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ISSN 1590-8844
Vol. 19 No 02
2018
International Journal
of
Mechanics and Control
Editor: Andrea Manuello Bertetto
Scopus Indexed Journal
Reference Journal of IFToMM Italy
International Federation for the Promotion
of Mechanism and Machine Science
International Journal of Mechanics and Control
Associate Editors
Published by Levrotto&Bella – Torino – Italy E.C.
Honorary editors
Guido Belforte Kazuo Yamafuji
Editor: Andrea Manuello Bertetto
General Secretariat: Matteo D. L. Dalla Vedova
Mario Acevedo
Universidad Panamericana
Mexico City – Mexico
Elvio Bonisoli
Politecnico di Torino
Torino – Italy
Giovanni Boschetti
University of Padova
Vicenza – Italy
Luca Bruzzone
Università degli Studi di Genova
Genova – Italy
Giuseppe Carbone
University of Cassino
Cassino – Italy
Marco Ceccarelli
University of Cassino
Cassino – Italy
Francesca Di Puccio
University of Pisa
Pisa – Italy
Carlo Ferraresi
Politecnico di Torino
Torino – Italy
Walter Franco
Politecnico di Torino
Torino – Italy
Rafael Lopez Garcia
University of Jaen
Jaen – Spain
Viktor Glazunov
Mechanical Engineering Research Institute of the
Russian Academy of Sciences (IMASH RAN)
Moscow – Russia
Kenji Hashimoto
Waseda University
Tokyo – Japan
Giovanni Jacazio
Politecnico di Torino
Torino – Italy
Juan Carlos Jauregui Correa
Universidad Autonoma de Queretaro
Queretaro – Mexico
Paolo Maggiore
Politecnico di Torino
Torino – Italy
Paolo Emilio Lino Maria Pennacchi
Politecnico di Milano
Milano – Italy
Giuseppe Quaglia
Politecnico di Torino
Torino – Italy
Aleksandar Rodic
Institute Mihajlo Pupin
Belgrade – Serbia
Mauro Velardocchia
Politecnico di Torino
Torino – Italy
Renato Vidoni
Free University of Bolzano
Bolzano – Italy
Ion Visa
Transilvania University of Brasov
Brasov – Romania
Jaroslav Zapomel
VSB - Technical University of Ostrava
Ostrava - Czech Republic
Leon Zlajpah
Jozef Stefan Institute
Ljubljana – Slovenia
Official Torino Italy Court Registration
n. 5390, 5th May 2000
Deposito presso il Tribunale di Torino n. 5390 del 5 maggio 2000
Direttore responsabile:
Andrea Manuello Bertetto
International Journal of Mechanics and Control
Editor: Andrea Manuello Bertetto
Honorary editors: Guido Belforte General Secretariat: Matteo D. L. Dalla Vedova
Kazuo Yamafuji
The Journal is addressed to scientists and engineers who work in the fields of mechanics (mechanics, machines,
systems, control, structures). It is edited in Turin (Northern Italy) by Levrotto&Bella Co., with an international board of
editors. It will have not advertising.
Turin has a great and long tradition in mechanics and automation of mechanical systems. The journal would will to
satisfy the needs of young research workers of having their work published on a qualified paper in a short time, and of
the public need to read the results of researches as fast as possible.
Interested parties will be University Departments, Private or Public Research Centres, Innovative Industries.
Aims and scope
The International Journal of Mechanics and Control publishes as rapidly as possible manuscripts of high standards. It
aims at providing a fast means of exchange of ideas among workers in Mechanics, at offering an effective method of
bringing new results quickly to the public and at establishing an informal vehicle for the discussion of ideas that may
still in the formative stages.
Language: English
International Journal of Mechanics and Control will publish both scientific and applied contributions. The scope of the
journal includes theoretical and computational methods, their applications and experimental procedures used to validate
the theoretical foundations. The research reported in the journal will address the issues of new formulations, solution,
algorithms, computational efficiency, analytical and computational kinematics synthesis, system dynamics, structures,
flexibility effects, control, optimisation, real-time simulation, reliability and durability. Fields such as vehicle dynamics,
aerospace technology, robotics and mechatronics, machine dynamics, crashworthiness, biomechanics, computer
graphics, or system identification are also covered by the journal.
Please address contributions to
Prof. Andrea Manuello Bertetto
PhD Eng. Matteo D. L. Dalla Vedova
Dept. of Mechanical and Aerospace Engineering
Politecnico di Torino
C.so Duca degli Abruzzi, 24.
10129 - Torino - Italy - E.C.
www.jomac.it
e_mail: [email protected]
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the publisher:
Libreria Editrice Universitaria
Levrotto&Bella
C.so Luigi Einaudi 57/c – 10129 Torino – Italy
www.levrotto-bella.net
e_mail: [email protected]
ph.: +39 011 4275423
mob.: +39 328 5369063
fax: +39 011 4275425
International Journal of Mechanics and Control
Scientific Board
Published by Levrotto&Bella – Torino – Italy E.C.
Atlas Akhmetzyanov
V.A. Trapeznikov Institute of Control Sciences
of Russian Academy of Sciences
Moscow – Russia
Domenico Appendino
Prima Industrie
Torino – Italy
Kenji Araki
Saitama University
Saitama – Japan
Amalia Ercoli Finzi
Politecnico di Milano
Milano – Italy
Anindya Ghoshal
Arizona State University
Tempe – Arizona – USA
Nunziatino Gualtieri
Space System Group, Alenia Spazio
Torino – Italy
Alexandre Ivanov
Politecnico di Torino
Torino – Italy
Roberto Ricciu
Università di Cagliari
Cagliari – Italy
Matteo Davide Lorenzo Dalla Vedova
Politecnico di Torino
Torino - Italy
Takashi Kawamura
Shinshu University
Nagano – Japan
Kin Huat Low
School of Mechanical and Aerospace Engineering
Nanyang Technological University
Singapore
Stamos Papastergiou
Jet Joint Undertaking
Abingdon – United Kingdom
Mihailo Ristic
Imperial College
London – United Kingdom
Jànos Somlò
Technical University of Budapest
Budapest – Hungary
Jozef Suchy
Faculty of Natural Science
Banska Bystrica – Slovakia
Federico Thomas
Instituto de Robótica e Informática Industrial
Barcelona – Espana
Vladimir Viktorov
Politecnico di Torino
Torino – Italy
Official Torino Italy Court Registration
n. 5390, 5th May 2000
Deposito presso il Tribunale di Torino
n. 5390 del 5 maggio 2000
Editor in Chief
Direttore responsabile:
Andrea Manuello Bertetto
ISSN 1590-8844
International Journal of Mechanics and Control, Vol. 19, No. 02, 2018
1
Preface for the special issue
of the International Journal of Mechanics and Control (JoMaC)
dedicated to BIOMECHANICAL ENGINEERING
Biomechanical Engineering applies principles of Engineering Mechanics to biological systems, and originates from the
wider discipline of Biomechanics. Biomechanical Engineers work in a variety of fields including medicine, sports and
rehabilitation.
Biomechanical Engineering can be declined into a variety of topics, for example biomechanics of human body,
motion/equilibrium/postural analysis, articular kinematics, soft tissue mechanics, mechanics of fluid systems (cardio-
circulatory, respiratory, …). Particular attention should be paid to human-machine interaction, comprising rehabilitation
devices, orthoses, internal and external prostheses, exoskeletons, medical application of robotics, robotic surgery, and
haptic systems.
The interest for Biomechanical Engineering has continuously increased in last years, and a large number of specialized
journals populate the international editorial panorama. In addition, many international conferences, specifically devoted to
Biomechanical Engineering, or including dedicated special sessions, are yearly organized.
It is worth reporting that a world organization such as IFToMM (the international federation for the promotion of
mechanism and machine science) counts, among others, an especially dedicated Technical Committee for the
Biomechanical Engineering. This TC has strongly grown up in the last period, evidencing an increasing interest in this
discipline, and nowadays it counts 36 members from 20 Countries, spread over 4 Continents. In July 2018, the International
Scientific Committee of MESROB (International Workshop on New Trends in Medical and Service Robotics) has
deliberated to become the official conference of the IFToMM TC for Biomechanical Engineering.
JoMaC, the International Journal of Mechanics and Control, which is the official journal of IFToMM Italy, decided to
dedicate in the current issue a special space to the Biomechanical Engineering.
Four valuable contributions, covering a wide range of biomechanical applications, have been invited and are here presented.
Kristóf Rácz et al. propose new suitable standards to examine how a set of changes to a calibration protocol affects accuracy
in gait analysis. Alberto Concu et al. evaluate the correlation between the mechanical and the metabolic energy, during the
gait cycle of a subject equipped with and without energy storage devices called “Jump Stilts”. Wen Chih Wu et al. analyze
changes in the metabolic power and energy cost, due to cardio-respiratory and metabolic adaption induced in a 52-aged élite
sailor engaged in the Onestar Atlantic solo race from Plymouth (UK) to Newport (USA). Carlo De Benedictis et al. present
an elbow static progressive brace equipped with special sensors, aimed at objective evaluation of the physiological response
of the articulation during treatments for recovery of the functional range of motion.
I wish to express my sincere appreciation to all researchers having contributed to this special issue, for their valuable
support to the growth of this fascinating discipline.
Carlo Ferraresi
Associate Editor of JoMaC
Chair of IFToMM TC for Biomechanical Engineering
ISSN 1590-8844
International Journal of Mechanics and Control, Vol. 19, No. 02, 2018
3
ACCURACY OF ANATOMICAL LANDMARK PLACEMENT
METHODS FOR GAIT ANALYSIS
Kristóf Rácz* Gergely Nagymáté* Tamás Kovács** Tamás Bodzay** Rita M. Kiss*
* Budapest University of Technology and Economics, Department of Mechatronics, Optics and Mechanical Engineering
Informatics
** National Trauma Institute Budapest, Hungary
ABSTRACT
A key step in gait analysis is the denotation of anatomical landmarks, often called calibration.
Before, no standardised framework existed for determining and comparing the accuracy of this
procedure. The goal of the present study was to develop suitable standards and utilize these to
examine how a set of changes to a calibration protocol affects accuracy. Standardised
conditions were established for the measurement of the quality of the denotation process.
Seven orthopaedic doctors performed calibrations on six healthy male participants aged 30±2.5
years. For each set of measurements three out of seven randomly selected doctors each
performed a calibration of 24 anatomical landmarks on a subject, for a total of 10 independent
sets. The calibration procedure featured a redesigned calibration wand, and further
clarifications of locations of the anatomical landmarks compared to the previous protocol.
Newly defined metrics of 3D error and 3D deviation were used to examine the change in
accuracy compared to the old protocol. Results showed that the accuracy of calibrations
between multiple examiners has improved by approximately 23%. However, calibrations made
by a single examiner are still more accurate with smaller deviations. The standardised
conditions and metrics provide a solid foundation for comparing the accuracy of calibration
methods. A general increase of accuracy can be observed from updating the calibration
protocol, but the personal interpretation of anatomical landmark locations still plays a major
role, making calibration performed by different examiners inconsistent.
Keywords: motion analysis, calibration, comparability, accuracy, standard
1 INTRODUCTION
Motion analysis is a way of quantifying and analysing
human movements. It is widely used in research [1][2],
healthcare (orthopaedics) [3][4], and sport sciences [5]–[7].
The principle of motion analysis is recording the 3-
dimensional (3D) positions of anatomical landmarks (ALs)
during motor tasks [8]. These measurements suffer from
large artefacts caused by the diverse and organic nature of
the human body. Besides instrumental artefacts [9], non-
invasive methods for the denotation and tracking of ALs
introduce errors known as anatomical landmark location
and soft tissue artefacts [10][11].
Contact author: Rita M. Kiss1
1 Hungary, 1521 Budapest, Pf. 91.
E-mail: [email protected]
These are caused by the relative motion between ALs and
the observable skin surface and the variations in each
person’s anatomy. Except for rare cases in research
[12][13], motion analysis must be conducted non-
invasively, thus these artefacts have a massive role in
measurement accuracy. Various ways of compensation for
these artefacts have been demonstrated [14]–[16], and
different methods generated different techniques for the
denotation of ALs [17][18]. While there is no consensus on
a universally accepted one, the Calibrated Anatomical
Systems Technique (CAST) introduced by Cappozzo et al.
[18] (commonly referred to as the calibration method) is
most commonly used. In this method, the ALs are denoted
in a local coordinate system in which they are fixed. This is
usually a local coordinate system of the body segment
corresponding to the AL (e.g. the greater trochanter is
denoted in a local coordinate system of the thigh). This is
practical because measuring a whole segment’s movement
instead of a single point is more precise and less affected by
soft tissue artefacts [19].
ISSN 1590-8844
International Journal of Mechanics and Control, Vol. 19, No. 02, 2018
4
The present study focuses on AL placement accuracy, i.e.
the accuracy with which the ALs can be denoted. There
have been studies exploring the accuracy in different
circumstances, but the results are difficult to compare
[20][21]. There has been no standardized procedure and
metric with which the comparison of the accuracy of
different calibration or other denotation methods is
possible. No previous studies focusing on this subject using
an OptiTrack motion capture system were found [22].
In a previous study [23] it was established that the old
calibration procedure is adequate for the examiners (the
persons denoting the location of ALs) to make accurate
calibrations. However, the two examiners had bad inter-
examiner accuracy. The examiners denoted the same ALs
to 10-20 millimetres apart on average, but in cases, more
than 40 millimetres apart. This meant that gait analysis
measurements with calibrations by different examiners
would yield noticeably different results with the old
calibration protocol. The cause for these discrepancies
could have been the not-so-accurate calibration procedure,
and the significantly different background and experience
of the examiners. The aim of this article is to examine how
an update to the calibration procedure improved inter-
examiner accuracy, and if it improved enough for
calibrations by different examiners to be comparable. This
time the calibrations were performed by examiners with
similar backgrounds (all orthopaedic doctors).
In the present study a set of guidelines is established, which
can be used to standardize the measurement of the quality
of the AL calibration process. Newly defined metrics are
used to compare the accuracy of the updated calibration
procedure to previous results [23].
2 METHODS
2.1 DEFINITION OF COMPARISON METHOD AND
METRICS
Due to the varied methods and conditions in studies
[20][21] regarding AL placement accuracy (referring to the
accuracy with which the ALs are denoted), comparisons
between them are difficult. For these results to be directly
comparable, a clear guideline for the measurement
conditions, and standardized metrics for the accuracy of a
calibration method should be established. The following
definitions were developed, which describe a standardised
framework for measuring and comparing AL placement
accuracy:
Conditions of comparability: the measured calibrated
anatomical landmark positions are comparable if, during
the measurement, the position of the actual anatomical
landmark is constant in the measurement coordinate
system, meaning that it is in some way rigidly fixed to the
origin of the measurement coordinate system.
3D error (TDE): the 3D error of an anatomical landmark
placement is the 3-dimensional distance between the
individual calibrated anatomical landmark positions and the
mean calibrated anatomical landmark position, for a set of
measurements where the conditions of comparability apply.
The formula for TDE is given in eq. (1), where xi, yi, and zi
represent the 3-dimensional coordinates of the ith calibrated
anatomical landmark position in the set, and x , y and z
represent the 3-dimensional coordinates of the mean
calibrated anatomical landmark position.
2 2 2( ) ( ) ( )i i i iTDE x x y y z z (1)
3D deviation (TDD): the 3D deviation of an anatomical
landmark placement is the mean 3-dimensional distance
between the individual calibrated anatomical landmark
positions and the mean calibrated anatomical landmark
position, for a set of measurements where the conditions of
comparability apply. The formula for TDD is given in eq.
(2), where n is the number of measurements in the set.
1
n
ii
TDE
TDD TDEn
(2)
2.2 MEASUREMENT ENVIRONMENT AND
METHOD
Measurements were conducted in the motion capture
laboratory of the Department of Mechatronics, Optics and
Mechanical Engineering Informatics at the Budapest
University of Technology and Economics, Hungary. The
laboratory is set up with an OptiTrack optical motion
capture system, with 18 cameras arranged around a 4 x 2.5
m measurement area on steel consoles 3 m above ground
level. The cameras operate in the domain of infrared light,
with a sample rate of 120 Hz. The windows are
permanently darkened to eliminate interference from
natural light. Information from the cameras is processed by
the dedicated software of the motion capture system. The
accuracy of this motion capture system is sub millimetre
[24]. The motion capture system uses passive markers to
track objects in the 3D space. Objects can be single
markers, ‘rigid clusters’ or full skeletal models. Markers are
8 mm diameter plastic spheres, with an infrared reflective
surface.
Figure 1 Rigid cluster object with 3 markers.
ISSN 1590-8844
International Journal of Mechanics and Control, Vol. 19, No. 02, 2018
5
Rigid clusters are a set of 3 or more markers, rigidly
attached to each other. Markers arranged in a rigid cluster
can be seen in Figure 1. The motion capture system
measures the 3D coordinates of the markers in its defined
coordinate system (laboratory coordinate system). Rigid
clusters are tracked with 2 3D vectors, describing their
position and orientation in space. During measurements,
rigid clusters are secured to the body segments of the lower
extremities using wide, elastic bands. This way, the position
and orientation of a local coordinate system associated with
each body segment can be tracked with the motion capture
system. AL are denoted in these local coordinate systems
during the calibration procedure. By knowing the AL’s
coordinates in this local coordinate system and by
measuring the position and orientation of the body segment
in the laboratory coordinate system, the AL’s position in
the laboratory coordinate system can be reconstructed.
Attachment of clusters with wide elastic bands has been
shown to be the method with the lowest amounts of soft-
tissue artefacts [19]. Together with the denotation of ALs
performed with the participant in a neutral standing
position, the conditions of comparability for the calibrations
are met: the position of the actual AL is constant in the
segment’s local coordinate system.
Denotation of ALs (measurement of their coordinates in the
segment’s local coordinate system) – referred to as
calibration – is done with the use of a calibration wand. The
first of the two improvements to the calibration procedure
was the improvement of the calibration wand. The first
version of the wand used a ‘virtual’ calibration point, which
was located one marker radius outwards from the tip of the
wand. The improved wand has a calibration point right on
the tip of the wand. The old version of the wand can be
seen in Figure 2. The new calibration wand can be observed
in Figure 3. The wand is tracked with a rigid cluster. The
wand has a determined calibration point, which point’s
local coordinates in the calibration wand’s local coordinate
system are known. The process of calibration consists of:
reconstructing the coordinates of the calibration point in the
laboratory coordinate system and calculating its coordinates
in the segments of the local coordinate system. These
calculations are handled by a custom software which
receives the necessary information from the motion capture
software through a network connection.
2.3 EXPERIMENTAL PROCEDURES
Measurements used a biomechanical model of the lower
extremities, which included 24 ALs distributed on 7 body
segments: the pelvis, left and right thighs, shanks, and foot.
The location of the 24 ALs can be seen in Figure 4.
Examiners previously only had the ALs’ names and
locations in a picture and calibrated these according to their
personal interpretations. In addition to this, the examiners
in the present measurements have collectively discussed
these locations and mutually agreed on further clarifications
as to where exactly these ALs should be calibrated. This
was the second improvement to the calibration procedure.
Clarifications made for this measurement are as follows:
MH-V: most prominent palpable point of the 5th
Metatarsal Head
MH-I: most prominent palpable point of the 1st
Metatarsal Head
MM: most caudal palpable point of the medial
malleolus
CT: tuber - tendon border
LM: most caudal palpable point of the lateral malleolus
TT: most cranial palpable point of the tuberosity in the
centre
FH: most caudal palpable point of the fibula head
LFE: most prominent palpable point of the lateral
femoral epicondyle
MFE: most prominent palpable point of the medial
femoral epicondyle
GT: dorsal and cranial palpable point of the greater
trochanter
ASIS: spina iliaca anterior superior
PSIS: spina iliaca posterior superior
The first step in a measurement was securing the rigid
clusters to the participant’s body segments. All
measurements are conducted with the participants wearing
only underwear on the lower extremities, to minimize
layers between the rigid cluster and the body segment,
which could increase the chance of slippage. The rigid
clusters were applied according to the biomechanical model
using wide elastic bands, and further secured with
leucoplast tape to prevent slippage of the bands.
The calibration of an AL is as follows: the AL in question
is palpated by the examiner. The calibration point of the
calibration wand is placed on the palpated location (Figure
3), and the appropriate button in the custom software is
pressed by an assistant (alternatively, the examiner can use
a remote control for this purpose). The software takes a
snapshot of the rigid cluster data delivered by the motion
capture system and calculates the local coordinates of the
AL in the body segment’s coordinate system.
Calibrations in the previous study [23] (which the results
here are compared to) were conducted using the same
biomechanical model, by the same method. The only
differences were the previously described two points, the
calibration wand, and the interpretation of AL locations.
Results of a calibration is stored numerical data, containing
the 3 calibrated local coordinates of every AL. Conditions
of comparability apply for sets of calibrations of the same
AL of a subject measured within one application of the
rigid clusters (i.e. measurements on the same subject are not
comparable if the rigid clusters were removed and applied
again).
2.4 SUBJECTS AND EXAMINERS
The measurement was conducted on six healthy male
participants aged 30±2.5 years. Data from the previous
study [23] was measured on 8 healthy participants (3
female and 5 male) of various ages.
ISSN 1590-8844
International Journal of Mechanics and Control, Vol. 19, No. 02, 2018
6
Figure 2 Old calibration wand.
Figure 3 Calibration of the right lateral malleolus
anatomical landmark.
Each person in both studies was able-bodied, without
musculoskeletal injuries or disorders that would result in
abnormal body morphology. A written consent was given
by the participants, after all necessary information about the
procedure was presented. The study was approved by the
National Science and Research Ethics Committee
(21/2015). In the present study 7 orthopedic doctors with
similar backgrounds and experience participated as
examiners. Every set of measurements contained 3
calibrations on the participant, by 3 different examiners
randomly selected from the 7 available ones. Examiners
were not necessarily the same for each participant. 10 sets
of measurements were conducted in total, with 4 out of 6
participants being measured twice. These measurements
happened with different applications of the rigid clusters,
on separate days. Because of this, these can be considered
independent measurements. Data from the previous study
was measured by two examiners with different backgrounds
(both examiners had ample knowledge to conduct
measurements). Both examiners measured all 8 participants
10 times.
2.5 EVALUATION METHODS
TDD values were calculated for every AL for the following
4 types of sets:
Type 1. From present measurements, 3 calibrations on each
participant for every AL, measured by 3 different
examiners, for a total of 10 sets for each AL
(multiple-examiner TDD)
Type 2. From the previous study, 10 calibrations on each
participant for every AL, by the first examiner, for
a total of 8 sets for each AL (single-examiner
TDD)
Type 3. From the previous study, 10 calibrations on each
participant for every AL, by the second examiner,
for a total of 8 sets for each AL (single-examiner
TDD)
Type 4. From the previous study, 10-10 calibration by the
two examiners, for a total of 8 sets for each AL
(multiple-examiner TDD)
Sets of type 1 were compared to sets of type 4. This
measured the improvement in inter-examiner accuracy
through the comparison of multiple-examiner TDD values.
Sets of type 1 were compared to sets of types 2 and 3 to
determine if the improved calibration method makes it
possible for various examiners to calibrate ALs with similar
accuracy between them compared to the accuracy of a
single examiner (multiple-examiner TDD of present study
compared to single-examiner TDD of previous
measurement).
Figure 4 Anatomical landmark locations, and their
respective body segments: R-MH-V - 5th Metatarsal Head
(right foot); R-MH-I - 1st Metatarsal Head (right foot); R-
MM - Medial Malleolus (right shank); R-CT - Calcaneal
Tuberosity (right foot); R-LM - Lateral Malleolus (right
shank); R-TT - Tibial Tuberosity (right shank); R-FH -
Fibular Head (right shank); R-LFE - Lateral Femoral
Epicondyle (right thigh); R-MFE - Medial Femoral
Epicondyle (right thigh); R-GT - Greater Trochanter (right
thigh); R-ASIS - Anterior Superior Iliac Spine (pelvis); R-
PSIS - Posterior Superior Iliac Spine (pelvis); L-MH-V -
5th Metatarsal Head (left foot); L-MH-I - 1st Metatarsal
Head (left foot); L-MM - Medial Malleolus (left shank); L-
CT - Calcaneal Tuberosity (left foot); L-LM - Lateral
Malleolus (left shank); L-TT - Tibial Tuberosity (left
shank); L-FH - Fibular Head (left shank); L-LFE - Lateral
Femoral Epicondyle (left thigh); L-MFE - Medial Femoral
Epicondyle (left thigh); L-GT - Greater Trochanter (left
thigh); L-ASIS - Anterior Superior Iliac Spine (pelvis); L-
PSIS - Posterior Superior Iliac Spine (pelvis);. Picture was
made using OpenSim [25]
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International Journal of Mechanics and Control, Vol. 19, No. 02, 2018
7
Values were examined using box-plots and numerical
comparison by calculating the mean and standard deviation
of TDD values for the 4 types of sets. Approximate
percentage values were calculated to indicate the difference
in accuracy between the sets.
3 RESULTS
Figure 5 shows the comparison of multiple-examiner TDD
with and without the update to the calibration procedure
(type 1 and type 4 sets).
Figure 5 Comparison of multiple-examiner TDD values
between the old and the improved calibration method.
Mean multiple-examiner TDD was lower by an average of
approximately 23%, but the standard deviation of TDD was
higher by approximately 10% on average. Figure 6 shows
the comparison of the multiple-examiner TDD of the
present study (type 1) with the single-examiner TDD of the
previous one (types 2 and 3). Mean multiple-examiner TDD
was higher by an average of approximately 33%, and 12%
higher than single-examiner TDD. Standard deviation of
the multiple examiner TDD was higher by approximately
147% and 116% on average. Numerical TDD values for
each AL in all 4 types of sets is shown in Table I in a
“mean ± standard deviation” format.
Figure 6 Comparison of multiple-examiner TDD with the
improved calibration method to the single-examiner TDD.
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International Journal of Mechanics and Control, Vol. 19, No. 02, 2018
8
Table I - Numerical results
Anatomical landmark
name
TDD (mean ± standard deviation, mm)
Type 1 sets Type 2 sets Type 3 sets Type 4 sets
R-MH-V 4.11 ± 2.49 3.27 ± 0.42 4.07 ± 0.71 6.36 ± 2.70
R-MH-I 4.11 ± 1.52 3.11 ± 0.90 3.93 ± 1.05 5.82 ± 3.66
R-MM 4.50 ± 1.53 4.06 ± 0.62 5.82 ± 1.36 6.09 ± 1.45
R-CT 5.87 ± 2.30 4.95 ± 1.08 5.59 ± 1.30 10.69 ± 7.35
R-LM 4.43 ± 1.71 4.61 ± 1.83 4.76 ± 1.07 5.47 ± 1.67
R-TT 7.42 ± 3.28 4.68 ± 1.45 4.80 ± 1.20 6.92 ± 2.57
R-FH 9.85 ± 4.40 5.02 ± 1.41 8.70 ± 2.30 10.02 ± 5.08
R-LFE 7.90 ± 2.65 5.66 ± 1.50 7.31 ± 2.15 16.06 ± 5.21
R-MFE 11.61 ± 5.40 6.95 ± 1.07 8.10 ± 1.19 19.20 ± 6.24
R-GT 12.56 ± 6.81 9.79 ± 2.11 11.10 ± 3.61 13.50 ± 2.83
R-ASIS 9.76 ± 6.65 7.73 ± 3.67 8.31 ± 2.23 12.95 ± 5.10
R-PSIS 9.75 ± 5.39 5.74 ± 2.16 6.25 ± 1.23 9.42 ± 2.96
L-MH-V 5.01 ± 1.43 3.05 ± 0.41 4.00 ± 1.28 6.06 ± 1.88
L-MH-I 3.64 ± 0.84 3.75 ± 0.46 5.40 ± 1.14 6.49 ± 1.67
L-MM 6.63 ± 3.36 5.22 ± 1.76 6.53 ± 1.50 7.29 ± 2.04
L-CT 6.22 ± 2.45 4.78 ± 0.87 6.78 ± 1.70 8.07 ± 1.60
L-LM 4.57 ± 1.57 3.86 ± 0.89 5.06 ± 0.86 5.52 ± 1.22
L-TT 6.54 ± 1.54 5.05 ± 1.67 5.69 ± 0.52 6.49 ± 1.05
L-FH 11.13 ± 5.78 6.81 ± 3.35 9.99 ± 2.75 13.68 ± 4.03
L-LFE 5.66 ± 1.85 7.00 ± 1.79 9.63 ± 2.09 19.56 ± 4.57
L-MFE 8.67 ± 3.03 10.06 ± 2.12 9.74 ± 2.25 21.28 ± 8.63
L-GT 12.87 ± 7.46 11.21 ± 2.39 8.67 ± 3.19 15.07 ± 3.97
L-ASIS 10.63 ± 4.87 8.19 ± 1.89 9.47 ± 3.44 14.56 ± 5.27
L-PSIS 9.72 ± 5.83 5.35 ± 1.50 5.40 ± 1.36 9.27 ± 3.64
4 DISCUSSION
Comparing the numerical results and observing Figure 5, it
is visible that the update to the calibration procedure did
improve inter-examiner accuracy (approximately by 23%).
The calibrations were a little less consistent (10% increase
in the standard deviation of TDD), but this is not as
significant as the accuracy improvement.
However, multi-examiner measurements are still less
accurate on average (33% and 12% higher mean TDD), and
much more inconsistent (146% and 116% higher standard
deviation of TDD) than single-examiner calibrations. This
means that in real application, where only one calibration is
made per measurement (e.g. the tracking of recovery after
hip or knee surgery using gait analysis) based on Figure 6,
in best case scenarios multi-examiner measurements can be
just as consistent as if calibrations would have been done
by the same examiner. However, in the majority of cases it
will more likely result in much less consistent calibrations.
These inconsistencies could show up as noise in the end
results, which could mask important tendencies. Because of
this, even with the improved calibration protocol, it is
highly recommended that the same examiner perform the
calibrations for all measurements, from which results need
to be compared. Based on Figure 5 and Figure 6, some kind
of correlation can be observed between TDD values and the
ALs. Points higher on the body generally had worse
accuracy.
Potential causes for this can be the amount of soft tissue
covering the ALs, difficulty of differentiation of the ALs
from their surroundings, and the size of the ALs. An
increase in these parameters is likely to correlate with the
increase of TDD. This topic should be explored in its own
dedicated study. The limits of present study were the
relatively small number of participants and examiners,
meaning their individual contribution affected the statistical
results much more, possibly skewing the results if any of
them produced significantly different results. No signs of
this were observed either during the measurements or the
processing of the results.
5 CONCLUSION
A standardised way to compare the accuracy of AL
denotation methods in motion analysis was presented. The
introduced metrics were used to compare results from a
calibration method from before and after an update to the
procedure. This update consisted of a more precisely
useable calibration wand, further specifying the ALs’
location for the examiners. It was shown that the update
increased the accuracy of calibration. However, calibrations
by a single examiner are still much more consistent
compared to multiple examiners performing the
denotations. Because of this, it is still recommended that the
same examiner perform calibrations for measurements
where results need to be compared.
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International Journal of Mechanics and Control, Vol. 19, No. 02, 2018
9
ACKNOWLEDGEMENTS
This work was supported by the Hungarian Scientific
Research Fund OTKA [grant number K115894].
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Figure 1 Simple chart.
Table VII - Experimental values
Robot Arm Velocity (rad/s) Motor Torque (Nm)
0.123 10.123
1.456 20.234
2.789 30.345
3.012 40.456
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CONTENTS – Special Issue for Biomechanical Engineering
1 Preface for the Special Issue of the International Journal of Mechanics and Control (JoMaC) dedicated
to BIOMECHANICAL ENGINEERING
C. Ferraresi
3 Accuracy of Anatomical Landmark Placement Methods for Gait Analysis
K. Rácz, G. Nagymáté, T. Kovács, T. Bodzay and R.M. Kiss*
11 Portable Low-Cost Smart Brace for Elbow Rehabilitation
C. De Benedictis, C. Ferraresi, W. Franco, L. Franzoso, R. Grassi, D. Maffiodo and D. Zanin
19 Metabolic Power and Energy Cost of Mechanical Work Carried Out by a Sailor Engaged in a Solo
Ocean Race: a Case Study
W.C. Wu, A. Concu, R. Solinas, L. Meloni, A. Manuello Bertetto, A. Fois, A. Loviselli, A. Deledda and F. Velluzzi
33 Correlation Between Mechanical and Metabolic Energy During the Gait Cycle With and Without
Jumping Stilts
A. Concu, M. Garau, A. Manuello Bertetto and M. Ruggiu
CONTENTS – Regular Issue
39 Development of the Mathematical Description of a Overhead Crane in Large Spatial Movements,
taking into account the Dissipation of Swing Energy
M.S. Korytov and I.V. Breus
45 Self Learning Neuro-Fuzzy Modeling Using Hybrid Genetic Probabilistic Classifier for Engine Air/Fuel
Ratio Prediction
B.A. Al-Himyari, A. Yasin and H. Gitano
55 Optimal Proportional-Derivative Controllers Based on a Multi-Objective Combined Optimization
Algorithm
M.J. Mahmoodabadi, M. Andalib Sahnehsaraei, S. Hadipour Lakmesari and H. Yaghoubi Nia*
65 Analysis and Design of a Picking System
A. Aresu, F. Leppori and M. T. Pilloni
81 Logistics Service Providers’ Performance Measurement: Insights for Improvement
A. Carlin, A.C. Cagliano and C. Rafele
95 Novel Metaheuristic Bio-Inspired Algorithms for Prognostics of On-Board Electromechanical Actuators
M.D.L. Dalla Vedova, P.C. Berri and S. Re
next issue titles will be from the selected and awarded papers of:
RAAD 2018 - 27th
International Conference on Robotics in Alpe-Adria-Danube Region
Patras, Greece,
6 – 8 June 2018