Abstract | INTRODUCTION Three- Dimensional (3D) motion capture is accepted to be the gold standard approach to all data collection for the production of accurate data. Yet concerns over the ecological validity of 3D systems has come into question [1]. This has brought about the exploration of alternate methods such as inertial measurement units (IMU’s). The depth of research on IMU usage in wheelchair data collection is limited, particularly in comparison to an established data collection system, primarily focused around the use of IMU’s rather than validation studies aiming to ensure their reliability and accuracy. This single-subject pilot study aims to explore the feasibility of using IMU’s for capturing basic upper body motions during wheelchair propulsion. Specifically, to assess the potential limitations of IMUs in accurately measuring elbow and shoulder flexion. METHODS Several IMU (Vicon Blue Trident sensor, Vicon, Oxford, UK) placements and calibration stances were investigated for the collection of elbow flexion and shoulder flexion. The IMUs utilized were Vicon Blue Trident sensors (Vicon, Oxford, UK). IMUs were positioned at two locations for elbow flexion: at the wrist and centrally on the forearm. For shoulder flexion measurements, the IMU was situated 1 cm above the elbow joint. During the calibration phase, the participant assumed a standing anatomical position with their thumbs forwards, palms outwards, bent elbow and straight arms outwards at 90 degrees for elbow flexion and shoulder flexion respectfully. For both shoulder and elbow flexion, the participant started at a neutral position and proceeded to move through to 90 degrees of flexion and returned to starting position. Quintic biomechanical software (Quintic Biomechanics v25 Video Analysis Software, Quintic Consultancy, West Midlands, UK) was employed as the validated reference system for data comparison and analysis. RESULTS & DISCUSSION The wrist placed IMU determined elbow flexion more accurately than the forearm placed IMU. Range of motion for both shoulder and elbow flexion were well calculated within several degrees when using the anatomical thumbs forwards calibration pose; with 100.0 and 89.7° respectively compared to 88.5 and 97.3°. However, the degree of elbow flexion in relation to maximum values was overestimated with a difference of 27.8°, with the IMU being 91.1 degrees and quintic being 63.3°. Similar was also seen for the prediction of elbow flexion during the starting stance phase with a difference of 26.6 degrees. Shoulder flexion prediction was better calculated with a smaller difference of 6,6° between the IMU and Quintic for the thumbs forward calibration pose and 2.5 degrees for the palms forward calibration pose. For both shoulder and elbow flexion, the arms forward calibration stance resulted in large differences, with 14.6° and 75.1° difference in range of motion seen respectively. CONCLUSION With range of motion accurately calculated in comparison to quintic, and shoulder flexion maximum and minimum values also being similar when segment angle was calculated. Then the differences are likely due to error in the calculation of joint angle using a calculation of global coordinate system from the IMU coordinate system during data processing. Therefore, future research should target alternate approaches to data processing in order to reduce the errors seen. However, the accuracy in range of motion prediction, presents the scope for further research into the use of IMU’s in elements such as bilateral differences in range of motion during wheelchair activities. This potentially allows for their use in basic analysis of wheelchair propulsion and gives scope for investigation into factors such as ground type on basic upper body motion during wheelchair propulsion. |
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