.001

Chua, E. N., Yeung, M. Y., Fu, S. C., Yung, P. S. H., Zhang, Y., Feng, H., et al. (2016). Motion task selection for kinematic evaluation after anterior cruciate ligament reconstruction: A systematic review. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 32(7), 1453-1465. https://doi.org/10.1016/j.arthro.2016.01.057

Li, K., Zheng, L., Tashman, S., & Zhang, X. (2012). The inaccuracy of surface-measured model-derived tibiofemoral kinematics. Journal of Biomechanics, 45(15), 2719-2723. https://doi.org/10.1016/j.jbiomech.2012.08.007

Mok, K. M., Chua, E. N., Leow, R. S., Yeung, M. Y., Fu, S. C., Yung, P. S. H., et al. (2016). Utilization of portable motion capture system for knee stability assessment in ACL-deficiency during stair descent. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, 6, 24-25. https://doi.org/10.1016/j.asmart.2016.07.047

Muneta, T., Ezura, Y., Sekiya, I., & Yamamoto, H. (1996). Anterior knee laxity and loss of extension after anterior cruciate ligament injury. The American Journal of Sports Medicine, 24(5), 603-607. https://doi.org/10.1177/036354659602400507

Pfister, A., West, A. M., Bronner, S., & Noah, J. A. (2014). Comparative abilities of microsoft kinect and vicon 3D motion capture for gait analysis. Journal of Medical Engineering & Technology, 38(5), 274-280. https://doi.org/10.3109/03091902.2014.909540

Salem, G. J., Salinas, R., & Harding, F. V. (2003). Bilateral kinematic and kinetic analysis of the squat exercise after anterior cruciate ligament reconstruction. Archives of Physical Medicine and Rehabilitation, 84(8), 1211-1216. https://doi.org/10.1016/S0003-9993(03)00034-0

Tashman, S., Collon, D., Anderson, K., Kolowich, P., & Anderst, W. (2004). Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction. The American Journal of Sports Medicine, 32(4), 975-983. https://doi.org/10.1177/0363546503261709

Tashman, S., Kolowich, P., Collon, D., Anderson, K., & Anderst, W. (2007). Dynamic function of the ACL-reconstructed knee during running. Clinical Orthopaedics and Related Research, 454, 66-73. https://doi.org/10.1097/BLO.0b013e31802bab3e

Thies, S., Tresadern, P., Kenney, L., Howard, D., Goulermas, J., Smith, C., et al. (2007). Comparison of linear accelerations from three measurement systems during "reach & grasp". Medical Engineering & Physics, 29(9), 967-972. https://doi.org/10.1016/j.medengphy.2006.10.012

Torry, M. R., Decker, M. J., Ellis, H. B., Shelburne, K. B., Sterett, W. I., & Steadman, J. R. (2004). Mechanisms of compensating for anterior cruciate ligament deficiency during gait. Medicine and Science in Sports and Exercise, 36(8), 1403-1412. https://doi.org/10.1249/01.MSS.0000135797.09291.71

von Porat, A., Henriksson, M., Holmström, E., Thorstensson, C., Mattsson, L., & Roos, E. (2006). Knee kinematics and kinetics during gait, step and hop in males with a 16 years old ACL injury compared with matched controls. Knee Surgery, Sports Traumatology, Arthroscopy, 14(6), 546-554. https://doi.org/10.1007/s00167-006-0071-4

Waite, J., Beard, D., Dodd, C., Murray, D., & Gill, H. (2005). In vivo kinematics of the ACL-deficient limb during running and cutting. Knee Surgery, Sports Traumatology, Arthroscopy, 13(5), 377-384. https://doi.org/10.1007/s00167-004-0569-6

Webster, K. E., & Feller, J. A. (2011). Alterations in joint kinematics during walking following hamstring and patellar tendon anterior cruciate ligament reconstruction surgery. Clinical Biomechanics, 26(2), 175-180. https://doi.org/10.1016/j.clinbiomech.2010.09.011

Yeung, M., Fu, S., Chua, E. N., Mok, K., Yung, P. S., & Chan, K. (2016). Use of a portable motion analysis system for knee dynamic stability assessment in anterior cruciate ligament deficiency during single-legged hop landing. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, 5, 6-12. https://doi.org/10.1016/j.asmart.2016.06.002

Zhang, Y., Huang, W., Yao, Z., Ma, L., Lin, Z., Wang, S., et al. (2016). Anterior cruciate ligament injuries alter the kinematics of knees with or without meniscal deficiency. The American Journal of Sports Medicine, 44(12), 3132-3139. https://doi.org/10.1177/0363546516658026

Zhang, Y., Yao, Z., Wang, S., Huang, W., Ma, L., Huang, H., et al. (2015). Motion analysis of chinese normal knees during gait based on a novel portable system. Gait & Posture, 41(3), 763-768. https://doi.org/10.1016/j.gaitpost.2015.01.020




DOI: https://doi.org/10.14198/jhse.2018.134.11





License URL: http://creativecommons.org/licenses/by-nc-nd/4.0/