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Reliability and validity of the Kinect V2 for the assessment of lower extremity rehabilitation exercises

  • Research question: The purpose of this study was to evaluate the test-retest reliability of lower extremity kinematics during squat, hip abduction and lunge exercises captured by the Kinect and to evaluate the agreement to a reference 3D camera-based motion system. Methods: Twenty-one healthy individuals performed five repetitions of each lower limb exercise on two different days. Movements were simultaneously assessed by the Kinect and the reference 3D motion system. Joint angles and positions of the lower limb were calculated for sagittal and frontal plane. For the inter-session reliability and the agreement between the two systems standard error of measurement (SEM), bias with limits of agreement (LoA) and Pearson Correlation Coefficient (r) were calculated. Results: Parameters indicated varying reliability for the assessed joint angles and positions and decreasing reliability with increasing task complexity. Across all exercises, measurement deviations were shown especially for small movement amplitudes. Variability was acceptableResearch question: The purpose of this study was to evaluate the test-retest reliability of lower extremity kinematics during squat, hip abduction and lunge exercises captured by the Kinect and to evaluate the agreement to a reference 3D camera-based motion system. Methods: Twenty-one healthy individuals performed five repetitions of each lower limb exercise on two different days. Movements were simultaneously assessed by the Kinect and the reference 3D motion system. Joint angles and positions of the lower limb were calculated for sagittal and frontal plane. For the inter-session reliability and the agreement between the two systems standard error of measurement (SEM), bias with limits of agreement (LoA) and Pearson Correlation Coefficient (r) were calculated. Results: Parameters indicated varying reliability for the assessed joint angles and positions and decreasing reliability with increasing task complexity. Across all exercises, measurement deviations were shown especially for small movement amplitudes. Variability was acceptable for joint angles and positions during the squat, partially acceptable during the hip abduction and predominately inacceptable during the lunge. The agreement between systems was characterized by systematic errors. Overestimations by the Kinect were apparent for hip flexion during the squat and hip abduction/adduction during the hip abduction exercise as well as for the knee positions during the lunge. Knee and hip flexion during hip abduction and lunge were underestimated by the Kinect. Significance: The Kinect system can reliably assess lower limb joint angles and positions during simple exercises. The validity of the system is however restricted. An application in the field of early orthopedic rehabilitation without further development of post-processing techniques seems so far limited.show moreshow less

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Author details:Monique WochatzORCiDGND, Nina Tilgner, Steffen MuellerGND, Sophie RabeORCiDGND, Sarah EichlerORCiDGND, Michael John, Heinz VöllerORCiDGND, Frank MayerORCiDGND
DOI:https://doi.org/10.1016/j.gaitpost.2019.03.020
ISSN:0966-6362
ISSN:1879-2219
Pubmed ID:https://pubmed.ncbi.nlm.nih.gov/30947108
Title of parent work (English):Gait & posture
Publisher:Elsevier
Place of publishing:Clare
Publication type:Article
Language:English
Date of first publication:2018/08/12
Publication year:2019
Release date:2021/03/01
Tag:Agreement; Markerless motion capture system; Reproducibility; Telerehabilitation
Volume:70
Number of pages:6
First page:330
Last Page:335
Funding institution:German Statutory Pension Insurance (DRV Berlin-Brandenburg) [10-40.07.05.07.007]
Organizational units:Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Sport- und Gesundheitswissenschaften
DDC classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit
Peer review:Referiert
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