Estimation of 3D Knee Joint Angles during Cycling Using Inertial Sensors: Accuracy of a Novel Sensor-to-Segment Calibration Procedure Based on Pedaling Motion.

This paper presents a novel sensor-to-segment calibration procedure for inertial sensor-based knee joint kinematics analysis during cycling. This procedure was designed to be feasible in-field, autonomously, and without any external operator or device. It combines a static standing up posture and a pedaling task. The main goal of this study was to assess the accuracy of the new sensor-to-segment calibration method (denoted as the 'cycling' method) by calculating errors in terms of body-segment orientations and 3D knee joint angles using inertial measurement unit (IMU)-based and optoelectronic-based motion capture. To do so, 14 participants were evaluated during pedaling motion at a workload of 100 W, which enabled comparisons of the cycling method with conventional calibration methods commonly employed in gait analysis. The accuracy of the cycling method was comparable to that of other methods concerning the knee flexion/extension angle, and did not exceed 3.8°. However, the cycling method presented the smallest errors for knee internal/external rotation (6.65 ± 1.94°) and abduction/adduction (5.92 ± 2.85°). This study demonstrated that a calibration method based on the completion of a pedaling task combined with a standing posture significantly improved the accuracy of 3D knee joint angle measurement when applied to cycling analysis.