Quantification of Triple Single-Leg Hop Test Temporospatial Parameters: A Validated Method Using Body-Worn Sensors for Functional Evaluation after Knee Injury

Lower extremity kinematic alterations associated with sport-related knee injuries may contribute to an unsuccessful return to sport or early-onset post-traumatic osteoarthritis. Also, without access to sophisticated motion-capture systems, temporospatial monitoring of horizontal hop tests during cli...

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Main Authors: Niloufar Ahmadian, Milad Nazarahari, Jackie L. Whittaker, Hossein Rouhani
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/20/12/3464
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author Niloufar Ahmadian
Milad Nazarahari
Jackie L. Whittaker
Hossein Rouhani
author_facet Niloufar Ahmadian
Milad Nazarahari
Jackie L. Whittaker
Hossein Rouhani
author_sort Niloufar Ahmadian
collection DOAJ
description Lower extremity kinematic alterations associated with sport-related knee injuries may contribute to an unsuccessful return to sport or early-onset post-traumatic osteoarthritis. Also, without access to sophisticated motion-capture systems, temporospatial monitoring of horizontal hop tests during clinical assessments is limited. By applying an alternative measurement system of two inertial measurement units (IMUs) per limb, we obtained and validated flying/landing times and hop distances of triple single-leg hop (TSLH) test against motion-capture cameras, assessed these temporospatial parameters amongst injured and uninjured groups, and investigated their association with the Knee Injury and Osteoarthritis Outcome Score (KOOS). Using kinematic features of IMU recordings, strap-down integration, and velocity correction techniques, temporospatial parameters were validated for 10 able-bodied participants and compared between 22 youth with sport-related knee injuries and 10 uninjured youth. With median (interquartile range) errors less than 10(16) ms for flying/landing times, and less than 4.4(5.6)% and 2.4(3.0)% of reference values for individual hops and total TSLH progression, differences between hopping biomechanics of study groups were highlighted. For injured participants, second flying time and all hop distances demonstrated moderate to strong correlations with KOOS Symptom and Function in Daily Living scores. Detailed temporospatial monitoring of hop tests is feasible using the proposed IMUs system.
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spelling doaj.art-4c6a79cc0fe8450d9a9eac12f36dad622023-11-20T04:21:20ZengMDPI AGSensors1424-82202020-06-012012346410.3390/s20123464Quantification of Triple Single-Leg Hop Test Temporospatial Parameters: A Validated Method Using Body-Worn Sensors for Functional Evaluation after Knee InjuryNiloufar Ahmadian0Milad Nazarahari1Jackie L. Whittaker2Hossein Rouhani3Department of Mechanical Engineering, University of Alberta, Edmonton, AB T6G 1H9, CanadaDepartment of Mechanical Engineering, University of Alberta, Edmonton, AB T6G 1H9, CanadaDepartment of Physical Therapy, University of British Columbia, Vancouver, BC V6T 1Z3, CanadaDepartment of Mechanical Engineering, University of Alberta, Edmonton, AB T6G 1H9, CanadaLower extremity kinematic alterations associated with sport-related knee injuries may contribute to an unsuccessful return to sport or early-onset post-traumatic osteoarthritis. Also, without access to sophisticated motion-capture systems, temporospatial monitoring of horizontal hop tests during clinical assessments is limited. By applying an alternative measurement system of two inertial measurement units (IMUs) per limb, we obtained and validated flying/landing times and hop distances of triple single-leg hop (TSLH) test against motion-capture cameras, assessed these temporospatial parameters amongst injured and uninjured groups, and investigated their association with the Knee Injury and Osteoarthritis Outcome Score (KOOS). Using kinematic features of IMU recordings, strap-down integration, and velocity correction techniques, temporospatial parameters were validated for 10 able-bodied participants and compared between 22 youth with sport-related knee injuries and 10 uninjured youth. With median (interquartile range) errors less than 10(16) ms for flying/landing times, and less than 4.4(5.6)% and 2.4(3.0)% of reference values for individual hops and total TSLH progression, differences between hopping biomechanics of study groups were highlighted. For injured participants, second flying time and all hop distances demonstrated moderate to strong correlations with KOOS Symptom and Function in Daily Living scores. Detailed temporospatial monitoring of hop tests is feasible using the proposed IMUs system.https://www.mdpi.com/1424-8220/20/12/3464knee assessmentinertial measurement unitambulatory monitoringcriterion-related validationconstruct validationfunctional test
spellingShingle Niloufar Ahmadian
Milad Nazarahari
Jackie L. Whittaker
Hossein Rouhani
Quantification of Triple Single-Leg Hop Test Temporospatial Parameters: A Validated Method Using Body-Worn Sensors for Functional Evaluation after Knee Injury
Sensors
knee assessment
inertial measurement unit
ambulatory monitoring
criterion-related validation
construct validation
functional test
title Quantification of Triple Single-Leg Hop Test Temporospatial Parameters: A Validated Method Using Body-Worn Sensors for Functional Evaluation after Knee Injury
title_full Quantification of Triple Single-Leg Hop Test Temporospatial Parameters: A Validated Method Using Body-Worn Sensors for Functional Evaluation after Knee Injury
title_fullStr Quantification of Triple Single-Leg Hop Test Temporospatial Parameters: A Validated Method Using Body-Worn Sensors for Functional Evaluation after Knee Injury
title_full_unstemmed Quantification of Triple Single-Leg Hop Test Temporospatial Parameters: A Validated Method Using Body-Worn Sensors for Functional Evaluation after Knee Injury
title_short Quantification of Triple Single-Leg Hop Test Temporospatial Parameters: A Validated Method Using Body-Worn Sensors for Functional Evaluation after Knee Injury
title_sort quantification of triple single leg hop test temporospatial parameters a validated method using body worn sensors for functional evaluation after knee injury
topic knee assessment
inertial measurement unit
ambulatory monitoring
criterion-related validation
construct validation
functional test
url https://www.mdpi.com/1424-8220/20/12/3464
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