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Background Identification of individual gait events is essential for clinical gait analysis, because it can be used for diagnostic purposes or tracking disease progression in neurological diseases such as Parkinson’s disease. Previous research has shown that gait events can be detected from a shank-mounted inertial measurement unit (IMU), however detection performance was often evaluated only from straight-line walking. For use in daily life, the detection performance needs to be evaluated in curved walking and turning as well as in single-task and dual-task conditions. Methods Participants (older adults, people with Parkinson’s disease, or people who had suffered from a stroke) performed three different walking trials: (1) straight-line walking, (2) slalom walking, (3) Stroop-and-walk trial. An optical motion capture system was used a reference system. Markers were attached to the heel and toe regions of the shoe, and participants wore IMUs on the lateral sides of both shanks. The angular velocity of the shank IMUs was used to detect instances of initial foot contact (IC) and final foot contact (FC), which were compared to reference values obtained from the marker trajectories. Results The detection method showed high recall, precision and F1 scores in different populations for both initial contacts and final contacts during straight-line walking (IC: recall = 100%, precision = 100%, F1 score = 100%; FC: recall = 100%, precision = 100%, F1 score = 100%), slalom walking (IC: recall = 100%, precision ≥ 99%, F1 score = 100%; FC: recall = 100%, precision ≥ 99%, F1 score = 100%), and turning (IC: recall ≥ 85%, precision ≥ 95%, F1 score ≥ 91%; FC: recall ≥ 84%, precision ≥ 95%, F1 score ≥ 89%). Conclusions Shank-mounted IMUs can be used to detect gait events during straight-line walking, slalom walking and turning. However, more false events were observed during turning and more events were missed during turning. For use in daily life we recommend identifying turning before extracting temporal gait parameters from identified gait events.

Inertial measurement units (IMU’s) have been used to collect human movement data in practical, real-world environments in both non-pathological and pathological gait. IMU sensors have produced strong results for their validity and repeatability compared to the gold-standard of motion capture, specifically in college-aged populations. Due to their small size and lightweight design, IMU’s can be very convenient for the collection of movement data across various populations. Given the unique movement patterns reported in persons with autism (i.e., variability both intra- and inter-subject), the purpose of this proposed study was to compare gait events and segmental angles of the foot, shank, and thigh during gait via IMU’s compared to the “gold standard” of motion capture. Gait events were calculated using the superior-inferior acceleration/anterior-posterior acceleration (SIacc/APacc) methodology and the 10 N vertical ground reaction force (vGRF) methodology. Gait event detection was matched between SIacc/APacc and vGRF methods for heel strike yet significantly different for toe off. Our results support the existing literature suggesting an agreement in sagittal plane lower extremity segmental angles between IMU’s and motion capture, with less agreement between modalities in the frontal and transverse planes. However, these findings should be approached with caution and accompanied by recommendations that take into account the attributes of each participant (e.g. stimming, sensitivities). Future work investigating specific functional tasks to define the axis system and limit out-of-plane motion is needed in this population.

PurposeThis paper aims to deal with the human activity recognition using human gait pattern. The paper has considered the experiment results of seven different activities: normal walk, jogging, walking on toe, walking on heel, upstairs, downstairs and sit-ups.Design/methodology/approachIn this current research, the data is collected for different activities using tri-axial inertial measurement unit (IMU) sensor enabled with three-axis accelerometer to capture the spatial data, three-axis gyroscopes to capture the orientation around axis and 3° magnetometer. It was wirelessly connected to the receiver. The IMU sensor is placed at the centre of mass position of each subject. The data is collected for 30 subjects including 11 females and 19 males of different age groups between 10 and 45 years. The captured data is pre-processed using different filters and cubic spline techniques. After processing, the data are labelled into seven activities. For data acquisition, a Python-based GUI has been designed to analyse and display the processed data. The data is further classified using four different deep learning model: deep neural network, bidirectional-long short-term memory (BLSTM), convolution neural network (CNN) and CNN-LSTM. The model classification accuracy of different classifiers is reported to be 58%, 84%, 86% and 90%.FindingsThe activities recognition using gait was obtained in an open environment. All data is collected using an IMU sensor enabled with gyroscope, accelerometer and magnetometer in both offline and real-time activity recognition using gait. Both sensors showed their usefulness in empirical capability to capture a precised data during all seven activities. The inverse kinematics algorithm is solved to calculate the joint angle from spatial data for all six joints hip, knee, ankle of left and right leg.Practical implicationsThis work helps to recognize the walking activity using gait pattern analysis. Further, it helps to understand the different joint angle patterns during different activities. A system is designed for real-time analysis of human walking activity using gait. A standalone real-time system has been designed and realized for analysis of these seven different activities.Originality/valueThe data is collected through IMU sensors for seven activities with equal timestamp without noise and data loss using wirelessly. The setup is useful for the data collection in an open environment outside the laboratory environment for activity recognition. The paper also presents the analysis of all seven different activity trajectories patterns.

In this paper, the solution method for foot arch index (FAI) based on plantar force measurement was proposed. The entire pelma (EP) was divided into three partitions: posterior heel (HP), lateral side of the sole (SL) and medial side of the sole (SM) according to the three-point support mechanics mechanism of the foot and ankle. A distributed force platform was established to obtain the mean positions of the center of pressure (CoP) trajectories on SL, SM, HP, and EP, which were defined as A, B, C, and O, respectively. Based on the principle that the arch height influences the distance from point O to the boundary of triangle ABC, the area ratio of triangle BOC to triangle ABC was defined as FAI. Arch height index (AHI) measurement of thirty participants by combined calipers was compared with FAI measurement of their right feet. The arches were classified based on AHI, and ANOVA was performed. The Pearson correlation coefficient between the FAI method and the AHI method is 0.79 (p＜0.0001). The Bland-Altman analysis showed good agreement. ANOVA indicated FAI was statistically significant (F = 18.81,p＜0.001), and there were statistical differences between groups. These results suggest that the proposed distributed force measurement method can provide support surface boundary (triangle ABC) information related to point O.

Background Multiple sclerosis (MS) is a disabling disease affecting the central nervous system and consequently the whole body’s functional systems resulting in different gait disorders. Fatigue is the most common symptom in MS with a prevalence of 80%. Previous research studied the relation between fatigue and gait impairment using stationary gait analysis systems and short gait tests (e.g. timed 25 ft walk). However, wearable inertial sensors providing gait data from longer and continuous gait bouts have not been used to assess the relation between fatigue and gait parameters in MS. Therefore, the aim of this study was to evaluate the association between fatigue and spatio-temporal gait parameters extracted from wearable foot-worn sensors and to predict the degree of fatigue. Methods Forty-nine patients with MS (32 women; 17 men; aged 41.6 years, EDSS 1.0–6.5) were included where each participant was equipped with a small Inertial Measurement Unit (IMU) on each foot. Spatio-temporal gait parameters were obtained from the 6-min walking test, and the Borg scale of perceived exertion was used to represent fatigue. Gait parameters were normalized by taking the difference of averaged gait parameters between the beginning and end of the test to eliminate inter-individual differences. Afterwards, normalized parameters were transformed to principle components that were used as input to a Random Forest regression model to formulate the relationship between gait parameters and fatigue. Results Six principal components were used as input to our model explaining more than 90% of variance within our dataset. Random Forest regression was used to predict fatigue. The model was validated using 10-fold cross validation and the mean absolute error was 1.38 points. Principal components consisting mainly of stride time, maximum toe clearance, heel strike angle, and stride length had large contributions (67%) to the predictions made by the Random Forest. Conclusions The level of fatigue can be predicted based on spatio-temporal gait parameters obtained from an IMU based system. The results can help therapists to monitor fatigue before and after treatment and in rehabilitation programs to evaluate their efficacy. Furthermore, this can be used in home monitoring scenarios where therapists can monitor fatigue using IMUs reducing time and effort of patients and therapists.

The use of inertial measurement units (IMUs) as an alternative to optical marker-based systems has the potential to make gait analysis part of the clinical standard of care. Previously, an IMU-based system leveraging Rauch–Tung–Striebel smoothing to estimate knee angles was assessed using a six-degrees-of-freedom joint simulator. In a clinical setting, however, accurately measuring abduction/adduction and external/internal rotation of the knee joint is particularly challenging, especially in the presence of soft tissue artefacts. In this study, the in vivo IMU-based joint angles of 40 asymptomatic knees were assessed during level walking, under two distinct sensor placement configurations: (1) IMUs fixed to a rigid harness, and (2) IMUs mounted on the skin using elastic hook-and-loop bands (from here on referred to as “skin-mounted IMUs”). Estimates were compared against values obtained from a harness-mounted optical marker-based system. The comparison of these three sets of kinematic signals (IMUs on harness, IMUs on skin, and optical markers on harness) was performed before and after implementation of a REference FRame Alignment MEthod (REFRAME) to account for the effects of differences in coordinate system orientations. Prior to the implementation of REFRAME, in comparison to optical estimates, skin-mounted IMU-based angles displayed mean root-mean-square errors (RMSEs) up to 6.5°, while mean RMSEs for angles based on harness-mounted IMUs peaked at 5.1°. After REFRAME implementation, peak mean RMSEs were reduced to 4.1°, and 1.5°, respectively. The negligible differences between harness-mounted IMUs and the optical system after REFRAME revealed that the IMU-based system was capable of capturing the same underlying motion pattern as the optical reference. In contrast, obvious differences between the skin-mounted IMUs and the optical reference indicated that the use of a harness led to fundamentally different joint motion being measured, even after accounting for reference frame misalignments. Fluctuations in the kinematic signals associated with harness use suggested the rigid device oscillated upon heel strike, likely due to inertial effects from its additional mass. Our study proposes that optical systems can be successfully replaced by more cost-effective IMUs with similar accuracy, but further investigation (especially in vivo and upon heel strike) against moving videofluoroscopy is recommended.

Forestry is recognized as one of the most physically demanding professions. Walking in presents unique biomechanical challenges due to complex, irregular terrain, with several possible risks. This study investigated how human gait adapts across solid surfaces, forest trails, and natural forest environments. Fifteen healthy adult participants (average age 38.3; ten males and five females) completed 150 walking trials, with full-body motion captured via a 17 Inertial Measurement Unit (IMU) sensors (Xsens MVN Awinda system). The analysis focused on spatial and temporal gait parameters, including cadence, step length, foot strike pattern, and center of mass variability. Statistical methods (ANOVA and Kruskal–Wallis) revealed that surface type significantly influenced gait mechanics. On forest terrain, participants exhibited wider steps, reduced cadence, increased step and stride variability, and a substantial shift from heel-to-toe strikes. Gait adaptations reflect compensatory neuromuscular strategies to maintain body balance. The findings confirm that forestry terrain complexity compromises human gait stability and increases physical demands, supporting step variability and slip, trip, and fall risk. By identifying key biomechanical markers of instability, this study contributes to understanding human locomotion principles. Understanding these changes can help design safety measures for outdoor professions, particularly forestry.

The Dynamic Gait Event Identifier (DGEI) introduces a pioneering approach for real-time gait event detection that seamlessly aligns with the needs of embedded system design and optimization. DGEI creates a new standard for gait analysis by combining software and hardware co-design with real-time data analysis, using a combination of first-order difference functions and sliding window techniques. The method is specifically designed to accurately separate and analyze key gait events such as heel strike (HS), toe-off (TO), walking start (WS), and walking pause (WP) from a continuous stream of inertial measurement unit (IMU) signals. The core innovation of DGEI is the application of its dynamic feature extraction strategies, including first-order differential integration with positive/negative windows, weighted sleep time analysis, and adaptive thresholding, which together improve its accuracy in gait segmentation. The experimental results show that the accuracy rate of HS event detection is 97.82%, and the accuracy rate of TO event detection is 99.03%, which is suitable for embedded systems. Validation on a comprehensive dataset of 1550 gait instances shows that DGEI achieves near-perfect alignment with human annotations, with a difference of less than one frame in pulse onset times in 99.2% of the cases.

A prolonged break-over phase might be an indication of a variety of musculoskeletal disorders and can be measured with optical motion capture (OMC) systems, inertial measurement units (IMUs) and force plates. The aim of this study was to present two algorithms for automatic detection of the break-over phase onset from the acceleration and angular velocity signals measured by hoof-mounted IMUs in walk and trot on a hard surface. The performance of these algorithms was evaluated by internal validation with an OMC system and a force plate separately. Seven Warmblood horses were equipped with two wireless IMUs which were attached to the lateral wall of the right front (RF) and hind (RH) hooves. Horses were walked and trotted over a force plate for internal validation while simultaneously the 3D position of three reflective markers, attached to lateral heel, lateral toe and lateral coronet of each hoof, were measured by six infrared cameras of an OMC system. The performance of the algorithms was evaluated by linear mixed model analysis. The acceleration algorithm was the most accurate with an accuracy between -9 and 23 ms and a precision around 24 ms (against OMC system), and an accuracy between -37 and 20 ms and a precision around 29 ms (against force plate), depending on gait and hoof. This algorithm seems promising for quantification of the break-over phase onset although the applicability for clinical purposes, such as lameness detection and evaluation of trimming and shoeing techniques, should be investigated more in-depth.