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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Bioeng. Biotechnol. | doi: 10.3389/fbioe.2019.00199

A Direct Comparison of Biplanar Videoradiography and Optical Motion Capture for Foot and Ankle Kinematics

  • 1School of Human Movement and Nutrition Sciences, University of Queensland, Australia
  • 2Department of Mechanical and Materials Engineering, Queen's University, Canada
  • 3Department of Orthopaedics, Brown University, United States
  • 4Department of Kinesiology, University of Rhode Island, United States
  • 5Providence VA Medical Center, United States
  • 6Department of Biological Science, University of Massachusetts Lowell, United States

Measuring motion of the human foot presents a unique challenge due to the large number of closely packed bones with congruent articulating surfaces. Optical motion capture (OMC) and multi-segment models can be used to infer foot motion, but might be affected by soft tissue artefact (STA). Biplanar videoradiography (BVR) is a relatively new tool that allows direct, non-invasive measurement of bone motion using high-speed, dynamic x-ray images to track individual bones. It is unknown whether OMC and BVR can be used interchangeably to analyse multi-segment foot motion. Therefore, the aim of this study was to determine the agreement in kinematic measures of dynamic activities.
Nine healthy participants performed three walking and three running trials while BVR was recorded with synchronous OMC. Bone position and orientation was determined through manual scientific-rotoscoping. The OMC and BVR kinematics were co-registered to the same coordinate system, and BVR tracking was used to create virtual markers for comparison to OMC during dynamic trials. Root mean square (RMS) differences in marker positions and joint angles as well as a linear fit method (LFM) was used to compare the outputs of both methods.
When comparing BVR and OMC, sagittal plane angles were in good agreement (ankle: R2 = 0.947, 0.939; Medial Longitudinal Arch (MLA) Angle: R2 = 0.713, 0.703, walking and running, respectively). When examining the ankle, there was a moderate agreement between the systems in the frontal plane (R2 = 0.322, 0.452, walking and running, respectively), with a weak to moderate correlation for the transverse plane (R2 = 0.178, 0.326, walking and running, respectively). However, root mean squared error (RMSE) showed angular errors ranging from 1.06 to 8.31 across the planes (frontal: 3.57, 3.67, transverse: 4.28, 4.70, sagittal: 2.45, 2.67, walking and running, respectively). Root mean square (RMS) differences between OMC and BVR marker trajectories were task dependent with the largest differences in the shank (6.0 ± 2.01 mm) for running, and metatarsals (3.97 ± 0.81 mm) for walking. Based on the results, we suggest BVR and OMC provide comparable solutions to foot motion in the sagittal plane, however, interpretations of out-of-plane movements should done cautiously.

Keywords: Foot & ankle, biplanar videoradiography, Fluroscopy, motion capture, Kinematics-

Received: 23 May 2019; Accepted: 05 Aug 2019.

Copyright: © 2019 Kessler, Rainbow, Lichtwark, CRESSWELL, D'Andrea, Konow and Kelly. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Mx. Luke A. Kelly, University of Queensland, School of Human Movement and Nutrition Sciences, Brisbane, Australia,