Functionally oriented and clinically feasible quantitative gait analysis method

  • C. Frigo
  • M. Rabuffetti
  • D. C. Kerrigan
  • L. C. Deming
  • A. Pedotti


A protocol for clinical gait analysis is described, and data from 30 normal adult female subjects are presented. Extensive application to pathologic subjects has proven to be feasible and sufficiently accurate. The method is based on a particular location and attachment of retro-reflective markers on the body and on a particular arrangement of four TV cameras. A motion analyser measures the 3D coordinates of each marker. A modelling approach, based on individual anthropometric measurements, and a functional approach, based on kinematical considerations, are used to estimate the location of hip, knee, and ankle joint centers and the orientation of the flexion-extension axis of the knee. 3D relative and absolute movements of pelvis and lower limbs are obtained and shown to be consistent with functional anatomy.


Clinical gait analysis Locomotory biomechanics Walking measurements 


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  1. Borghese, N. A. andFerrigno, G. (1990): ‘An algorithm for 3D automatic movement detection by means of standard TV cameras’,IEEE Trans.,BME-37, pp. 1221–1225Google Scholar
  2. Camoriano, R., Cama, A., Gremmo, M., Andaloro, A., Albertini, F., andFrigo, C. (1995): ‘Movement analysis and clinical application in children with Spina Bifida,’Eur. J. Ped. Surg.,5, suppl.1, pp. 40–41Google Scholar
  3. Cappozzo, A. (1984): ‘Gait analysis methodology’,Hum. Mov. Sci.,3, pp. 27–50CrossRefGoogle Scholar
  4. Cappozzo, A. (1991): ‘Three-dimensional analysis of human walking: experimental methods and associated artifacts,’Hum. Mov. Sci.,10, pp. 589–602CrossRefGoogle Scholar
  5. Cappozzo, A., Catani, F., Della Croce, U., andLeardini, A. (1995): ‘Position and orientation in space of bones during movement: anatomical frame definition and determination,’Clin. Biomech.,10, (4), pp. 171–178CrossRefGoogle Scholar
  6. Crenna, P., Inverno, M., Frigo, C., Palmieri, R., andFedrizzi, E. (1992): ‘Pathophysiological profile of gait in children with cerebral palsy’in Forssberg, H., and Hirschfield, H. (Eds.): ‘Movement disorders in children’ (Med Sport Sci, Basel, Switzerland) pp. 186–198Google Scholar
  7. Davis, III, R. B., Ounpuu, S., Tyburski, D., andGage, J. R. (1991): ‘A gait analysis data collection and reduction technique’,Hum. Mov. Sci.,10, pp. 575–587CrossRefGoogle Scholar
  8. D’Amico, M., andFerrigno, G. (1990): ‘Technique for the evaluation of derivatives from noisy biomechanical data using a model-based bandwidth-selection procedure’,Med. Biol. Eng. Comput.,28, pp. 407–415CrossRefGoogle Scholar
  9. DeLuca, P. A. (1991): ‘Gait analysis in the treatment of the ambulatory child with cerebral palsy’,Clin. Orthop.,264, pp. 65–75Google Scholar
  10. Ferrigno, G., andPedotti, A. 91985): ‘ELITE: a digital dedicated hardware system for movement analysis via real time TV processing’,IEEE Trans.,BME-32, pp. 943–950Google Scholar
  11. Ferrigno, G., Borghese, N. A., andPedotti, A. (1990): ‘Pattern recognition in 3D automatic human motion analysis,’ISPRS Photogramm. Remote Sensing,45, pp. 227–246CrossRefGoogle Scholar
  12. Frigo, C., Bardare, M., Corona, F., Casnaghi, D., Cimaz, R., Naj Fovino, P. L., andPedotti, A. (1996): ‘Gait alterations in patients with Juvenile Chronic Arthritis: a computerised analysis’,J. Orthopaed. Rheumatol.,9, pp. 82–90Google Scholar
  13. Gage, J. R. (1993): ‘Gait analysis: an essential tool in the treatment of cerebral palsy,’Clin. Orthop.,228, pp. 126–134Google Scholar
  14. Grood, E. S., andSuntay, W. J. (1983): ‘A joint coordinate system for the clinical description of three-dimensional motions: application to the knee’,J. Biomech. Eng.,105, pp. 136–144CrossRefGoogle Scholar
  15. Harris, G. F., andWertsch, J. J. (1994): ‘Procedures for gait analysis,’Arch. Phys. Med. Rehabil.,75, pp. 216–225Google Scholar
  16. Jensen, R. K. (1986): ‘Body segment mass, radius and radius of gyration proportions of children,’J. Biomech.,19, pp. 359–368CrossRefGoogle Scholar
  17. Kadaba, M. P., Ramakrishnan, H. K., andWooten, M. E. (1990): ‘Measurement of lower extremity kinematics during level walking’,J. Orthop. Res.,8, pp. 383–392CrossRefGoogle Scholar
  18. Kadaba, M. P., Ramakrishnan, H. K., Wootten, M. E., Gainey, J., Gorton, G., andCochran, G. V. (1989): ‘Repeatability of kinematic, kinetic, and electromyographic data in normal adult gait,’J. Orthop. Res.,7, pp. 849–860CrossRefGoogle Scholar
  19. LaFortune, M. A., Cavanagh, P. R., Somner, H. J., andKalenak, A. (1992): ‘Three-dimensional kinematics of the human knee during walking,’J. Biomech.,25, pp. 347–357CrossRefGoogle Scholar
  20. Lee, E. H., Goh, J. C., andBose, K. (1992): ‘Value of gait analysis in the assessment of surgery in cerebral palsy,’Arch. Phys. Med. Rehabil.,73, pp. 642–646Google Scholar
  21. Murray, M. P., Drought, A. B., andKory, R. C. (1964): ‘Walking patterns of normal men,’Am. J. Bone Joint Surg.,46, pp. 335–360Google Scholar
  22. Murray, M. P., Kory, R. C., andSepic, S. B. (1970): ‘Walking patterns of normal women,’Arch. Phys. Med. Rahabil.,51, pp. 637–650Google Scholar
  23. Oberg, T., Karsznia, A., andOberg, K.: (1994): ‘Joint angle parameters in gait: reference data for normal subjects, 10–79 years of age,’J. Rehab. Res. Dev.,31, pp. 199–213Google Scholar
  24. Ounpuu, S., Gage, J. R., andDavis, R. B. (1991): ‘Three-dimensional lower extremity joint kinetics in normal pediatric gait’,J. Ped. Orthop.,11, pp. 341–349Google Scholar
  25. Pedotti, A., andFrigo, C. (1992): ‘Quantitative analysis of locomotion for basic research and clinical applications,’Functional Neurol. Suppl.,7-4, pp. 47–56Google Scholar
  26. Pedotti, A., andFerrigno, G. (1995): ‘Optoelectronic-based systems’inAllard, P., Stokes, I. A. F., andBlanchi, J. P. (Eds.): ‘Three-dimensional analysis of human movement’ (Human Kinetics, Champaign, Illinois)Google Scholar
  27. Perrazzo, C., andUglietti, P. (1992): ‘Hip centre position estimate: statistical and functional approach.’ Masters Thesis, Politecnico di MilanoGoogle Scholar
  28. Rabuffetti, M., Ferrarin, M., Palmieri, R., andFrigo, C. (1992): ‘Multifactor gait analysis of above knee amputees’. Proc. Eur. Symp. On Clinical Gait Analysis, Zurich, Switzerland, 1–3 April 1992, pp. 24–27Google Scholar
  29. Rabuffetti, M., andFrigo, C. (1995): ‘Stride phase identification through pattern recognition algorithm’inPedotti, A., andRabischong, P. (Eds.): Book of Abstracts, 3rd European Conference on Engineering and Medicine, Edizioni Pro Juventute Don Carlo Gnocchi, p. 226Google Scholar
  30. Ramakrishnan, H. K., Kadaba, M. P. (1991): ‘On the estimation of joint kinematics during gait,’J. Biomech.,24, pp. 969–977CrossRefGoogle Scholar
  31. Romanò, C. L., Frigo, C., Randelli, G., andPedotti, A. (1996): ‘Analysis of the gait of adults who had residue of congenital dysplasia of the hip,’Am. J. Bone Joint Surg.78-A (10), pp. 1468–1479Google Scholar
  32. Stanhope, S. J., Kepple, T.M., McGuire, D. A., andRoman, M. L. (1990): ‘Kinematic-based technique for event time determination during gait,’Med. Biol. Eng. Comput.,28, pp. 355–360CrossRefGoogle Scholar
  33. Sutherland, D. H., andHagy, J. L. (1972): ‘Measurements of gait movements from motion picture film,’Am. J. Bone Joint Surg.,54, pp. 787–797Google Scholar
  34. Sutherland, D. H. (1978): ‘Gait analysis in cerebral palsy,’Dev. Med. Child Neurol.,20, pp. 807–813CrossRefGoogle Scholar
  35. Winter, D. A. (1984): ‘Kinematic and kinetic patterns in human gait: variability and compensating effects,’Hum. Mov. Sci.,3, pp. 51–76CrossRefGoogle Scholar

Copyright information

© IFMBE 1998

Authors and Affiliations

  • C. Frigo
    • 1
    • 2
  • M. Rabuffetti
    • 1
  • D. C. Kerrigan
    • 3
  • L. C. Deming
    • 3
  • A. Pedotti
    • 1
    • 2
  1. 1.Centro di Bioingegneria, Fondazione Pro Juventute IRCCSPolitecnico di MilanoMilanoItaly
  2. 2.Dipartimento di BioingegneriaPolitecnico di MilanoMilanoItaly
  3. 3.Spaulding Rehabilitation HospitalBostonUSA

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