CIM&Lab - School of Medicine, Universidad Nacional de Colombia, Bogotá DC, Colombia.
J Neuroeng Rehabil. 2013 Jul 11;10:73. doi: 10.1186/1743-0003-10-73.
: Gait distortion is the first clinical manifestation of many pathological disorders. Traditionally, the gait laboratory has been the only available tool for supporting both diagnosis and prognosis, but under the limitation that any clinical interpretation depends completely on the physician expertise. This work presents a novel human gait model which fusions two important gait information sources: an estimated Center of Gravity (CoG) trajectory and learned heel paths, by that means allowing to reproduce kinematic normal and pathological patterns. The CoG trajectory is approximated with a physical compass pendulum representation that has been extended by introducing energy accumulator elements between the pendulum ends, thereby emulating the role of the leg joints and obtaining a complete global gait description. Likewise, learned heel paths captured from actual data are learned to improve the performance of the physical model, while the most relevant joint trajectories are estimated using a classical inverse kinematic rule. The model is compared with standard gait patterns, obtaining a correlation coefficient of 0.96. Additionally,themodel simulates neuromuscular diseases like Parkinson (phase 2, 3 and 4) and clinical signs like the Crouch gait, case in which the averaged correlation coefficient is 0.92.
步态扭曲是许多病理障碍的最初临床表现。传统上,步态实验室一直是支持诊断和预后的唯一可用工具,但存在任何临床解释完全依赖于医生专业知识的局限性。本工作提出了一种新颖的人类步态模型,该模型融合了两种重要的步态信息源:估计的重心 (CoG) 轨迹和学习的脚跟轨迹,从而可以再现运动学正常和病理模式。CoG 轨迹通过引入摆锤末端之间的能量积累元素来近似物理指南针摆锤表示,从而模拟腿部关节的作用并获得完整的全局步态描述。同样,从实际数据中学习学习的脚跟轨迹可提高物理模型的性能,同时使用经典的逆运动学规则估计最相关的关节轨迹。将模型与标准步态模式进行比较,得到的相关系数为 0.96。此外,该模型模拟了帕金森病(第 2、3 和 4 阶段)等神经肌肉疾病和 crouch 步态等临床症状,平均相关系数为 0.92。