Appendix F - Session Specific Information

CAST

CAST marker set and model are based on paper by Cappozzo, A., Catani, F., Della Croce, U., Leardini, A. (1995). Position and orientation in space of bones during movement: anatomical frame definition and determination. Clinical Biomechanics, 10, 171-178.

CAST - Lower body session includes legs and pelvis and CAST - Full body session adds thorax, arms and head.

See marker guide at [your project]\Documentation (CAST_Marker_Set_Full_Body.pdf and CAST_Marker_Set_Lower_Body.pdf) for details of the marker placement.

AIM files are stored at [your project]\AIM models. Following files are used based on session selection:

If multisegment foot model is needed, it is necessary to go to [your project]\AIM models folder and manually replace above mentioned .qam file with its variant :

CGM

The marker set and model are derived from book by Richard Baker: Measuring Walking: A Handbook of Clinical Gait Analysis. London: Mac Keith Press; 2013.

See marker guide at [your project]\Documentation (CGM_Marker_Set_Full_Body.pdf and CGM_Marker_Set_Lower_Body.pdf) for details of the marker placement.

AIM files are stored at [your project]\AIM models. Following files are used based on session selection:

The marker set is derived from book by Richard Baker: Measuring Walking: A Handbook of Clinical Gait Analysis. London: Mac Keith Press; 2013.

Model Selection

What to consider when selecting CGM model?

Can the participant stand with a normally extended, straight leg?

If yes, you may choose to leave the leg length PAF field empty and leg length will be calculated as lateral ankle to ASIS distance, from the static trial.

If the participant has a crouched posture during the static trial, then leg length must be measured manually and entered in the relevant PAF field.

If leg length is measured and entered in the PAF field then this will be used instead of marker distances regardless.

Can the participant stand with feet flat on the floor?

If yes, then the PAF field "Normalise foot to static trial" option may be used to define the foot plane, which means calcaneus marker (FCC) height is not critical.

If the "Normalise foot to static trial" option is not selected, for example if the participant stands with some toe drop or is a toe walker, then the ankle sagittal angles will be determined directly by the calcaneus and 2nd metatarsal (FM2) markers. In this instance, care must be taken to ensure calcaneus and 2nd metatarsal markers are level with the long axis of the foot.

Workflow for CGM model creation

Flowchart explained
Lower Body

If L_FME and L_TAM markers exists in static trial, the lower body model (.mdh file) with shank and thigh defined from medial knee (FME) and medial ankle (TAM) is used.

If L_FME exists and L_TAM does not, a popup window appears to halt Visual3D process.

If L_FME does not exist in static trial, the PAF fields values are used:

Upper body

If session type is Full body, upper body model is appended to the existing model

Multisegment foot

If Multisegment foot PAF field value is OFM or RFM, the corresponding multisegment foot model is appended to the existing model.

CGM2

For background about CGM2 markr set, please, refer to https://pycgm2.netlify.app/background/.

See marker guide at [your project]\Documentation (CGM2_Marker_Set_Full_Body.pdf and CGM2_Marker_Set_Lower_Body.pdf) for details of the marker placement.

Left Functional Knee trial and Right Functional Knee trial are needed only for CGM2.6. They have no function in earlier models.

Selection of CGM2 version is explained here.

AIM files are stored at [your project]\AIM models. We have prepared AIM file for all variants of model (see https://pycgm2.netlify.app/cgm/). By default we use CGM2.3. If you want to use other version it is necessary to rename corresponding .qam files to default name. Following files are available:

Gait Overlay

See marker guide at [your project]\Documentation\Gait_Overlay_Marker_Set.pdf for details of the marker placement.

This session works just like normal gait session but requires four markers on foot and force plate data. Word report or PDF report are available showing load analysis and force video overlay pictures at initial contact of force plate (ON), loading response (LR), midstance (MS), terminal stance (TS) and last contact on forceplate (OFF) events with force vector overlay. Video cameras are optional, screenshots are shown in Word report if at least one video exists. See Word report chapter for addition info. Only 'Multiple forceplates' and 'Single forceplate' event modes work for Gait Overlay session.

AIM files are stored at [your project]\AIM models. Following files are used based on session selection:

Note that specific export settings are required for force vector to be overlayed correctly. In project options > Processing > Force Data set 'Coordinate system for force/COP display and export' to World (Lab). In TSV Export check Force data type, 3D data type and all check boxes on General Settings.

IOR

IOR marker set and model are based on paper by Leardini, A., Biagi, F., Merlo, A., Belvedere, C., & Benedetti, M.G. (2011). Multi-segment trunk kinematics during locomotion and elementary exercises. Clinical Biomechanics, 26, 562-571. doi: 10.1016/j.clinbiomech.2011.01.015

IOR - Lower body session includes legs and pelvis and IOR - Full body session adds thorax, arms and head.

See marker guide at [your project]\Documentation (IOR_Marker_Set_Full_Body.pdf and IOR_Marker_Set_Lower_Body.pdf) for details of the marker placement.

AIM files are stored at [your project]\AIM models. Following files are used based on session selection:

If multisegment foot model is needed, it is necessary to go to [your project]\AIM models folder and manually replace above mentioned .qam file with its variant:

Markerless

Requirements for Theia3D are well described in Theia3D documentation. Here is an extract from it:

Theia3D provides 3D pose estimates that are robust to changes in attire. General recommendations for subject attire include:

Static Overlay

Static overlay session requires only force plate data from two force plates. Patient has to stand with one foot on each force plate.

Optionally it is possible to add IOR spine and pelvis markers as published by Leardini, A., Biagi, F., Merlo, A., Belvedere, C., & Benedetti, M.G. (2011). Multi-segment trunk kinematics during locomotion and elementary exercises. Clinical Biomechanics, 26, 562-571. doi: 10.1016/j.clinbiomech.2011.01.015.

See marker guide at [your project]\Documentation\IOR_Spine_Marker_Set.pdf for details of the marker placement.

Word report settings are described here.

Stabilometry

Stabilometry session allows to collect 30 second static measurement to evaluate stabilometry parameters.