Day-to-Day Reliability of Two Different Models to Quantify Knee Kinematics in Subjects With Knee Osteoarthritis and Healthy Controls

in Journal of Applied Biomechanics
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  • 1 University Hospital Tuebingen
  • 2 Swiss Federal Institute of Technology
  • 3 Medical Park Bad Wiessee GmbH & Co.
  • 4 Technical University Munich
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Results from instrumented gait analysis vary between test situations. Subject characteristics and the biomechanical model can influence the total amount of variability. The purpose of this study was to quantify reliability of gait data in general, and with respect to the applied model, and investigated population group. Reliability was compared between a functional and a predictive gait model in subjects with knee osteoarthritis and healthy controls. Day-to-day consistency for sagittal plane variables was comparable between models and population groups. Transversal plane variables relative to joint excursion showed larger inconsistency for repeated measures, even for a more sophisticated biomechanical approach. In conclusion, the presented reliability data of sagittal plane kinematics should be used for a reasonable interpretation of results derived in clinical gait analysis. Variables of the transversal plane should not be used as long as sources of error are not sufficiently minimized.

Inga Krauss (Corresponding Author) is with the Medical Clinic, Department of Sports Medicine, University Hospital Tuebingen, Germany. Thomas Ukelo is with the Institute for Biomechanics, Swiss Federal Institute of Technology Zurich, Switzerland. Christoph Ziegler is with the Medical Clinic, Department of Sports Medicine, University Hospital Tuebingen, Germany. Detlef Axmann is with the Center of Dentistry, Oral Medicine, and Maxillofacial Surgery, Department of Prosthodontics and Medical Materials, University Hospital Tuebingen, Germany. Stefan Grau is with the Medical Clinic, Department of Sports Medicine, University Hospital Tuebingen, Germany. Thomas Horstmann is with Medical Park Bad Wiessee GmbH & Co., Germany, and with the Department of Orthopaedics and Rehabilitation, Technical University Munich, Germany. Alex Stacoff, now deceased, was with the Institute for Biomechanics, Swiss Federal Institute of Technology Zurich, Switzerland.