Picture of boy being examining by doctor at a tuberculosis sanatorium

Understanding our future through Open Access research about our past...

Strathprints makes available scholarly Open Access content by researchers in the Centre for the Social History of Health & Healthcare (CSHHH), based within the School of Humanities, and considered Scotland's leading centre for the history of health and medicine.

Research at CSHHH explores the modern world since 1800 in locations as diverse as the UK, Asia, Africa, North America, and Europe. Areas of specialism include contraception and sexuality; family health and medical services; occupational health and medicine; disability; the history of psychiatry; conflict and warfare; and, drugs, pharmaceuticals and intoxicants.

Explore the Open Access research of the Centre for the Social History of Health and Healthcare. Or explore all of Strathclyde's Open Access research...

Image: Heart of England NHS Foundation Trust. Wellcome Collection - CC-BY.

Development of a bespoke movement analysis protocol for routine clinical use in orthopaedics

Millar, Lindsay and Murphy, Andrew James and Rowe, P J (2016) Development of a bespoke movement analysis protocol for routine clinical use in orthopaedics. In: British Orthopaedic Research Society, 2016-09-05 - 2016-09-06, University of Glasgow.

Text (Millar-etal-BORS-2016-Development-of-a-bespoke-movement-analysis)
Accepted Author Manuscript

Download (273kB) | Preview


Assessment of progress and outcome of orthopaedic interventions are often carried out using subjective observational methods. These may not be the most accurate or sensitive way to assess patient progress (Ong et al. 2008). In contrast, motion capture is currently the gold-standard for measuring human movement (Gage 1993; Cook et al. 2003) and the equipment cost is decreasing, making routine clinical use a possibility. However, current movement analysis protocols and setups are not suited for routine clinical use as they are time consuming and complex. Therefore, the aim of this study was to develop a protocol which could be easily adopted by the orthopaedic community and provide more sensitive outcome measures in routine clinical practice. A bespoke, cluster based marker model (CM) was developed. Kinematics were calculated using the Grood and Suntay (1983) method and the kinematic output was compared to the current clinical gold-standard (Vicon Plug in Gait; PiG). Ten healthy volunteers wore a comprehensive marker set comprised of CM and PiG and performed 10 over-ground walking trials. Hip and knee flexion, abduction and rotation were compared along with ankle dorsi/plantar flexion. T-tests determined any significant difference between models. The cluster based marker set was quick and easy to apply. When comparing the kinematic output between CM and PiG, there were some small but statistically significant differences. Differences were more likely to occur in rotations out with the sagittal plane. CM provides a kinematic output comparable to that of the current clinical gold-standard. Differences in output may be due to different methods for estimating joint centres and calculating kinematics. In conclusion, CM is tailored for clinical use and should be considered the preferred option in routine clinical practice. Using the methods described, a gait test can be conducted in 10 minutes in the clinic by a physiotherapist or nurse.