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Differences in Ground Reaction Force During Foot Strength Testing in Sitting and Standing Positions. 坐立脚力测试中地面反作用力的差异。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-05 DOI: 10.1123/jab.2025-0100
Karen M Stevens, Maxine L Olson, Frank E DiLiberto

Foot strength is important for gait, balance, and function, but it is challenging to measure. Evidence explaining why strength differences exist between sitting and standing test positions is needed to improve clinical value. Observing changes in ground reaction force (Δ GRF) during strength testing may help explain these differences. Our purpose was to determine if Δ GRF differed between test positions, and if Δ GRF was associated with strength. Twenty healthy adults (x¯ = 24.7 y) were randomly assigned to a first test position, sitting or standing. With one foot on a force plate, subjects pressed down and pulled with their toes on a towel connected to a scale, for each test position. Paired t tests and Pearson correlation coefficients were used in analyses of strength and 3D Δ GRF outcomes. Mean peak foot strength and Δ GRFx (anterior-posterior direction) were greater in standing (P < .001). Correlations were strong between sitting and standing peak strength (r = .703) and between peak strength and Δ GRFx (r = .738) and Δ GRFz (superior-inferior) (r = .595) in standing. Greater strength production in standing, which was directly correlated to Δ GRF, was congruent with task demands and may reflect the importance of rearfoot stability during foot strength testing. From a clinical perspective, the standing test position is favored over sitting.

足部力量对步态、平衡和功能很重要,但测量起来却很有挑战性。需要证据来解释坐姿和站立测试姿势之间存在力量差异的原因,以提高临床价值。在强度测试期间观察地面反作用力(Δ GRF)的变化可能有助于解释这些差异。我们的目的是确定Δ GRF在测试位置之间是否不同,以及Δ GRF是否与强度有关。20名健康成年人(x¯= 24.7 y)被随机分配到第一个测试位置,坐着或站着。受试者将一只脚放在测力板上,在每个测试姿势下,用脚趾在连接到秤的毛巾上按压和拉伸。配对t检验和Pearson相关系数用于强度和3D Δ GRF结果的分析。站立时平均峰值足强度和Δ GRFx(前后方向)更大(P < 0.001)。坐着和站着的峰值强度(r = .703)以及峰值强度与站立时Δ GRFx (r = .738)和Δ GRFz(优劣)(r = .595)之间的相关性很强。站立时更大的强度产生与Δ GRF直接相关,与任务需求一致,可能反映了足部强度测试中后脚稳定性的重要性。从临床角度来看,站立测试姿势比坐着更受欢迎。
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引用次数: 0
Automated Classification of the Consequences of a Slip During Walking Using a Machine Learning Approach. 使用机器学习方法对行走过程中滑动的后果进行自动分类。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-25 DOI: 10.1123/jab.2025-0081
Chimerem O Amiaka, Vanessa F Yuan, Shawn M Beaudette, Craig D Tokuno

This study applied decision-tree (DT) machine learning models to determine whether this approach is more accurate when classifying slip outcome during walking, and to refine the cutoff thresholds of each slip type. Kinematic data of the heel were collected from 50 adults (23.1 [3.6] y) during 516 walking trials. The first DT model (DT1) was trained with heel slip distance and heel slip velocity as predictor variables; the second model (DT2) added heel slip acceleration as the third predictor variable. Walking trials were first classified as a no-slip, slip-recovery, or slip-fall outcome based on visual observation, and these classifications were used as response labels to train the DT models. Results indicated that both DT models yielded different thresholds in classifying slip outcomes and were similar to thresholds suggested in previous studies. However, both DT models resulted in 4.1% to 7.6% greater overall prediction accuracy compared with previously suggested thresholds, with DT2 generally performing better than DT1. Although the improved performance was offset by a ∼7% lower sensitivity when classifying no-slip outcomes and greater model complexity, future studies examining slip responses during gait should incorporate the thresholds derived from the DT2 model to most accurately classify the type of slip outcome.

本研究应用决策树(DT)机器学习模型来确定该方法在对行走过程中的滑动结果进行分类时是否更准确,并细化每种滑动类型的截止阈值。在516次步行试验中收集了50名成人(23.1[3.6]岁)的足跟运动学数据。第一个DT模型(DT1)以足跟滑移距离和足跟滑移速度作为预测变量进行训练;第二个模型(DT2)将脚跟滑移加速度作为第三个预测变量。基于视觉观察,步行试验首先被分类为无滑移、滑移恢复或滑移跌倒结果,这些分类被用作训练DT模型的响应标签。结果表明,两种DT模型对滑移结果的分类阈值不同,与以往研究提出的阈值相似。然而,与先前建议的阈值相比,两种DT模型的总体预测精度提高了4.1%至7.6%,DT2通常比DT1表现更好。尽管在分类无滑移结果和更大的模型复杂性时,性能的提高被约7%的灵敏度降低所抵消,但未来研究步态中滑移反应的研究应纳入来自DT2模型的阈值,以最准确地分类滑移结果的类型。
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引用次数: 0
Examination of Gait Asymmetry During Walking With Additional Arm Weights. 额外手臂重量行走时步态不对称的检查。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-25 DOI: 10.1123/jab.2025-0159
Hyung Suk Yang, Lee T Atkins, C Roger James

Gait symmetry is often assumed in healthy individuals, yet functional asymmetries arise from biomechanical and neurophysiological factors. Although light upper body loading can improve walking performance, its effect on lower limb joint asymmetry remains unclear. This study examined how different loading conditions affect sagittal plane gait asymmetry at the hip, knee, and ankle. Twenty-two participants walked under 4 conditions: no weight, unilateral arm weight, bilateral arm weights, and waist weights each using 0.45-kg loads. Three-dimensional joint angles were normalized to 101 points across the gait cycle. Asymmetry was assessed using statistical parametric mapping and pointwise effect size. Two metrics were used: (1) temporal extent, defined as the percentage of the gait cycle with significant left-right differences (P < .05) and the percentage of the gait cycle with effect size >0.8 and (2) group-level prevalence, defined as the percentage of participants showing significant asymmetry at each time point. Significant asymmetries were observed across all joints and conditions, with hip and knee levels consistently exceeding those at the ankle. Effect size values often exceeded statistical thresholds, highlighting meaningful differences. Loading produced minimal systematic effects, though individual responses varied. Importantly, light arm weights did not increase asymmetry, supporting their use for gait enhancement.

步态对称通常被认为是健康人,但功能不对称是由生物力学和神经生理因素引起的。虽然上肢轻负荷可以改善行走性能,但其对下肢关节不对称的影响尚不清楚。本研究考察了不同负荷条件对髋关节、膝关节和踝关节矢状面步态不对称的影响。22名参与者在4种情况下行走:不负重、单侧手臂负重、双侧手臂负重和腰部负重,每种负重0.45公斤。三维关节角在步态周期内归一化为101个点。采用统计参数映射和逐点效应大小评估不对称性。使用了两个指标:(1)时间范围,定义为具有显著左右差异(P < 0.05)的步态周期的百分比,以及具有显著效应大小>.8的步态周期的百分比;(2)组水平患病率,定义为在每个时间点表现出显著不对称的参与者的百分比。在所有关节和情况下都观察到明显的不对称,髋关节和膝关节的水平始终超过脚踝的水平。效应大小值经常超过统计阈值,突出有意义的差异。负荷对系统的影响很小,尽管个体的反应各不相同。重要的是,轻手臂重量不会增加不对称,支持它们用于步态增强。
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引用次数: 0
Erratum. Effects of Different Inertial Measurement Unit Sensor-to-Segment Calibrations on Clinical 3-Dimensional Wrist Joint Angles Estimation. 勘误表。不同惯性测量单元传感器-节段校准对临床三维腕关节角度估计的影响。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-22 DOI: 10.1123/jab.2025-0367
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引用次数: 0
Relationship Between Shoulder External Rotation and Glenohumeral Joint Alignment Changes in Baseball Players. 棒球运动员肩关节外旋与肩关节对准变化的关系。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-18 DOI: 10.1123/jab.2025-0049
Makoto Takahashi, Hirotaka Mutsuzaki, Koji Iwamoto, Masahiko Monma, Makoto Nejishima, Tomoki Ono, Hiroshi Inami, Masahiro Takemura, Takashi Kawamura, Kazuhide Tomita

Clarification of glenohumeral joint alignment changes during the late cocking phase may reveal the mechanisms of throwing injuries. This study aimed to determine the effect of shoulder external rotation on humeral head center deviation relative to the scapular glenoid. Twenty-eight baseball players participated. The anteroposterior deviation of the humeral head center relative to the glenoid (humeral head translation) and the distance between the humeral head and posterior glenoid rim perpendicular to the glenoid articular surface (posterior glenohumeral distance) were measured. Magnetic resonance imaging of the throwing shoulder was performed at 90° abduction with 90°, 100°, and 110° external rotation; for the nonthrowing shoulder, measurements were conducted at 90° and 100°. In humeral head translation, the posterior translation of the humeral head relative to the glenoid was significantly greater at 110° compared to 90° external rotation position (P = .003). Humeral head translation was associated with posterior glenohumeral distance at the 90° (β-coefficient = 0.649) and 100° (β-coefficient = 0.556) external rotation positions. Increased shoulder external rotation resulted in posterior translation of the humeral head and proximity between the humeral head and the posterior glenoid rim. The factors identified as contributing to posterior deviation of the humeral head may trigger throwing shoulder injuries during the late cocking phase.

澄清后仰阶段的盂肱关节排列变化可能揭示投掷损伤的机制。本研究旨在确定肩部外旋对肱骨头相对于肩胛盂中心偏差的影响。28名棒球运动员参加了比赛。测量肱骨头中心相对于肩胛的前后偏移量(肱骨头平移量)和肱骨头与垂直于肩胛关节面的后肩胛缘之间的距离(肩胛后距离)。在90°外展、90°、100°和110°外旋时对投掷肩进行磁共振成像;对于非投掷肩部,在90°和100°处进行测量。在肱骨头移位中,与90°外旋位置相比,110°外旋位置肱骨头相对于肩关节的后移位明显更大(P = 0.003)。肱骨头移位与90°(β-系数= 0.649)和100°(β-系数= 0.556)外旋位置后盂肱距离相关。增加肩部外旋导致肱骨头向后平移,肱骨头与后盂缘接近。被确定为导致肱骨头后侧偏的因素可能在后坐阶段引发抛掷性肩损伤。
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引用次数: 0
Regional Distribution of Myoelectric Median Frequency in the Erector Spinae Muscles Under the Influence of Delayed-Onset Muscle Soreness. 迟发性肌肉酸痛对竖脊肌肌电中位频率的影响。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-03 DOI: 10.1123/jab.2025-0119
Alvaro Pano-Rodriguez, Julien Ducas, Guillaume Vadez, Jacques Abboud

Delayed-onset muscle soreness (DOMS) is a noninvasive pain model offering a unique opportunity to study trunk neuromuscular adaptations. While prior research has examined regional muscle activation in the lumbar region, the spatial distribution of median frequencies (MF) under DOMS has not been explored. This study investigated the effect of DOMS-induced pain on the spatial distribution of MF in the lumbar erector spinae muscles and its association with trunk force variability during submaximal contractions. Twenty healthy adults completed 2 laboratory sessions: 1 pain-free and 1 under low back DOMS. High-density surface electromyography was recorded bilaterally on the erector spinae during submaximal isometric trunk extensions. MF distribution was analyzed using centroid coordinates with and without DOMS. Force variability was also assessed. DOMS significantly increased perceived muscle pain and soreness in the lumbar region. It also caused a cranial and medial shift of the MF centroid, significant on 1 side of the trunk. However, force variability remained stable between conditions. These results suggest that DOMS induces regional adaptations in lumbar muscle MF. The spatial distribution of MF may serve as a novel and sensitive marker of neuromuscular adaptation to pain. The trunk system was able to maintain force steadiness despite pain and soreness.

迟发性肌肉酸痛(DOMS)是一种非侵入性疼痛模型,为研究躯干神经肌肉适应性提供了独特的机会。虽然先前的研究已经检查了腰椎区域的肌肉激活,但DOMS的中位频率(MF)的空间分布尚未被探索。本研究探讨了doms引起的疼痛对腰竖脊肌MF空间分布的影响及其与亚最大收缩时躯干力变异性的关系。20名健康成人完成了2个实验阶段:1个无痛阶段和1个腰背迟发性肌肉酸痛阶段。在次最大等距躯干伸展时,在双侧竖脊上记录高密度表面肌电图。用质心坐标分析有和没有迟发性肌肉酸痛的MF分布。还评估了力的变异性。迟发性肌肉酸痛显著增加腰部肌肉疼痛和酸痛。它还引起中枢性脊髓炎质心的头部和内侧移位,在躯干一侧明显。然而,力的变化在不同条件下保持稳定。这些结果表明,迟发性迟发性肌肉在腰肌MF中诱导区域适应。MF的空间分布可以作为神经肌肉对疼痛适应的一种新的敏感标志。尽管疼痛和酸痛,躯干系统仍能保持力的稳定性。
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引用次数: 0
Opposite Medial and Lateral Tibiofemoral Joint Compartment Responses Between Dominant and Nondominant Limbs When Walking With Load Carriage. 负重行走时优势肢和非优势肢对内侧和外侧胫股关节隔室的反应。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-11-03 DOI: 10.1123/jab.2024-0294
Blake W Jones, John D Willson, Paul DeVita, Ryan D Wedge

It is unknown whether interlimb differences in gait mechanics affect the magnitude or distribution of tibiofemoral joint contact forces or whether load carriage increases potential effects of limb dominance. Thus, this study aimed to compare the effects of load carriage on total, medial, and lateral tibiofemoral joint contact force between the dominant and nondominant limbs. Twenty-four adults (12 women, 21 right-leg dominant) walked at 1.4 m·s-1 during 3 load carriage conditions (0%, 15%, and 30% body weight). Medial and lateral tibiofemoral joint contact forces were calculated during 5 stance phases for each limb in each condition. A 3 × 2 repeated-measures analysis of variance was used to compare the dominant and nondominant limbs across the 3 loading conditions. Peak tibiofemoral joint forces increased directly with load carriage (P < .001). The nondominant limb peak medial tibiofemoral joint contact force was greater than that of the dominant limb (P = .026), whereas dominant limb peak lateral tibiofemoral joint contact force was greater than that of the nondominant (P < .001) limb. Although the results were close to the minimal detectable difference, we concluded that the distribution of tibiofemoral joint contact force during load carriage may be influenced by limb dominance. These findings underscore the relevance of limb dominance as a consideration in research design and data interpretation.

目前尚不清楚步态力学的肢间差异是否会影响胫股关节接触力的大小或分布,或者负重是否会增加肢体优势的潜在影响。因此,本研究旨在比较负重对优势肢和非优势肢之间总、内侧和外侧胫股关节接触力的影响。24名成年人(12名女性,21名右腿为主)在3种负重运输条件下(0%、15%和30%体重)以1.4 m·s-1的速度行走。计算各条件下每个肢体在5个站立阶段的内侧和外侧胫股关节接触力。采用3 × 2重复测量方差分析比较3种加载条件下的优势肢和非优势肢。峰值胫股关节力随负重直接增加(P < 0.001)。非优势肢内侧胫股关节接触力大于优势肢(P = 0.026),而优势肢外侧胫股关节接触力大于非优势肢(P < 0.001)。虽然结果接近最小可检测的差异,但我们得出结论,负重过程中胫股关节接触力的分布可能受到肢体优势的影响。这些发现强调了肢体优势作为研究设计和数据解释考虑因素的相关性。
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引用次数: 0
Correlations Between the Trochanteric Soft Tissue Stiffness and the Pelvis Stiffness During Sideways Falls. 侧跌倒时股骨粗隆软组织僵硬度与骨盆僵硬度的关系。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-28 DOI: 10.1123/jab.2025-0071
Kitaek Lim, Seung Su Kim, Chung Hwi Yi, Ohyun Kwon, Hye-Seon Jeon, Sung Hyun You, Woochol Joseph Choi

The pelvis and trochanteric soft tissue stiffness influence hip impact force during falls. We examined potential relationships between the stiffness values acquired from different methodologies. Twenty-six individuals simulated sideways falls. During trials, force-deformation data of the trochanteric soft tissue were recorded, then fitted to polynomial and exponential functions. Stiffness was determined as a slope of the tangent line at maximum deformation (Ks_1st, Ks_2nd, and Ks_exp) and at 0.4 N (Ks_2nd_0.4 N, Ks_exp_0.4 N). Similarly, force-deformation data of the pelvis were fitted exponentially to determine the pelvis stiffness at peak impact force (Kb). We also used a clinical device to measure the trochanteric soft tissue stiffness (Ks_myoton). Correlation and regression analyses were performed. The Kb was correlated with Ks_1st and Ks_2nd (P < .05) and decreased 1.7 and 0.7 kN/m for every 1 kN/m increase in Ks_1st and Ks_2nd, respectively (R2 = .23 and R2 = .21), but no variables were correlated with the Ks_myoton (P > .05). When normalized, however, both Kb and Ks_myoton were correlated with Ks_1st and Ks_2nd (P < .05). These findings provide insights into hip impact dynamics, suggesting that trochanteric soft tissue stiffness measured with a clinical device may serve as a predictor of pelvis stiffness during falls.

骨盆和粗隆软组织刚度影响跌倒时髋部的冲击力。我们检查了从不同方法获得的刚度值之间的潜在关系。26个人模拟侧身坠落。实验过程中,记录股骨粗隆软组织的受力变形数据,拟合多项式函数和指数函数。刚度确定为最大变形(Ks_1st, Ks_2nd和Ks_exp)和0.4 N (Ks_2nd_0.4 N, Ks_exp_0.4 N)时切线的斜率。同样,骨盆的力-变形数据以指数方式拟合,以确定骨盆在峰值冲击力下的刚度(Kb)。我们还使用临床装置测量粗隆软组织刚度(Ks_myoton)。进行相关分析和回归分析。ks_1和ks_2每增加1 kN/m, Kb与ks_1和ks_2相关(P < 0.05),分别减少1.7和0.7 kN/m (R2 = 0.23和R2 = 0.21),但与Ks_myoton不相关(P < 0.05)。然而,当归一化时,Kb和Ks_myoton与ks_1和ks_2均相关(P < 0.05)。这些发现提供了对髋关节冲击动力学的见解,表明用临床装置测量粗隆软组织刚度可以作为跌倒时骨盆刚度的预测指标。
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引用次数: 0
The Influence of Lateral Constraints on Walking: Effects of Walking Speed and Biological Sex. 横向约束对步行的影响:步行速度和生理性别的影响。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-28 DOI: 10.1123/jab.2024-0258
Jackson Lordall, Catherine M Arnold, Sarah J Donkers, Jonathan P Farthing, Joel L Lanovaz, Alison R Oates

This study examined the influence of lateral constraints and sex on walking in different settings. Thirty-eight adults (17 males: 25 [3] y, 21 females: 24 [4] y) walked overground for 20 m in open (no constraints), open pathway (defined by lines on the floor), and hallway (pathway defined by walls) settings at 3 speeds (slow, preferred, and fast). Inertial sensors recorded kinematics (Xsens Awinda, Movella) to calculate stride velocity, stride length (SL), cadence, and double support phase percentage. Stride velocity, SL, and cadence were also normalized to account for body size. Linear mixed models were used for statistical analysis (α = .05). No setting or setting by speed effects were found. Males had greater SL compared with females at preferred and fast speeds. Males had greater normalized SL compared with females at fast speeds. Females had greater cadence compared with males across conditions. Males had greater double support phase percentage compared with females at slow speeds. Wider hallways may allow for walking assessments generalizable to open settings. Considering sex differences in cadence at any speed, SL at preferred and fast speeds, normalized SL at fast speeds, and double support phase percentage at slow speeds may be valuable for interpreting walking assessments.

本研究考察了在不同环境下,侧面约束和性别对行走的影响。38名成年人(17名男性:25岁,21名女性:24岁)在地面上以3种速度(慢速,首选和快速)在开放(没有限制),开放通道(由地板上的线条定义)和走廊(由墙壁定义的通道)中行走20米。惯性传感器记录运动学(Xsens Awinda, Movella)来计算步幅速度,步幅长度(SL),节奏和双支撑相位百分比。步幅速度、慢速和节奏也被标准化以反映体型。采用线性混合模型进行统计学分析(α = 0.05)。没有设置或设置的速度效果被发现。在首选速度和快速速度下,雄性比雌性具有更大的SL。在高速下,雄性比雌性有更大的标准化SL。在不同的条件下,女性比男性有更强的节奏。在低速条件下,雄虫的双支撑相比例高于雌虫。更宽的走廊可能允许步行评估推广到开放设置。考虑到任何速度下节奏的性别差异,首选速度和较快速度下的慢速速,较快速度下的标准化慢速速,以及慢速下的双支撑相位百分比可能对解释步行评估有价值。
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引用次数: 0
Effects of Different Inertial Measurement Unit Sensor-to-Segment Calibrations on Clinical 3-Dimensional Wrist Joint Angles Estimation. 不同惯性测量单元传感器-节段校准对临床三维腕关节角度估计的影响。
IF 1.3 4区 医学 Q4 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-01 Print Date: 2025-10-01 DOI: 10.1123/jab.2024-0283
Alessandro Bonfiglio, Elisabetta Farella, Raoul M Bongers

Inertial Measurement Units (IMUs) enable accurate estimation of anatomical joint angles but require a sensor-to-segment calibration. Literature has presented several algorithms that address this gap; however, adequately comparing calibration performance is not trivial. This study compares 3 calibration methods: N-pose calibration (NP), functional calibration (FC), and manual alignment (MA) to estimate 3D wrist joint angles during single-plane and multiplane tasks. Thirteen healthy participants were instrumented with IMUs and optical markers to compute the range of motion error (ε), root mean squared error, and offset between the joint angles from the optical reference and each IMU calibration (NP, FC, and MA) as dependent variables. We then performed 3-way repeated-measures analyses of variance on each dependent variable to evaluate interactions between calibrations, tasks, and joint axes. NP showed the worst root mean squared error (8.34° [7.41°]) performance in the calibration main effect (η2G = .095) and calibration × tasks interaction (η2G = .121). In an exploratory analysis, FC performed best (main effect root mean squared error = 6.52° [4.47°]) in the offset calibration × axes interaction in single-plane (η2G = .160) tasks. Therefore, we recommend FC to optimally perform wrist calibration and against NP. These findings are viable in aiding the development of portable IMU-based clinical motion-tracking devices.

惯性测量单元(imu)能够准确估计解剖关节角度,但需要传感器到节段的校准。文献已经提出了几种算法来解决这一差距;然而,充分比较校准性能并不是微不足道的。本研究比较了3种校准方法:n位姿校准(NP)、功能校准(FC)和手动校准(MA)来估计单平面和多平面任务时的3D手腕关节角度。13名健康受试者分别配备IMU和光学标记物,以计算运动范围误差(ε)、均方根误差以及光学参考关节角度与每个IMU校准(NP、FC和MA)之间的偏移量作为因变量。然后,我们对每个因变量进行了3向重复测量方差分析,以评估校准、任务和关节轴之间的相互作用。NP在校准主效应(η2G = 0.095)和校准与任务交互作用(η2G = 0.121)上的均方根误差最差(8.34°[7.41°])。在探索性分析中,FC在单平面(η2G = 0.160)偏置校准×轴相互作用任务中表现最佳(主效应均方根误差= 6.52°[4.47°])。因此,我们建议FC最佳地执行手腕校准和NP。这些发现有助于开发基于imu的便携式临床运动跟踪设备。
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引用次数: 0
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