Fourier Analysis of Horse feet

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    Journal of Biomechanics 35 (2002) 11731182

    Fourier analysis of trunk displacements: a method to identify the

    lame limb in trotting horses

    Fabrice Audigi!ea,*, Philippe Pourcelotb, Christophe Degueurceb, Didier Geigerc,Jean Marie Denoixa

    aCIRALE-IPC-UMR INRA-ENVA Biom !ecanique et Pathologie Locomotrice du Cheval-RN 17514430 Goustranville, FrancebUMR INRA-ENVA Biom!ecanique et Pathologie Locomotrice du Cheval-Ecole Nationale V!et!erinaire dAlfort-7,

    Av du Gal de Gaulle 94704 Maisons-Alfort Cedex, FrancecE.A. CNRS 7052-Laboratoire de M!ecanique Physique-Universit!e Paris XII-Av du Gal de Gaulle 94000 Cr !eteil, France

    Accepted 8 May 2002

    Abstract

    The aim of this paper is to present a method allowing the identification of the lame limb in trotting horses. Using a 3-D kinematic

    analysis system, 13 sound and 25 lame horses fitted with 4 skin markers placed on the dorsal midline of their trunk were recorded

    while trotting on a track in the conditions of the routine lameness examination. The vertical displacements of the trunk markers

    underwent Fourier analysis. Results indicated that these displacements could be represented using only the first and second

    harmonics. From these two harmonics, indices were then developed. The sensitivity of these indices to the different types of

    experimental errors was also studied. Results showed that the values of the indices of the lame horses were relatively unaffected by

    the experimental errors. In lame horses, these indices allowed the quantification of the degree of the lameness, the identification of

    lame limb with a reliability >95% and the characterisation of the type of trunk movements. These indices could be easily

    implemented in a computer program to provide objective information to the clinician or to be used as a first step in the development

    of an expert system. Moreover, these clinical tools may also be extended to other quadrupedal or bipedal locomotions. r 2002

    Elsevier Science Ltd. All rights reserved.

    Keywords: Kinematics; Fourier series; Lameness; Trunk; Symmetry

    1. Introduction

    The diagnosis of equine lameness is an intricate task,

    even for trained clinicians. During the traditional

    clinical lameness examination, the veterinarian evaluates

    the locomotion pattern of the horse at trot to score

    subjectively the severity of the lameness, to identify the

    lame limb and to hypothesise the anatomical location of

    the locomotor injury. To achieve these aims, evaluation

    of the asymmetry in head and trunk movements has a

    major role. Because of Newtons second law and the fact

    that trunk contains most body mass, asymmetries in

    head and trunk movements allow lame horses to reduce

    the vertical ground reaction force in their painful limb

    (Vorstenbosch et al., 1997). Therefore several methods

    have been developed to quantify objectively the severity

    of equine lamenesses using head and trunk kinematic

    data (Buchner et al., 1993, 1996; Keegan et al., 2001;

    May and Wyn-Jones, 1987; Peham et al., 1996, 1999,

    2001; Uhlir et al., 1997).

    Fourier analysis of kinematic variables has proved to

    be an effective tool for the study of cyclic live motion

    pattern (Cappozzo and Gazzani, 1983). In human

    studies, Fourier analysis has been used previously to

    decompose trunk movements into an intrinsic pure form

    of movement pattern (the stereotype) eventually de-

    formed by some extrinsic causes such as locomotor

    asymmetries or environmental disturbances (Cappozzo,

    1981, 1984; Cappozzo et al., 1982; Crowe et al., 1995).

    Recently, Fourier analysis of the vertical movements of

    the head and sacral bone has been used in fore- and

    hindlimb lame horses to quantify the lameness degree

    (Keegan et al., 2001; Peham et al., 1996) and to compare

    the subjective judgement of a clinician with the

    computerised symmetry measurements (Peham et al.,

    1999, 2001). In these last studies, authors used also

    *Corresponding author. Tel.: +33-2-31-27-85-53; fax: +33-2-31-27-

    85-57.

    E-mail address: [email protected] (F. Audigi!e).

    0021-9290/02/$ - see front matter r 2002 Elsevier Science Ltd. All rights reserved.

    PII: S 0 0 2 1 - 9 2 9 0 ( 0 2 ) 0 0 0 8 9 - 1

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    Fourier analysis to assign the lameness to the lame limb.

    Several studies (Buchner et al., 1996; Peham et al., 1996,

    1999, 2001; Uhlir et al., 1997) have also proposed

    kinematic parameters to identify the lame limb. Never-

    theless in these studies, the discrimination between fore-

    and hindlimb lame horses was based on the decision of

    the clinician. Therefore, to the authors knowledge, nomethod allowing an entirely automatic identification of

    the lame limb in a fore- or hindlimb lame horse has been

    reported. Consequently, the purpose of this paper was

    to adapt Fourier analysis to the trunk displacements of

    trotting horses in order to: (1) quantify the lameness

    degree, (2) identify the lame limb and (3) characterise

    using numerical data the pattern of trunk displacements.

    In the long term, such numerical data would make it

    possible to determine whether or not a particular injury

    of the locomotor apparatus generates a particular

    pattern of trunk displacement.

    2. Materials and methods

    2.1. Horses

    Two groups of horses were studied. The reference

    group consisted of 13 sound French Warmblood horses

    (3 females and 10 geldings, ranging in age from 6 to 13

    years) from the R!egiment de Cavalerie de la Garde

    R!epublicaine. A detailed clinical examination confirmed

    that each horse was clinically free of lameness.

    The group of lame horses consisted of 25 horses

    presented to the Veterinary School of Alfort for a

    lameness (Table 1). All horses underwent a detail clinicalexamination which showed that 12 horses presented a

    unilateral forelimb lameness and 13 horses presented a

    unilateral hindlimb lameness. The degree of lameness

    was scored by an experienced clinician on a scale of 04

    (0=sound; 1=mild; 2=moderate; 3=severe; 4=non-

    weightbearing lameness; Dyson, 1991).

    2.2. Data acquisition

    Four retroreflective skin markers were placed on the

    dorsal midline of the trunk of each horse (Fig. 1) over

    the sixth thoracic vertebra (i.e. top of the withers), the

    13th thoracic vertebra, the first lumbar vertebra and

    over the lumbosacral junction (i.e. tuber sacrale). One

    additional marker was glued to the dorsolateral wall of

    each fore hoof. Fore hoof landing defined as the instant

    when the hoof marker passed the horizontal velocity

    limit of 0.1 m/s (Buchner et al., 1993) was used to

    determine the stride duration and to identify the left (left

    Table 1

    Characteristics of the 25 lame horses

    Horse Age (years) Breed Sex Lameness degree Lame limb Diagnosis

    Forelimb lameness1 4 FT F 1 LF Osteoarthritis shoulder

    2 6 FW G 1 RF Tendinitis extensor carpi radialis

    3 7 AA G 1 RF Podotrochlear syndrome

    4 9 FW F 1 RF Osteoarthritis carpal joint

    5 12 A S 1 RF Tendinitis deep digital flexor tendon

    6 8 FW F 2 LF Distal enthesopathy of the biceps brachii

    7 12 FW G 2 LF Osteoarthritis distal interphalangeal joint

    8 14 FW G 2 LF Podotrochlear syndrome

    9 8 FW G 2 RF Podotrochlear syndrome

    10 10 AA G 2 RF Osteoarthritis shoulder+elbow

    11 12 FW G 3 LF Tendinitis superficial digital flexor tendon+desmopathy of the palmar ligament

    12 6 FW F 3 RF Tendinitis third interosseous muscle

    Hindlimb lameness

    13 11 FW G 1 RH Osteoarthritis knee+osteochondrosis tibial cochlea

    14 9 T G 1 RH Infection of the hoof 15 6 FW F 1 LH Osteoarthritis tarsal joint+cunean bursitis

    16 7 AA G 1 LH Osteoarthritis tarsal joint

    17 8 FW G 1 LH Osteoarthritis metatarsophalangeal joint

    18 9 T G 2 RH Old metacarpal wound

    19 14 FT G 2 RH Osteoarthritis tarsal joint

    20 4 FW F 2 LH Osteoarthritis hip

    21 10 FW G 2 LH Osteoarthritis tarsal joint

    22 17 AA F 2 LH Osteoarthritis knee+meniscal injuries

    23 8 FW G 3 RH Neurologic disorder (stringhalt)

    24 13 FW F 3 RH Tendinitis superficial digital flexor tendon (tarsal level)

    25 9 FW G 3 LH Tendinitis third interosseous muscle

    A: Arabian; AA: Anglo-Arabian; FT: French trotter; FW: French warmblood; T: thoroughbred; F: female; G: gelding; S: stallion; LF: left forelimb;

    RF: right forelimb; LH: left hindlimb; RH: right hindlimb.

    F. Audigi!e et al. / Journal of Biomechanics 35 (2002) 117311821174

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    forelimbright hindlimb) and right (right forelimbleft

    hindlimb) diagonal stance phases.

    Horses were guided by hand on an outdoor examina-

    tion track 20 m long until at least 5 correct runs were

    done (Drevemo et al., 1980). Horses were trotted at their

    own comfortable speed, ranging from 3.0 to 3.5 m/s in

    sound horses and from 2.9 to 3.6 m/s in lame ones.

    Recordings were realised as previously described (Pour-

    celot et al., 1997a) using four 8 mm video cameras (Sony

    FX 700, 50 Hz) placed in such a way that each side of

    the horse was filmed by 2 cameras. The cameras werefocused to image a 5.50 m long field of view. After

    digitisation of the 2-D video recordings, the 3-D

    trajectories of the markers were calculated using the

    Direct Linear Transformation technique (Abdel-Aziz

    and Karara, 1971).

    2.3. Harmonic analysis of vertical displacements of trunk

    markers

    For each horse, five runs were analysed. For each

    trial, harmonic analysis was carried out on the stride

    placed in the centre of the recording field of view. Forthis stride, the experimental vertical displacement (Zexp)

    of each trunk marker was used to calculate the following

    function of time (t):

    ZFt A0 Xi2i1

    Ai cos i2p

    Tt fi

    ;

    where A0 is the mean value of the displacement over the

    stride period (T), Ai and fi are the amplitude and phase

    of the ith harmonic, respectively (Fig. 2). The assump-

    tion of taking into account only the first and second

    harmonics of Fourier series to represent the experi-

    mental vertical displacement was evaluated by calculat-

    ing for each trial and each trunk marker the following

    ratio (Hottinger et al., 1996):

    %Reconstruction

    1

    PFrame tTFrame t0 Zexp ZF

    2PFrame tTFrame t0 Zexp A0

    2

    ! 100:

    The value of this ratio represents the percentage of

    reconstruction of the experimental displacement ob-

    tained with A0 and the first and second harmonics.

    Thus, this ratio measures the closeness of fit.

    Three types of errors may alter the previous harmonic

    analysis: (1) the experimental vertical coordinates of the

    trunk markers are affected by random errors introduced

    during the digitisation process. In our experimental set-

    up, these errors were estimated normally distributed

    with a zero mean and a standard deviation (sd) of 1 mm.

    (2) The experimental vertical coordinates of the trunk

    markers are affected by systematic errors due to lens

    distortions and other comparator deformations. These

    errors were modelled by a second-order polynomial

    function (Chen et al., 1994) with a magnitude of 5 mm in

    our conditions. (3) Because the vertical displacements of

    the trunk are not strictly periodic over one stride

    duration, calculation of Fourier coefficients over one

    stride duration introduced inaccuracies. To take into

    account one frame error in selection of start and end of

    stride cycle, the stride period (T) used to calculate

    Fig. 2. Harmonic analysis over one stride duration of the vertical

    displacement of a trunk marker at trot. Typical example of a sound

    horse and a lame one. (): experimental vertical displacement; ( ):

    A0 (mean value of the displacement); (): first harmonic; (- - - - -):

    second harmonic; (n): displacement obtained with A0; the firstharmonic and the second one.

    Fig. 1. Position of the markers: T6: sixth thoracic vertebra; T13:

    thirteenth thoracic vertebra; L1: first lumbar vertebra; LS: lumbosacral

    junction.

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    Fourier coefficients was defined in this study as the

    stride duration eventually corrected by 71 sampling

    interval (20 ms). In this way, the maximal errors in the

    integration period were reduced to 70.5 sampling

    interval. The effects of these three types of errors on

    the amplitude and phase values of the harmonics were

    quantified as previously described (Cappozzo, 1981;Cappozzo and Gazzani, 1983) using a general sensitivity

    analysis. Because these effects depend on the values of

    the harmonic parameters, they were evaluated for the

    sound horses and for the 3 degrees of lameness. For

    both sound and lame horses, this sensitivity analysis was

    performed using simulated errors in the movement data

    of one trial per horse.

    2.4. Quantification of the lameness degree

    In trotting horses, the vertical displacement of trunk

    markers showed two oscillations per stride, one oscilla-tion per diagonal stance phase (Fig. 2). Therefore, the

    second harmonic which makes equal contributions to

    each vertical oscillation reflects the symmetric part of

    the movement and is known as intrinsic harmonic

    (Cappozzo, 1981; Crowe et al., 1995). The first harmonic

    which makes unequal contributions to the two vertical

    oscillations reflects the asymmetric part of the move-

    ment and is known as extrinsic harmonic. For each trial,

    the locomotion symmetry was quantified by calculating

    for each marker the energy ratio (ERz)

    ERz

    A22

    A21 A22 100:

    The values of this ratio range from 0% to +100%,

    100% standing for perfect symmetry. For each marker,

    the 5 ERz obtained for each horse were used to calculate

    the mean7sd ERz: The sd calculated over 5 trialsquantified the intra-individual variability of the ERz:The means calculated for 13 sound horses were averaged

    to obtain the mean ERz of the sound horses. The sd of

    the mean of these 13 mean ERz quantified the inter-

    individual variability of the ERz in the sound horses.

    Assuming the mean ERz values of the sound horses

    were normally distributed, the mean ERz

    of the 13

    sound horses 72 times the value of the inter-individual

    variability represented the 95% confidence interval.

    Thus, for a lame horse, a mean ERz value outside this

    confidence interval was considered statistically different

    (po0:05).Similar calculations were performed for the difference

    between the ERz values of T6 and LS. This parameter

    (T6-LS) was used to compare the level of symmetry of

    the cranial part of the trunk with respect to its caudal

    part. As was the case for the mean ERz values, the mean

    T6-LS value of a lame horse was compared to those of

    the sound horses to identify statistical differences.

    2.5. Identification of fore- and hindlimb lamenesses

    To distinguish fore- and hindlimb lamenesses, it could

    be hypothesised that the symmetry of trunk displace-

    ments is more altered in the cranial part of the trunk in

    forelimb lamenesses and in the caudal part of the trunk

    in hindlimb lamenesses. Thus, the following binarydecision was tested using our 25 clinical cases: a lame

    horse with a mean T6-LS value lower than the mean T6-

    LS value of the sound horses presented a forelimb

    lameness and a lame horse with a mean T6-LS value

    higher than the mean T6-LS value of the sound horses

    presented a hindlimb lameness.

    2.6. Identification of the lame side and characterisation of

    trunk displacements

    In lame horses, one of the roles of the asymmetric

    movements of the trunk is to reduce the loading of thelame limb during its stance phase (Buchner et al., 1996).

    Therefore, once fore- and hindlimb lamenesses were

    distinguished, it could be hypothesised that the analysis

    of the pattern of trunk movement would allow to

    identify the lame side.

    The shape of the vertical displacement of trunk

    markers could be characterised by the different harmo-

    nic phase values. Thus, the following parameter was

    calculated for each trial of a lame horse

    Df f2

    2

    f1:

    The Df parameter was calculated using the displace-

    ments of T6 for the forelimb lamenesses and the

    displacements of LS for the hindlimb ones. To test the

    efficiency of this parameter as a lame side indicator, the

    time origin, with respect to which harmonic phases were

    calculated, coincided with the landing of the lame

    diagonal. In this case, the relationship between Df

    values and the shape of the vertical displacement of a

    trunk marker is shown in Fig. 3. For each stance phase,

    two ranges of vertical displacement could be calculated:

    the restraint range (difference between the maximal

    height reached just before the beginning of the stance

    phase and the minimal height reached near midstance)

    and the propulsion range (difference between the

    maximal height reached just after the end of the stance

    phase and the minimal height reached near midstance).

    The propulsion range of the lame diagonal is smaller

    than that of the sound one for Df values ranging from

    451 to +1351, whereas the restraint range of the lame

    diagonal is smaller than that of the sound one for Df

    values ranging from +451 to 1351. Previous studies

    (Buchner et al., 1996; Peloso et al., 1993) have shown for

    induced lamenesses that the propulsion range of the

    lame diagonal was smaller than that of the sound

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    diagonal. Therefore, we have tested the hypothesis that

    mean Df values of the 25 clinical cases ranged from

    451 to +1351.

    3. Results

    3.1. Harmonic analysis of vertical displacements of trunk

    markers

    The high values of the percentage of reconstruction

    (Table 2) showed that the vertical displacement of trunk

    markers could be represented with accuracy using only

    the first and second harmonics. These harmonics

    allowed to reconstruct at least 95% of the trials with

    an accuracy X99% (Table 2).

    For one trial, the maximal errors in the ERz and

    Df which could be caused by random errors,

    lens distortions and incorrect integration period

    are presented in Table 3. Alterations of the ERzvalues were o73%. In contrast, Df values of

    the sound horses could be greatly affected by

    experimental errors. Thus, Df was not studied in

    sound horses.

    Fig. 3. Relationship between Df values of a lame horse and the pattern of trunk displacements (vertical displacements plotted were obtained with

    A1 25 mm and A2 30 mm).

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    3.2. Quantification of the lameness degree

    The mean ERz values of the sound horses ranged

    from 93% to 97% (Table 4). The mean value of T6

    -

    LS=3.5% which showed that the locomotion symmetry

    was greater in the cranial part of the trunk than in the

    caudal one. The inter-individual variability of all

    parameters was smaller than the intra-individual one.

    In moderate and severe forelimb lamenesses, the ER zofT6 and T13 markers were significantly decreased in all

    horses. In contrast, ERz were significantly altered in

    only 2 of the 5 mild forelimb lamenesses. Moreover, one

    horse (horse 3) presented only a significant alteration in

    the T6-LS value.

    In moderate and severe hindlimb lamenesses, sig-

    nificant decreases of the ERz were observed for most

    trunk markers. However, the ERz presented a cranio-

    caudal decrease along the trunk which showed that the

    lameness proceeded from the hindlimbs. As in mild

    forelimb lamenesses, significant alterations in ERzvalues were observed in only 2 of the 5 mild hindlimb

    lamenesses.

    3.3. Identification of fore- and hindlimb lamenesses

    The mean value of T6-LS of all forelimb lamenesses

    was lower than the mean value of the sound horses

    which showed that the lameness proceeded from the

    Table 2

    Percentage of reconstruction of the experimental vertical displace-

    ments of the trunk markers obtained with A0 and the first and second

    harmonics

    Horses T6 T13 L1 LS

    Mean %

    reconstruction(sd)

    Sound horses 99.6 (0.3) 99.7 (0.2) 99.6 (0.2) 99.5 (0.3)

    Lame horses 99.4 (0.4) 99.7 (0.2) 99.7 (0.2) 99.6 (0.2)

    Percentage of

    trials with a

    reconstruction

    %X99%

    Sound horses 98 100 100 95

    Lame horses 96 100 99 96

    Table 3

    Maximal errors in the ERz and Df values caused by experimental

    errors

    Horses Random

    errors

    Lens

    distortions

    Incorrect

    integration

    period

    ERz (%)

    Sound horse 70.1 70.3 70.1

    Mild lameness 70.4 71.1 70.1

    Moderate

    lameness

    70.6 71.6 70.1

    Severe lameness 70.8 72.1 70.2

    Df (1)

    Sound horse 77 753 720

    Mild lameness 71 710 73

    Moderate

    lameness

    71 77 72

    Severe lameness 71 77 72

    Table 4

    Mean ERz values and associated intra- (between brackets) and inter-

    individual (between square brackets) variabilities of the sound and

    lame horses. ERz values in bold differed significantly (po0:05) fromthose of sound horses

    ERz (%) T6 T13 L1 LS T6-LS

    Sound horses 96 (2) 97 (2) 96 (3) 93 (5) 3.5 (4.6)[2] [2] [2] [3] [2.8]

    Forelimb lameness

    Mild lameness

    1 82 (5) 84 (3) 84 (3) 79 (5) 2.8 (2.8)

    2 97 (2) 97 (3) 97 (2) 95 (3) 1.6 (2.7)

    3 93 (2) 96 (2) 96 (2) 95 (4) 2.4 (4.9)

    4 96 (3) 98 (2) 98 (2) 98 (3) 1.1 (2.0)

    5 91 (3) 95 (1) 97 (1) 96 (3) 4.4 (6.1)

    Moderate lameness

    6 85 (7) 87 (7) 89 (7) 88 (9) 2.4 (4.0)

    7 85 (9) 92 (7) 93 (5) 91 (8) 5.5 (8.4)

    8 76 (9) 89 (4) 90 (3) 93 (4) 17.2 (9.8)

    9 85 (4) 93 (3) 95 (2) 94 (5) 8.7 (5.9)

    10 89 (2) 93 (3) 94 (3) 95 (5) 5.8 (3.0)

    Severe lameness

    11 75 (8) 78 (6) 78 (7) 76 (6) 0.8 (8.4)

    12 85 (6) 91 (4) 93 (5) 93 (6) 7.9 (7.3)

    Hindlimb lameness

    Mild lameness

    13 98 (1) 97 (1) 95 (2) 87 (3) 11.4 (3.8)

    14 97 (2) 94 (4) 92 (5) 89 (7) 7.7 (7.1)

    15 98 (2) 98 (2) 95 (4) 89 (11) 9.3 (11.4)

    16 96 (4) 95 (5) 92 (8) 85 (11) 11.6 (7.6)

    17 97 (3) 99 (1) 94 (4) 89 (7) 8.1 (6.4)

    Moderate lameness

    18 80 (7) 74 (6) 71 (5) 65 (5) 14.9 (3.2)19 82 (9) 78 (6) 72 (6) 56 (8) 25.8 (11.5)

    20 91 (11) 88 (8) 80 (7) 61 (10) 30.7 (12.4)

    21 95 (3) 92 (3) 83 (3) 65 (5) 29.1 (5.7)

    22 95 (5) 92 (7) 87 (7) 69 (12) 25.8 (9.9)

    Severe lameness

    23 86 (7) 91 (5) 92 (7) 93 (9) 6.5 (10.5)

    24 68 (8) 54 (7) 46 (5) 31 (4) 23.6 (6.8)

    25 93 (4) 84 (5) 68 (9) 50 (12) 32.6 (9.2)

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    forelimbs (Table 4). Except in one case (horse 23), the

    mean value of T6-LS of all hindlimb lamenesses was

    higher than the mean value of the sound horses which

    showed that the lameness proceeded from the hindlimbs.

    3.4. Identification of the lame side and characterisation of

    trunk displacements

    The mean phase values expressed with respect to the

    landing of the lame diagonal are presented in Table 5.

    The Df values of T6 for the forelimb lamenesses ranged

    from 131 to 1281, whereas the Df values of LS for the

    hindlimb lamenesses ranged from 491 to 781 (Fig. 4).

    Except in one case (horse 17), mean Df values of the

    lame horses ranged from 451 to +1351 which means

    that the lame propulsion range was always smaller than

    the sound one whereas the lame restraint range was

    either smaller or greater than the sound one.

    4. Discussion

    Several methods have been used to determine thenumber of harmonics which adequately represent a

    particular waveform (Cappozzo et al., 1975; Hottinger

    et al., 1996; Jackson, 1979; Schneider and Chao, 1983;

    Winter et al., 1974). The method used by Hottinger et al.

    (1996) is close to that of Cappozzo et al. (1975) but has

    the advantage to relate the differences between the

    experimental and recomputed waveforms to the ampli-

    tude of the experimental waveform. With this method,

    the essential number of harmonics could be chosen as

    the number of harmonics which reconstructed X95% of

    the trials with a percentage of reconstruction X99%.

    Such accuracy was achieved in our study with the first

    and second harmonics (Table 2).

    At each trial, the experimental errors described

    previously caused alterations in the ERz and Df values

    which magnitude differed greatly between sound and

    lame horses (Table 3). Moreover, these alterations could

    be considered as random over 5 trials. Therefore, the

    mean value of the ERz and Df calculated for a lame

    horse will probably be unaltered, whereas their sd could

    be increased. In contrast, the alterations of the Df

    values could not be neglected in sound horses because of

    their magnitude. Thus, to determine the phase values of

    sound subjects, the experimental errors should be

    Table 5

    Mean phase values and associated intra-individual variabilities

    (between brackets) of the lame horses

    Phase (1) f1 f2 Df

    Forelimb lameness (T6)

    Mild lameness

    1 21 (7) 95 (10) 68 (8)

    2 1 (74) 96 (14) 49 (73)

    3 14 (25) 61 (10) 44 (28)

    4 6 (53) 79 (10) 34 (55)

    5 35 (28) 96 (15) 13 (21)

    Moderate lameness

    6 21 (18) 77 (16) 60 (17)7 80 (11) 97 (7) 128 (11)

    8 53 (27) 80 (10) 93 (28)

    9 2 (20) 84 (11) 43 (21)

    10 23 (32) 92 (9) 69 (29)

    Severe lameness

    11 30 (15) 86 (5) 73 (15)

    12 66 (10) 62 (7) 98 (13)

    Hindlimb lameness (LS)

    Mild lameness

    13 96 (19) 102 (4) 45 (18)

    14 10 (21) 79 (8) 50 (18)

    15 21 (53) 70 (10) 56 (50)

    16 12 (13) 43 (14) 9 (11)

    17 96 (14) 93 (13) 49 (9)

    Moderate lameness

    18 42 (10) 72 (13) 78 (7)

    19 1 (12) 69 (10) 35 (10)

    20 4 (16) 69 (20) 31 (11)

    21 8 (17) 92 (12) 38 (18)

    22 23 (14) 73 (15) 13 (15)

    Severe lameness

    23 48 (87) 87 (19) 5 (84)

    24 23 (14) 37 (22) 41 (5)

    25 15 (22) 43 (37) 37 (6)

    Fig. 4. MeanDf values of the 25 lame horses: forelimb lamenesses are

    plotted on the small circle and hindlimb ones are plotted on the large

    circle.

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    corrected. Procedures were not used to correct for these

    errors because Df values of sound horses were not

    needed for any part of this study. The effects of random

    errors and incorrect integration periods can be reduced

    by using spline functions before the calculation of

    Fourier coefficients (Cappozzo and Gazzani, 1983;

    Soudan and Dierckx, 1979). The errors resulting fromlens distortions can be reduced by using the lens

    distortion model proposed by Marzan and Karara

    (1975) or by applying correction functions to the 3-D

    data (Chen et al., 1994). These techniques were not used

    in this study because one of our objectives was to

    develop a method for identifying the lame limb which

    can be easily implemented in a computer.

    Differences in the placement of the hoof marker from

    one horse to the next (Audigi!e et al., 1998) could

    introduce a systematic error in the identification of

    the hoof landing of71 sampling interval (20 ms at

    50 Hz). At a slow trot, the stride duration is about

    760 ms. Consequently, such an error shifts the value

    off1 by 79.51 and the value off2 by 7191. Because

    of its magnitude and its systematic nature, this error

    could not be neglected when using low frequency

    kinematic analysis system. The calculation of Df

    allowed us to suppress this error. Nevertheless, care

    should be taken when using such parameter because the

    division of f2 could introduce discontinuities in Df

    values if f2 values range from 1801 to +1801. For

    example, f2 values of 1781 and 1781 are close in terms

    of harmonic analysis whereas f2=2 values of 891 and891 are different.

    With only three markers (T6; LS and a marker placedon one hoof), the method presented in Fig. 5 allowed us

    to reach 3 objectives: (1) the quantification of the

    lameness degree, (2) the identification of the lame limb

    and (3) the characterisation of trunk displacements. The

    quantification of the lameness degree was performed by

    calculating a ratio similar to that proposed by Peham

    et al. (1996), but our ratio compared the energy of the

    harmonics instead of their amplitudes which were found

    less discriminating. Nevertheless, significant alterations

    of ERz and T6-LS values were not always found in lame

    horses of degree 1. To increase the sensitivity of these

    lameness indicators and to consider errors in the

    evaluation of the sd of the normal group, the threshold

    for lameness detection may be set at 1 sd (Merkens and

    Schamhardt, 1988).

    The identification of the lame limb was performed

    using ERz and Df values. By convention, if the

    harmonic phases are calculated with respect to the

    landing of the left diagonal, sectors in Df values

    indicating the lame limb could be defined (Fig. 5). These

    grey sectors were determined using both the Df values

    of the 25 clinical cases (Fig. 4) and the relationship

    between Df values and the pattern of trunk displace-

    ment (propulsion range of the lame diagonal smaller

    than that of the sound one). These sectors included all

    clinical cases except the horse 17 which lay just beyond

    the limit of one sector. For such a boundary case, it can

    be assumed that the lame limb is that corresponding to

    this sector. With this assumption, the algorithm

    described in Fig. 5 is in agreement with the judgement

    of the experienced veterinarian in 24/25 clinical cases. Inother words, this algorithm allowed to identify the lame

    limb in 24/25 clinical cases, which represents a reliability

    >95%. This method has the advantage to combine the

    analysis of the symmetry of movements of the cranial

    and caudal parts of the trunk, whereas previous studies

    have focused their analysis on the symmetry of move-

    ments of the head (Peham et al., 1996, 1999) or only one

    part of the trunk (Barrey and Desbrosse, 1996; Barrey

    et al., 1994, 1995; Peham et al., 2001). Results obtained

    for the cranial and caudal parts of the trunk allowed the

    identification of the lame limb in two steps: (1)

    identification of fore- or hindlimb lameness and (2)

    identification of the lame side.

    The identification of the lame limb was successfully

    performed even for mild lame horses which presented no

    statistically significant alteration of their locomotion

    symmetry. In Fig. 5, the white sectors represented Df

    values which were not observed in our clinical cases.

    These sectors may represent either patterns of trunk

    displacement caused by other locomotor injuries or

    patterns never used by horses to minimise the pain

    causing the lameness.

    The identification of the lame limb has failed only

    for horse 23. This horse presented a non-painful

    lameness due to a neurological disorder in which trunkdisplacements remained relatively symmetrical. These

    characteristics may explain the error made in the

    distinction between fore- and hindlimb lameness. This

    horse presenting large asymmetries in hindlimb move-

    ments due to the neurological disorder, the distinction

    between fore- and hindlimb lameness could be achieved

    by quantifying the symmetry of limb movements

    (Pourcelot et al., 1997b) which requires, nevertheless,

    to place markers on the limbs. Because the method

    described in this study is based on the analysis of

    the symmetry of movements, this method is unable to

    detect lamenesses in which both sides are equally

    affected.

    The pattern of trunk displacement could be char-

    acterised quantitatively and independently of the lame-

    ness degree by Df: Such parameter would make itpossible to determine whether or not a particular injury

    of the locomotor apparatus generates a particular

    pattern of trunk displacement. Nevertheless, the analysis

    of a great number of lame horses is required to answer

    to such a question and to complete and refine the

    method described in this study. In the same way, it

    would be of interest to perform these analyses more than

    once in the same lame horses.

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    Fig. 5. Algorithm used to quantify the lameness degree, to identify the lame limb and to characterise the pattern of trunk displacements.

    F. Audigi!e et al. / Journal of Biomechanics 35 (2002) 11731182 1181

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    Acknowledgements

    This study was supported by the Institut National de

    la Recherche Agronomique and the Service des Haras et

    de LEquitation.

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