Gait Symmetry Analysis Based on Dynamic Time Warping

Background: Gait deviations may negatively affect the articular surfaces of the lower extremity joints and lead to some minor degenerative changes. The simplest method for gait evaluation is to assess the symmetry of its parameters, assuming that each undisturbed gait should be symmetrical. This stu...

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Main Authors: Michalina Błażkiewicz, Karol Lann Vel Lace, Anna Hadamus
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Symmetry
Subjects:
Online Access:https://www.mdpi.com/2073-8994/13/5/836
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author Michalina Błażkiewicz
Karol Lann Vel Lace
Anna Hadamus
author_facet Michalina Błażkiewicz
Karol Lann Vel Lace
Anna Hadamus
author_sort Michalina Błażkiewicz
collection DOAJ
description Background: Gait deviations may negatively affect the articular surfaces of the lower extremity joints and lead to some minor degenerative changes. The simplest method for gait evaluation is to assess the symmetry of its parameters, assuming that each undisturbed gait should be symmetrical. This study aims to quantify the degree of asymmetry of kinematic and kinetic parameters caused by the presence of different ankle orthosis settings using Dynamic Time Warping (DTW). Methods: Barefoot gait and gait with four different walker settings were investigated in eighteen healthy persons. Kinematic and kinetic parameters were measured using the Vicon system and Kistler plates. Symmetry was assessed using the DTW method. Results: It was shown that the presence of different ankle orthosis settings significantly disturbs the symmetry of all lower limb kinematic parameters and only knee and hip torques. The highest values of asymmetry were noted for the walker set at 15° of dorsiflexion (15DF). Conclusions: The DTW method allowed us to quantify the degree of asymmetry throughout the gait cycle in relation to barefoot walking. Our results suggest that each orthosis position analysed in this study fulfills its protective function, but gait 15DF can lead to the overload of knee and hip joints.
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spelling doaj.art-7a7302c3c2c34f7abe7447ce3fd1dc5f2023-11-21T18:55:26ZengMDPI AGSymmetry2073-89942021-05-0113583610.3390/sym13050836Gait Symmetry Analysis Based on Dynamic Time WarpingMichalina Błażkiewicz0Karol Lann Vel Lace1Anna Hadamus2Department of Physiotherapy, Józef Piłsudski University of Physical Education in Warsaw, 00-809 Warsaw, PolandDepartment of Physiotherapy, Józef Piłsudski University of Physical Education in Warsaw, 00-809 Warsaw, PolandDepartment of Rehabilitation, Faculty of Medical Sciences, Medical University of Warsaw, 02-091 Warsaw, PolandBackground: Gait deviations may negatively affect the articular surfaces of the lower extremity joints and lead to some minor degenerative changes. The simplest method for gait evaluation is to assess the symmetry of its parameters, assuming that each undisturbed gait should be symmetrical. This study aims to quantify the degree of asymmetry of kinematic and kinetic parameters caused by the presence of different ankle orthosis settings using Dynamic Time Warping (DTW). Methods: Barefoot gait and gait with four different walker settings were investigated in eighteen healthy persons. Kinematic and kinetic parameters were measured using the Vicon system and Kistler plates. Symmetry was assessed using the DTW method. Results: It was shown that the presence of different ankle orthosis settings significantly disturbs the symmetry of all lower limb kinematic parameters and only knee and hip torques. The highest values of asymmetry were noted for the walker set at 15° of dorsiflexion (15DF). Conclusions: The DTW method allowed us to quantify the degree of asymmetry throughout the gait cycle in relation to barefoot walking. Our results suggest that each orthosis position analysed in this study fulfills its protective function, but gait 15DF can lead to the overload of knee and hip joints.https://www.mdpi.com/2073-8994/13/5/836Dynamic Time Warpingkinematickineticwalker bootankle-foot orthosisgait
spellingShingle Michalina Błażkiewicz
Karol Lann Vel Lace
Anna Hadamus
Gait Symmetry Analysis Based on Dynamic Time Warping
Symmetry
Dynamic Time Warping
kinematic
kinetic
walker boot
ankle-foot orthosis
gait
title Gait Symmetry Analysis Based on Dynamic Time Warping
title_full Gait Symmetry Analysis Based on Dynamic Time Warping
title_fullStr Gait Symmetry Analysis Based on Dynamic Time Warping
title_full_unstemmed Gait Symmetry Analysis Based on Dynamic Time Warping
title_short Gait Symmetry Analysis Based on Dynamic Time Warping
title_sort gait symmetry analysis based on dynamic time warping
topic Dynamic Time Warping
kinematic
kinetic
walker boot
ankle-foot orthosis
gait
url https://www.mdpi.com/2073-8994/13/5/836
work_keys_str_mv AT michalinabłazkiewicz gaitsymmetryanalysisbasedondynamictimewarping
AT karollannvellace gaitsymmetryanalysisbasedondynamictimewarping
AT annahadamus gaitsymmetryanalysisbasedondynamictimewarping