Measuring Foot Progression Angle during Walking Using Force-Plate Data

Abstract

Foot progression angle (FPA) is a gait-related clinical measurement commonly used for assessing the rotational profile of the lower extremity. This study examined the accuracy of two methods based on force-plate data for estimating FPA during walking by comparing them with a reference method using a motion capture system. Ten healthy adults performed a series of overground walking trials at three different speeds: slow, preferred and fast. FPA was estimated from two methods using data on center of pressure—one method previously reported in the literature, and a novel method proposed here. The FPA estimated by each of these two force-plate methods were compared with the reference FPA determined from kinematic data. Results showed that the novel force-plate method was more accurate and precise when measuring the FPA in the three speed conditions than the force-plate method previously reported in the literature. The mean absolute error obtained with this novel method was 3.3° ± 2.1° at slow speed, 2.0° ± 1.2° at preferred speed and 2.0° ± 1.2° at fast speed, with no significant effect of gait speed (p > 0.05). These findings suggest that the novel force-plate method proposed here is valid for determining FPA during walking at various speeds. In the absence of kinematic data, this method constitutes an attractive alternative for measuring FPA.