A NEW TECHNIQUE ESTIMATING LOCATION OF MEAN JOINT CENTERS OF ROTATION WITH ASSOCIATED DISPERSIONS AND ASSESSING TO FUNCTIONAL COORDINATE SYSTEM OF MOVING LIMB SEGMENTS

Abstract

Joint centers are obtained from data treatment of a set of markers placed on the skin of moving limb segments. Finite helical axis (FHA) parameters are calculated between time step increments. Artifacts associated with nonrigid body movements of markers entail ill-determination of FHA parameters. Mean centers of rotation may be calculated over the whole movement, when human articulations are likened to spherical joints. They are obtained using numerical technique, defining point with minimal amplitude, during joint movement. A new technique is presented. Hip, knee, and ankle mean centers of rotation are calculated. Their locations depend on the application of two constraints. The joint center must be located next to the estimated geometric joint center. The geometric joint center may migrate inside a cube of possible location. This cube of error is located with respect to the marker coordinate systems of the two limb segments adjacent to the joint. Its position depends on the joint and the patient height, and is obtained from a stereoradiographic study with specimen. The mean position of joint center and corresponding dispersion are obtained through a minimization procedure. The location of mean joint center is compared with the position of FHA calculated between different sequential steps: time sequential step, and rotation sequential step where a minimal rotation amplitude is imposed between two joint positions. Sticks are drawn connecting adjacent mean centers. The animation of stick diagrams allows clinical users to estimate the displacements of long bones (femur and tibia) from the whole data set.