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Re: Summary of marker sets and gait models

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  • Re: Summary of marker sets and gait models

    Dear Griener

    You must have read my mind. I was just in the process of writing pretty much
    the same as you.
    The assumption that the marker system will accurately define the temporal
    spatial pathway of a certain joint axis of interest for any given person is
    convenient but I don't think it is necessarily reliable. The fact that the
    marker position recording is reliable and repeatable does not always
    indicate that the joint axis pathway was reliably and repeatably defined.
    Perhaps we may be reliably and consistently defining the wrong pathway.

    Quote
    "However, many seem to accept these problems as the "price of doing
    business." Recent
    advances in technology are making resigned acceptance of these issues an
    unnecessary roadblock to scientific advancement."

    Can you elaborate on this statement?

    Cheers Dave Smith

    MSc Reasearch Applied Biomechanics
    Strathcyde University
    Rotten Row
    Glasgow

    Podiatrist
    FootHouse
    18 Radnor Pk Ave
    Folkestoe Kent UK
    CT19 5HX

    0044 1303 249300
    ----- Original Message -----
    From: "Greiner Thomas"
    To:
    Sent: Thursday, July 05, 2007 5:40 PM
    Subject: Re: [BIOMCH-L] Summary of marker sets and gait models


    BioMch-ers,

    I want to add my two cents and some venting to the maker set discussion.
    Rather than give my opinion on which marker set is best, I want to
    highlight a criticism that is common to most, if not all, of them.

    We all know about the problems of skin movement and accuracy of landmark
    palpation. To repeat those problems would be redundant. However, many
    seem to accept these problems as the "price of doing business." Recent
    advances in technology are making resigned acceptance of these issues an
    unnecessary roadblock to scientific advancement.

    A more vexing problem with marker set systems is the unquestioned
    association of an anatomical landmark with important functional
    qualities (joint centers, muscle insertion points, etc). Many of the
    analytical systems we use calculate joint centers based upon marker
    location. Let's assume for a second that the problems of marker location
    and skin movement have all been solved -- most of the software systems
    we use incorporate these assumptions anyway. What is the basis for the
    joint center calculation? Rarely do our software manuals explain this
    calculation. Even worse, they assume that this calculation will apply to
    all persons at all times. For example, there is a common assumption that
    the femoral epicondyles will indicate, or can be used to calculate, the
    axis of knee flexion/extension for all people at all times and in
    exactly the same way. A statement like that is contrary to the
    principals of biological science. The growth formation of the femoral
    epicondyles are not related to the axis of the knee and therefore do not
    have to have a consistent relationship to that axis. Consistent
    correlation of palpation landmarks to joint centers might apply to
    robots, but it is not true for humans.

    Ok, sure, but what else are you supposed to do? And yes, there is a
    little straw in the man I've just created. I don't have a good answers.
    I am, nonetheless, rankled by the blind acceptance of the Helen Hayes
    marker system, or any other system, that incorporates these types of
    non-biological assumptions. Data collection technologies have advanced
    to the point where we can start investigating the implementation of
    subject specific maker placement in a way that will be more biologically
    sound without losing the mechanical qualities that we have come to
    expect. Researchers should be encouraged to investigate systems that
    adopt this type of perspective, rather trying to improve the mechanical
    qualities associated with the biologically inappropriate uniform marker
    set approach.



    Thomas M. Greiner, Ph.D.
    Assistant Professor of Anatomy
    Dept. of Health Professions
    University of Wisconsin - La Crosse

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