Advances in motion analysis

Time magnification in motion photography allows the observation of events in the stride cycle that normally are beyond the resolution of the human eye. Quantitative analysis goes a stage further by measuring the stride in terms of timing, distance, and angular variables. Motion analysis is a good technique for detecting left-right asymmetries of gait, and the nature of the asymmetries has some value in locating the site of a lameness. Repeated analyses of the same horse allow an objective assessment of the effects of local anesthesia, surgical treatment, or medication. It is anticipated that this will be one of the most useful clinical applications of motion analysis in the clinical setting. This article reviews the hardware and software available for cinematographic and videographic gait analysis. Manual digitization is tedious and time consuming, but these drawbacks are partially overcome by semi-automated systems, which use point prediction to estimate the location of the markers. Fully automated systems rely on the use of contrasting markers attached to the horse's skin overlying the anatomic landmarks. In some joints, skin motion relative to the underlying bones is sufficient to introduce significant errors in joint angle calculations unless appropriate correction algorithms are applied.     

Comparison of two-dimensional and three-dimensional systems for kinematic analysis of the sagittal motion of canine hind limbs during walking

OBJECTIVE: To test the hypotheses that kinematic data of the sagittal motion of canine hind limbs during walking obtained with a 2-dimensional (2-D) system correlate well with those obtained with a 3-dimensional (3-D) system and that the data obtained with the 2-D system are repeatable. ANIMALS: 6 adult dogs with no evidence of lameness. PROCEDURES: Hind limb motions of 6 walking dogs were recorded via 2-D video and 3-D optoelectric systems simultaneously. Five valid trials were digitized, and 5 data sets (2-D 60 Hz, 3-D 180 Hz, 3-D sagittal 180 Hz, 3-D 60 Hz, and 3-D sagittal 60 Hz) of a complete gait cycle were created for each dog. In sagittal data sets, 3-D data were reduced to exclude coordinates for mediolateral orientation. Temporospatial parameters; angles of hip, stifle, and tarsal joints; and coefficients of variation of angular measurements of each dog were calculated for each data set. Accuracy of the 2-D analysis was determined by calculating mean absolute differences and estimating agreement between the 2-D and 3-D 180-Hz data sets. RESULTS: Values of joint angles and angular excursions measured with the 2-D system were repeatable and agreed with respective values obtained with the 3-D system. Reduction of the sampling rate had a greater impact on values of kinematic variables obtained with the 3-D system than did elimination of data on mediolateral orientation. CONCLUSIONS AND CLINICAL RELEVANCE: Kinematic analysis using a 2-D video system provided accurate and repeatable data of the sagittal angular motion of canine hind limbs during walking.     

Reliability of conformational measurements in the horse using a three-dimensional motion analysis system

REASONS FOR PERFORMING STUDY: The importance of a reliable method for conformation studies is generally acknowledged, but there are only limited data on the accuracy and precision of current assessment methods. OBJECTIVES: To assess (1) the accuracy and repeatability of marker placement, (2) influence of stance of the horse on conformational parameters, (3) practicality of a computerised motion analysis system and (4) to compare the computerised motion analysis system to photographic systems of assessment. METHODS: Twenty-eight reflective markers placed over anatomical landmarks were located in 3D using a computerised motion analysis system and their coordinates used to calculate segment lengths and joint angles. Four experiments, involving a cadaver study, a series of repeated measures on a single Thoroughbred and repeat measurements on 108 racehorses were performed. RESULTS: Identification of anatomical landmarks was found to introduce the biggest variation in the measurements for proximal conformation parameters with the interoperator being larger than intraoperator variation. Length measurements were least influenced by stance, with distal interphalangeal and metacarpo/metatarsophalangeal joint angles being the most variable. In some measurements, the variation between stances within a horse proved to be almost as large as between horses, rendering these parameters less useful as predictors of performance or orthopaedic health. CONCLUSIONS: A computerised motion analysis system allows 3D assessment of conformation with high accuracy and precision. It eliminates 3 major sources of error associated with photography-based methods and increases accuracy of conformational assessment by allowing repeat measurements in a relatively short period. POTENTIAL RELEVANCE: Studies on conformation should be viewed in the light of the limitations of the measurement technique used. The presented method maximises accuracy and precision and is a valuable basis for future studies investigating the effect of conformation on performance or orthopaedic health.     

Temporo-spatial and kinetic gait parameters in English setter dogs

Walking analysis systems have begun to be used in veterinary medicine in recent years. The pressure-sensitive walkway is one of the systems through which we can obtain temporo-spatial and kinetic variables of walking. Therefore, the aim of this study was to investigate the walking characteristics of English Setter dogs using a pressure-sensitive system. Twenty-five English Setter dogs were included in the study. Temporo-spatial and kinetic gait parameters were obtained with the pressure-sensitive walkway system. Centre of pressure values were taken separately for the forelimbs and hindlimbs and were statistically analysed. The force values in the forelimb were found to be greater than in the hindlimb during walking. According to the results of dynamic pedobarographic evaluation, the highest-pressure values were found at the 2nd and 3rd digital pads for the forelimbs and on the 3rd and 4th digital pads for the hindlimbs. During the stance, 64.58% of the weight was found to be on the forelimbs. No difference was found between the forelimbs and the hindlimbs in centre of pressure analysis. As conclusion, the gait data obtained from the English Setter dogs can be used in future research to identify animals that may have neurological or orthopaedic problems.     

A Quantitative Review of the Equinalysis System for Equine Locomotion Analysis

Movement analysis techniques allow objective and quantitative assessment of kinematic gait analysis. Consistent repeatability of the kinematic data is essential for such assessments. This study investigated whether the repeatability of a standardized Equinalysis Elite gait analysis system is sufficient to allow its use in clinical evaluation of equine lameness with reliable documentation of individual locomotion patterns. The extent to which examinations on different days affected the results when a standardized protocol was used was investigated. The repeatability of distal limb kinematics in nine sound horses over three successive days at one location was investigated. Measurements were performed at the examination area, for three motion cycles at the walk and trot, in each direction per day. Skin markers were placed on the lateral aspect of the coffin joint, forelimb fetlock joint, hindlimb fetlock joint, carpus, tarsus, elbow, and stifle, at clipped sites marked with a permanent marker. The inter-day repeatability of angular measurements of the carpus, tarsus, forelimb fetlock, and hindlimb fetlock joints was determined. A low degree of inter-day repeatability was found with statistically significant (P ≤ .05) differences between findings on different days, observed in the time-angle diagrams of left and right carpus, tarsus, forelimb fetlock, and hindlimb fetlock joints of all horses, at both walk and trot. The standardized Equinalysis Elite system for gait analysis of distal limb kinematics in the horse did not provide highly repeatable data in this setting.     

Kinetic and kinematic gait analysis in dogs.

Kinetic and kinematic gait analysis provides objective, quantifiable, and repeatable information on normal and abnormal gait in dogs. Data collection requires specialized equipment, and techniques must be carefully controlled to ensure that accurate measurements are obtained. Force-plate and kinematic analysis is currently used primarily as a research tool to study various gait abnormalities and objectively assess treatment efficacy. As future research identifies characteristic changes associated with specific types of lameness, the use of gait analysis to evaluate individual clinical patients with lameness should become more valuable. Specialized gait analysis techniques may eventually enable veterinarians to accurately diagnose subtle lameness, better evaluate dogs with resolving lameness, and accurately select the appropriate time to return an athletic dog to exercise after recovery from an injury.     

Validation of a Three-Point Gait-Scoring System for Field Assessment of Walking Ability of Commercial Broilers

A 3-point gait-scoring system used to evaluate broiler walking ability in welfare audits of commercial flocks in the United States was compared with the 6-point Kestin system. In 2 university trials, market-age broilers of 2 commercial varieties were gait-scored by 2 observers for each scoring system. Subsamples of birds were rescored and evaluated in latency-to-lie (LTL) tests. Too few birds had significant walking difficulties in these trials to allow for a good comparison of the 2 scoring systems across all the gait score categories, but the data were encouraging despite sampling limitations. There was a significant association between the 2 systems, and both had substantial between-observer agreement. Both scoring systems had significant correlations with LTL, but the variation of LTL was too high to give gait score or LTL much predictive value for each other. In the field observations, 2 teams of observers scored broilers 47 to 61 d of age on 5 commercial farms each. Two pairs of observers on each team scored the same birds, each pair using the 3-point system or the Kestin system. Broilers with walking problems were oversampled to obtain an adequate number in each gait score category. Weighted κ statistics showed substantial between-observer agreement in each system but more so in the 3-point system, suggesting that the application of the 3-point system was more consistent between observers. Spearman correlations between 3-point and Kestin scores for individual birds indicated good correspondence between the 2 systems. The simplicity of the 3-point gait-scoring system appears to facilitate between-observer agreement, making it preferable to more complex systems for use in commercial animal welfare audits. The correspondence between the gait-scoring systems validates the 3-point system in light of the 6-point Kestin system.     

Kinematic analysis of the gait of 10 labrador retrievers during treadmill locomotion

The trotting gait of 10 sound, adult labrador retrievers was analysed using kinematic gait analysis on a purpose-built treadmill using video-based motion analysis software. The maximal angular displacement, minimal angular displacement, average angular displacement, and the maximal positive and negative angular velocities of the right elbow and right stifle were measured over five gait cycles at defined time points during each of five two-minute sessions. The dogs' trotting gait was not repeatable, either for individual dogs during the first session or between sessions, or between dogs at the same time points during a session.     

Comparative motion analysis of the canine hind limb during gait on force plate and treadmill

Computer assisted gait analysis allows for the objective examination of ground reaction forces as well as the kinematic analysis of gait. At present it is unclear if there are relevant differences in the gait pattern of the hind limb of dogs during the walk on treadmill and force plate. Thus, aim of this study was the comparison of canine hind limb joint angles and certain kinematic gait cycle parameters like cadence, step and stride time as well as step length during the walk on force plate and treadmill. 19 adult dogs of different breeds were analysed. Extension and flexion of hip, stifle and hock, hip ab- and adduction and range of motion (ROM) were evaluated. Furthermore joint angles at the moment of maximum load were identified. Considering the joint angles and gait cycle parameters there were no significant differences between force plate and treadmill, except for the hip angles, the hock angle at the moment of maximum load as well as for cadence and stride time. Whereas all flexion/extension joint angles, except the maximum hock joint angle, showed a moderate to good correlation, the ROM of the analysed joint angles was in maximum moderate. In summary it could be demonstrated that the gait pattern of the canine hind limb shows similarities on force plate and treadmill. Nevertheless significant differences of certain parameters exist and in total only a fair to moderate correlation of the data between treadmill and force plate could be shown. Therefore the results of this study provide important information for the comparative interpretation of canine gait analysis carried out on force plates and treadmills.     

Comparison of VHS video recording system with apple Macintosh-based image analysis and modified CODA-3 systems in equine motion analysis

A VHS video--computer-based image analysis combination is described as a low sampling rate motion analysis system. Video recordings were taken indoor without any artificial illumination at 25 fps sampling rate. The horse studied was running on a high-speed treadmill and observed at 1.6, 4 and 7 m/s velocities at walk, trot and canter, respectively. Left forelimb and hindlimb were recorded separately from lateral view. For comparison, parallel CODA-3 recordings were taken at the same time from the same position. Joint angles were expressed and compared in angle-time diagrams. Sampling of both systems has been synchronised by a timer device at +/- 1/300 s error level. Results obtained with the two different recording systems were comparable in all joints measured with the exception of the fetlock. Inaccuracies in fetlock recordings are thought to be eliminated by measuring at controlled illumination. As a conclusion, the VHS-Macintosh setup appears to be promising as a simplified system for gait analysis.     

Assessing the efficacy of perioperative oral carprofen after cranial cruciate surgery using noninvasive, objective pressure platform gait analysis

OBJECTIVE: To document, using pressure platform gait analysis, the effect of perioperative oral carprofen on limb function and pain after cranial cruciate ligament surgery in dogs. STUDY DESIGN: Blinded, prospective clinical investigation. ANIMALS: Twenty dogs with naturally occurring unilateral cranial cruciate disease. PROCEDURE: Physiologic indices, subjective pain scoring, and pressure platform gait analyses were performed before and 24, 48, and 72 hours after surgery. Correlations were assessed between methods of evaluation and the data was compared across treatment groups. RESULTS: No strong correlations were noted between physiologic data, subjective scoring systems, or gait analysis data at a walk or stance. Although average measures of limb function were nearly twice as large in dogs treated with carprofen, no significant differences between groups over time were identified. No significant differences were noted in any other measure of pain or limb function. Power analysis of peak vertical force at a walk indicated that significant difference would have been detected had the number of dogs in each group been increased to 35. CONCLUSION: When limb function was assessed with pressure platform gait analysis no statistical difference was noted between groups with respect to PVF and VI at a walk or stance, although average ground reaction forces for dogs in the carprofen group were greater than the traditional pain management group at all time points. CLINICAL RELEVANCE: Oral carprofen appears to provide some benefit for the treatment of postoperative orthopedic pain.     

2D versus 3D in the kinematic analysis of the horse at the trot

The handled trot of three Lusitano Purebred stallions was analyzed by using 2D and 3D kinematical analysis methods. Using the same capture and analysis system, 2D and 3D data of some linear (stride length, maximal height of the hoof trajectories) and angular (angular range of motion, inclination of bone segments) variables were obtained. A paired Student T-test was performed in order to detect statistically significant differences between data resulting from the two methodologies With respect to the angular variables, there were significant differences in scapula inclination, shoulder angle, cannon inclination and protraction-retraction angle in the forelimb variables, but none of them were statistically different in the hind limb. Differences between the two methods were found in most of the linear variables analyzed.     

Kinematic study of back movement in clinically sound malinois dogs with consideration of the effect of radiographic changes in the lumbosacral junction

Objective— To determine thoracolumbar spinal movement in dogs and the influence of subclinical radiographic changes involving the lumbosacral junction. Study Design— Experimental study. Animals— Clinically sound Malinois dogs (n=22). Methods— Kinematic analysis of markers on the spinal processes of C7, T6, T13, L3, L7, and S3 was performed while dogs were walking on a treadmill. Range of motion (ROM) in the transverse and vertical direction and the time of occurrence (TOO) of the maximal marker position were calculated. ROM and TOO of angulations formed by the corresponding markers were calculated. Initial kinematic analysis was performed without knowledge of the radiographic changes, and then data were reanalyzed to determine whether vertebral changes influenced back motion. Based on the results of radiographic analysis of the lumbosacral junction, dogs were divided into 3 groups: 1=no radiographic changes; 2=shortened L7 vertebra; and 3=transitional vertebrae, spondylosis, subluxations, and spondylarthrosis of the lumbosacral junction. ROM and TOO were compared using ANOVA for repeated measures and a Bonferroni's post hoc test; P<.05 was considered significant. Results— The highest transverse ROM was achieved by markers T6, T13, and L3, and in the vertical direction by S3; however, there were no significant differences in ROM in horizontal angulations. In the sagittal plane, T13–L3–L7 had a lower angulation than L3–L7–S3. In Group 3, transverse ROM for C7 was significantly higher than in Group 1; the horizontal angular maximum of T13–L3–L7 occurred significantly earlier. Conclusions— Significant kinematic changes were detected between clinically sound dogs with radiographic lumbosacral changes and dogs with no radiographic abnormalities. Clinical Relevance— Kinematic data from clinically sound dogs can be used for comparison with data from dogs with gait disturbances associated with orthopedic or neurologic disease or changes associated with therapy.     

Relationships between race earnings and horse age,sex, gait,track surface and number of race starts for Thoroughbred and Standardbred racehorses in North America

Reasons for performing study: There is no consensus on objective outcome measures that can be used to determine if a medical or surgical treatment affects race performance. Objective: To determine the association between 2 commonly used outcome measures (total starts and total earnings) and age, sex, gait and race surface. Methods: A cross‐sectional study was performed using the race performance data for all Thoroughbred horses age 2, 3, 4 and 5 years racing in the United States, and Standardbred horses of the same ages racing in the United States and Canada during the year 2006. Median earnings and starts were determined for each combination of age, sex and track surface (for Thoroughbred) or gait (for Standardbred). The effect these variables had on starts on race earnings ($) was determined using linear regression. Results: Race records for 68,649 Thoroughbreds and 25,830 Standardbreds were obtained. All independent variables (age, breed, sex, gait, track surface and total number of starts) had a significant impact on total earnings (P<0.0001). Conclusions: The data show considerable variation across age groups and track surfaces for Thoroughbreds and across age groups for Standardbreds. They also show that the decision to use earnings or starts as outcome measures could have a marked effect on reported success for a particular treatment. Potential relevance: Both earning and start data should be reported in studies evaluating outcome following surgery or other intervention. Considerations of age, breed, sex, track surface and gait should be included in the design of these studies.     

A two-dimensional analysis of limb symmetry in the trot of Labrador retrievers

Sixteen sound Labrador retriever and Labrador retriever cross-breed adult dogs were evaluated for symmetry while in a trot gait using a two-dimensional motion analysis system. Reflective markers were placed at selected joint centers. Each dog had the right side and then the left side videotaped while in the trot gait. The markers on the videotape were then digitized for analysis. There was no significant difference (p less than 0.05) between the movements of the two sides. It was concluded that the trot gait is symmetrical and that a two-dimensional system can be used to analyze gait in the dog.     

Agreement between two inertial sensor gait analysis systems for lameness examinations in horses

Gait analysis is gaining popularity for quantification of lameness and 2 commonly used inertial sensor systems assess trunk movement symmetry: can these be used interchangeably in multi‐centre studies? We compared head and pelvic movement symmetry between 2 inertial sensor gait analysis systems in 13 horses equipped simultaneously with the 2 systems. The first system quantified dorsoventral movement in the local reference frame (System A) and the second system global vertical movement (System B). Widths of limits of agreement were calculated employing a well established regression method dealing with systematically changing differences over the range of measured values. Widths of limits of agreement between Systems A and B were narrower for pelvic movement than head movement. For head movement, they ranged from 6.4 to 6.9 mm for in‐hand trot and from 7.3 to 9.7 mm on the lunge and for pelvic movement from 2.5 to 4.4 mm in‐hand and from 3.6 to 5.3 mm on the lunge. Widths of limits of agreement between the 2 investigated inertial sensor gait analysis systems are of comparable magnitude (some equivalent, some marginally higher) to the currently proposed thresholds of 6 mm for head and 3 mm for pelvic movement used in lameness investigations. Differences in measurements with 2 different systems (A and B) obtained from the same horse falling within the reported values should not be seen as a sign of a change in lameness.     

Techniques for objective outcome assessment

Companion animal rehabilitation, a collaborative practice of physical therapy and veterinary medicine, can only demonstrate the effectiveness of its theories, techniques, interventions, and modalities through evidence-based practice, utilizing standardized, reliable, and valid outcome measures, correlated with objective diagnostic data. This essay examines existing and potential objective outcome measures utilized in companion animal rehabilitation and physical therapy regarding pain, vital signs, body condition and composition, range of motion, muscle strength, inflammation, functional mobility, and gait. Discussion is included of the traditional disablement model and the evolution of the physical therapy diagnosis, prognosis, and plan of care.     

Recent developments in canine locomotor analysis: a review

Subjective evaluation of canine gait has been used for many years. However, our ability to perceive minute details during the gait cycle can be difficult and in some respects impossible even for the most talented gait specialist. The evolution of computer technology in computer assisted gait analysis over the past 20 years has improved the ability to quantitatively define temporospatial gait characteristics. These technological advances and new developments in methodological approaches have assisted researchers and clinicians in gaining a better understanding of canine locomotion. The use of kinematic and kinetic analysis has been validated as a useful tool in veterinary medicine. This paper is an overview of the kinematic and kinetic analytical techniques of the last decade.