Detecting Anatomical Leg Length Discrepancy Using the Plug-in-Gait Model

Autor: Sam Khamis, Barry Danino, Shmuel Springer, Dror Ovadia, Eli Carmeli
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Applied Sciences, Vol 7, Iss 9, p 926 (2017)
Druh dokumentu: article
ISSN: 2076-3417
DOI: 10.3390/app7090926
Popis: Leg length discrepancy (LLD) is a significant factor influencing several pathological conditions. Gait analysis is based on biomechanical gait models calculating joint kinematics; however, no previous study has validated its ability to detect anatomical LLD. The aim of the present study was to compare the validity of the Vicon® Plug-in-Gait-model (PGM) in measuring femur and tibia segmental length discrepancy with measurements attained by X-ray. Fifteen participants with suspected leg length discrepancies underwent a lower limb X-ray and a standing calibration trial using a motion analysis system (Vicon®, Oxford Metrics, UK). Femur and tibia segment lengths were deducted from both measurements. No differences were found when measuring the discrepancies between sides for the femur (p = 0.3) and tibia (p = 0.45) segmental length. A high correlation was found between methods (r = 0.808–0.962, p < 0.001), however, a significant difference was observed when measuring the femur and tibia length (p < 0.0001). PGM was found to be a valid model in detecting segmental length discrepancy when based on the location of the joint centers compared to X-ray. A variance was noted in the femur and tibial segmental length. The impact of this inconsistency in segmental length on kinematics and kinetics should be further evaluated.
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