Inertial Measurement Unit-Based Estimation of Foot Trajectory for Clinical Gait Analysis

Gait analysis is used widely in clinical practice for the evaluation of abnormal gait caused by disease. Conventionally, medical professionals use motion capture systems or make visual observations to evaluate a patients gait. Recent biomedical engineering studies have proposed easy-to-use gait analysis methods involving wearable sensors with inertial measurement units (IMUs). IMUs placed on the shanks just above the ankles allow for the long-term monitoring of gait because the participant can walk with or without shoes during the analysis. As far as the authors know, there is no report of the gait analysis method that estimates stride length, gait speed, stride duration, stance duration, and swing duration at the same time. In this study, we tested a proposed gait analysis method that uses IMUs attached on the shanks to estimate foot trajectory and temporal gait parameters. We evaluated this proposed method by analyzing the gait of 10 able-bodied participants (mean age 23.1 years, nine men and one woman). Wearable sensors were attached to the participants shanks, and we measured three-axis acceleration and three-axis angular velocity with the sensors to estimate foot trajectory during walking. We compared gait parameters estimated from the foot trajectory obtained with the proposed method and those measured with a motion capture system. Mean accuracy (mean {+/-} standard deviation) was -0.046 {+/-} 0.026 m for stride length, -0.036 {+/-} 0.026 m/s for gait speed, -0.002 {+/-} 0.019 s for stride duration, -0.000 {+/-} 0.016 s for stance duration, and -0.002 {+/-} 0.022 s for swing duration. These results suggest that the proposed method is useful for evaluation of clinical gait parameters.