Inertial Measurement Units for Clinical Movement Analysis: Reliability and Concurrent Validity
Open accessAbstract
The aim of this study was to investigate the reliability and concurrent validity of a commercially available Xsens MVN BIOMECH inertial-sensor-based motion capture system during clinically relevant functional activities. A clinician with no prior experience of motion capture technologies and an experienced clinical movement scientist each assessed 26 healthy participants within each of two sessions using a camera-based motion capture system and the MVN BIOMECH system. Participants performed overground walking, squatting, and jumping. Sessions were separated by 4 ± 3 days. Reliability was evaluated using intraclass correlation coefficient and standard error of measurement, and validity was evaluated using the coefficient of multiple correlation and the linear fit method. Day-to-day reliability was generally fair-to-excellent in all three planes for hip, knee, and ankle joint angles in all three tasks. Within-day (between-rater) reliability was fair-to-excellent in all three planes during walking and squatting, and poor-to-high during jumping. Validity was excellent in the sagittal plane for hip, knee, and ankle joint angles in all three tasks and acceptable in frontal and transverse planes in squat and jump activity across joints. Our results suggest that the MVN BIOMECH system can be used by a clinician to quantify lower-limb joint angles in clinically relevant movements.
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Knee intra-rater reliability was fair to excellent and inter-rater reliability varied across movements (good for walking ICC 0.4 to 0.74 and poor for jumping ICC ≤0.39).
“Intra-rater reliability was fair to excellent and inter-rater reliability varied across movements performed (good for walking [ICC from 0.4 to 0.74] and poor for jumping [ICC ≤ 0.39] [45,53,59]).”
From Validity and Reliability of Wearable Sensors for Joint Angle Estimation: A Systematic Review (2019) · cites this paper as [53]
Hip intra-rater reliability is fair to excellent and inter-rater reliability varied across movements (good for walking ICC 0.4 to 0.74 and poor for jumping ICC ≤0.39).
“Intra-rater reliability is fair to excellent and inter-rater reliability varied across movements performed (good for walking [ICC of 0.4 to 0.74] and poor for jumping [ICC ≤ 0.39] [46,53,66]).”
From Validity and Reliability of Wearable Sensors for Joint Angle Estimation: A Systematic Review (2019) · cites this paper as [53]
Ankle intra- and inter-rater reliability varied across movement complexity (better for walking ICC 0.6 to 0.95 than jumping ICC 0.39 to 0.99 or playing soccer ICC 0.28 to 0.79).
“Intra- and inter-rater reliability varied across movements complexity (better for walking [ICC of 0.6 to 0.95] than jumping [ICC of 0.39 to 0.99] or playing soccer [ICC of 0.28 to 0.79] [29,53,62]).”
From Validity and Reliability of Wearable Sensors for Joint Angle Estimation: A Systematic Review (2019) · cites this paper as [53]
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References 54 · Cited by 318
Research works printed but not linked: 2
- [51]Kirtley C. Sensitivity of the modified helen hayes model to marker placement errors Proceedings of the Seventh International Symposium on the 3-D Analysis of Human Movement Newcastle, UK 10–12 July 2002
- [55]Baker R. Measuring Walking: A Handbook of Clinical Gait Analysis Mac Keith Press London, UK 2013 9780874216561
- Authors
- Al-Amri, M., Nicholas, K., Button, K., Sparkes, V., Sheeran, L., & Davies, J.
- Affiliations
- Arthritis Research UK (GB)
- Cardiff and Vale University Health Board (GB)
- Corresponding author
- Al-Amri, Mohammad
- Venue
- Sensors
- Publisher
- MDPI AG
- Published
- 2018-02-28
- Volume
- 18
- Issue
- 3
- Pages
- 719
- ISSN
- 1424-8220 (ISSN-L)
- PMC
- PMC5876797
- OpenAlex
- W2791278755
- Cited by
- 318
- References
- 54
- Citations by year
- 2026: 39 · 2025: 38 · 2024: 31 · 2023: 37 · 2022: 49 · 2021: 37 · 2020: 52 · 2019: 30 · 2018: 5
- FWCI
- 12.38
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Sensors (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Versus Arthritis (18461)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Physical Sciences › Engineering › Control and Systems Engineering › Human Motion and Animation
- Keywords
- inertial measurement unit, concurrent validity, lower limb joint angles, overground walking, squatting, jumping, day-to-day reliability
- MeSH terms
- Ankle Joint, Biomechanical Phenomena, Gait, Humans, Knee Joint, Movement, Reproducibility of Results, Range of Motion, Articular
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