Quantification of key gait parameters plays an important role in assessing gait deficits in clinical research. Gait parameter estimation using lower-limb kinematics (mainly leg velocity data) has shown promise but lacks validation for the amputee population. The aim of this study is to assess the accuracy of lower-leg angular velocity to predict key gait events (toe-off and heel strike) and associated temporal parameters for the amputee population. An open data set of reflexive markers during treadmill walking from 10 subjects with unilateral transfemoral amputation was used. A rule-based dual-minima algorithm was developed to detect the landmarks in the shank velocity signal indicating toe-off and heel strike events. Four temporal gait parameters were also estimated (step time, stride time, stance and swing duration). These predictions were compared against the force platform data for 3000 walking cycles from 239 walking trials. Considerable accuracy was achieved for the HS event as well as for step and stride timings, with mean errors ranging from 0 to -13ms. The TO prediction exhibited a larger error with its mean ranging from 35-81ms. The algorithm consistently predicted the TO earlier than the actual event, resulting in prediction errors in stance and swing timings. Significant differences were found between the prediction for sound and prosthetic legs, with better TO accuracy on the prosthetic side. The prediction accuracy also appeared to improve with the subjects’ mobility level (K-level). In conclusion, the leg velocity profile, coupled with the dual-minima algorithm, can predict temporal parameters for the transfemoral amputee population with varying degrees of accuracy.

Assessment of gait deficits relies on accurate gait segmentation based on the key gait events of heel strike (HS) and toe-off (TO). Kinematics-based estimation of gait events has shown promise in this regard, especially using the leg velocity signal and gyroscopic sensors. However, its validation for the amputee population is not established in the literature. The goal of this study is to assess the accuracy of lower-leg angular velocity signal in determining the TO and HS instants for the amputee population. An open data set containing marker data of 10 subjects with unilateral transfemoral amputation during treadmill walking was used. A rule-based dual-minima algorithm was developed to detect the landmarks in the shank velocity signal indicating TO and HS events. The predictions were compared against the force platform data for 2595 walking cycles from 239 walking trials. The results showed considerable accuracy for the HS with a median error of −1 ms. The TO prediction error was larger with the median ranging from 35–84 ms. The algorithm consistently predicted the TO earlier than the actual event. Significant differences were found between the prediction accuracy for the sound and prosthetic legs. The prediction accuracy was also affected by the subjects’ mobility level (K-level) but was largely unaffected by gait speed. In conclusion, the leg velocity profile during walking can predict the heel-strike and toe-off events for the transfemoral amputee population with varying degrees of accuracy depending upon the leg side and the amputee’s functional ability level.

Accurate estimation of gait parameters depends on the prediction of key gait events of heel strike (HS) and toe-off (TO). Kinematics-based gait event estimation has shown potential in this regard, particularly using leg and foot velocity signals and gyroscopic sensors. However, existing algorithms demonstrate a varying degree of accuracy for different populations. Moreover, the literature lacks evidence for their validity for the amputee population. The purpose of this study is to evaluate this paradigm to predict TO and HS instants and to propose a new algorithm for gait parameter estimation for the amputee population. An open data set containing marker data of 12 subjects with unilateral transfemoral amputation during treadmill walking was used, containing around 3400 gait cycles. Five deterministic algorithms detecting the landmarks (maxima, minima, and zero-crossings [ZC]) in the foot, shank, and thigh angular velocity data indicating HS and TO events were implemented and their results compared against the reference data. Two algorithms based on foot and shank velocity minima performed exceptionally well for the HS prediction, with median accuracy in the range of 6–13 ms. However, both these algorithms produced inferior accuracy for the TO event with consistent early prediction. The peak in the thigh velocity produced the best result for the TO prediction with <25 ms median error. By combining the HS prediction using shank velocity and TO prediction from the thigh velocity, the algorithm produced the best results for temporal gait parameters (step, stride times, stance, and double support timings) with a median error of less than 25 ms. In conclusion, combined shank and thigh velocity-based prediction leads to improved gait parameter estimation than traditional algorithms for the amputee population.

Assessment of gait deficits relies on accurate gait segmentation based on the key gait events of heel strike (HS) and toe-off (TO). Kinematics-based estimation of gait events has shown promise in this regard especially using the leg velocity signal and gyroscopic sensors. However, its validation for the amputee population is not established in the literature. The goal of this study is to assess the accuracy of lower-leg angular velocity signal in determining the TO and HS instants for the amputee population. An open data set containing marker data of 10 subjects with unilateral transfemoral amputation during treadmill walking was used. A rule-based dual-minima algorithm was developed to detect the landmarks in the shank velocity signal indicating TO and HS events. The predictions were compared against the force platform data for 2595 walking cycles from 239 walking trials. Results showed considerable accuracy for the HS with a median error of -1ms. The TO prediction error was larger with the median ranging from 35-84ms. The algorithm consistently predicted the TO earlier than the actual event. Significant differences were found between the prediction accuracy for the sound and prosthetic legs. The prediction accuracy was also affected by the subjects’ mobility level (K-level) but was largely unaffected by gait speed. In conclusion, the leg velocity profile during walking can predict the heel-strike and toe-off events for the transfemoral amputee population with varying degrees of accuracy depending upon the leg side and amputee’s functional ability level.

La perte d'équilibre chez l'humain est un phénomène courant de la vie quotidienne. Plusieurs causes peuvent être identifiées, dont notamment des perturbations extérieures. Le scénario qui nous intéresse particulièrement est celui des passagers debout dans les transports en commun. La combinaison de plusieurs études accidentologiques fait ressortir un risque de blessure important pour ce type de situations, surtout pour des passagers debout et/ou âgées. Ces incidents en gendrent des blessures qui coûtent très cher au niveau du budget de la santé. La sécurité de ces passagers est donc à l’origine de ce travail. La perte et/ou le rattrapage d’équilibre est une question complexe qui met en jeu un ensemble de phénomènes tels que la perception de la perturbation, le traitement de l’information, la prise de décision et la mise en œuvre d’actions correctrices. Bien que les connaissances théoriques sur chacun de ces phénomènes soient avancées, il n’existe pas, à l’heure actuelle, de modèle global permettant de représenter la réaction des personnes dans des situations aussi concrètes et complexes que celle des passagers debout de transport en commun.Dans ce contexte, l’objectif principal de ce travail était de développer un outil de simulation pour évaluer les risques associés à la perte d’équilibre des passagers de transport en commun.

Accurate estimation of gait parameters from the limb kinematics data remains a challenge for researchers. Several deterministic algorithms have been proposed in the literature for this purpose but their applicability is limited by their accuracy, especially for gait-impaired subjects. Gait parameter estimation relies on the accurate detection of key gait events of initial contact (IC) and terminal contact (TC) for gait segmentation. This study aimed to evaluate literature algorithms for IC and TC prediction for the amputee population and to introduce a novel algorithm to improve gait parameter estimation. A marker data set of 12 amputee subjects during treadmill walking was used. Seven algorithms, including one novel algorithm, detecting the landmarks (maxima, minima, and zero-crossings) in the foot, shank, and thigh velocity data were implemented and their IC and TC estimations were compared against the force platform data. IC was best detected by foot and shank velocity methods with median bias in the range of -3 to -27ms. However, the literature algorithms produced inferior accuracy for the TC event with consistent early prediction. The newly-proposed thigh velocity-based algorithm produced the best result for the TC prediction -14 to 19ms median bias. By combining the IC prediction from foot velocity data and the TC prediction from the thigh velocity, the algorithm produced the best results for temporal gait parameters with a median bias of within 5% of gait cycle time. Statistical analysis revealed the robustness of the algorithm across most walking speeds.