Reliability of 3D Lower Extremity Movement Analysis by Means of Inertial Sensor Technology during Transitional Tasks

This study assesses the reliability and agreement of trunk and lower limb joints’ 3D kinematics, measured by inertial measurement units, during walking and more demanding movement tasks. For data analysis, tasks were divided in open and closed chain phases. Twenty healthy participants were included. On day one, measurements were conducted by “Operator 1” and “Operator 2” to determine between-operator reliability/agreement. On day two, the measurements were conducted by Operator 1, in order to determine within-session reliability/agreement. Furthermore, between-session reliability/agreement was assessed based on data from Operator 1, captured on day one and two. Within-session reliability/agreement was high, and better than between-session and between-operator results for all tasks. The results for walking were generally better than for other movement tasks, for all joint kinematics, and for both open and closed chain phases. Only for the ab/adduction and flexion/extension angles during forward and sideward lunge, reliability and agreement results were comparable to walking, for both the open and closed chain phases. The fact that lunges show similar reliability results than walking for open and closed chain phases, but require more motor control to perform, indicates that the performance of lunges might be interesting to use in further research aiming to identify kinematic differences between populations.