Comparative Analysis of 3D Shank Kinematics During Walking: Stroke Patients Versus Healthy Individuals
This study investigated the 3-axis gait kinematics of people with stroke to healthy individuals. The specific focus was stroke effects on shank movements in the sagittal, frontal and transverse planes. Sixteen stroke patients and sixteen healthy participants walked along a 10-meter walkway at self-c...
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2025-01-01
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| Online Access: | https://ieeexplore.ieee.org/document/10994433/ |
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| author | Thanita Sanghan Nusreena Hohsoh Tulaya Dissaneewate Desmond Y. R. Chong Goran Stojanovic Rezaul Begg Surapong Chatpun |
| author_facet | Thanita Sanghan Nusreena Hohsoh Tulaya Dissaneewate Desmond Y. R. Chong Goran Stojanovic Rezaul Begg Surapong Chatpun |
| author_sort | Thanita Sanghan |
| collection | DOAJ |
| description | This study investigated the 3-axis gait kinematics of people with stroke to healthy individuals. The specific focus was stroke effects on shank movements in the sagittal, frontal and transverse planes. Sixteen stroke patients and sixteen healthy participants walked along a 10-meter walkway at self-comfortable walking speed, with shank angular velocity measured using two gyroscopes integrated into an Inertial Measurement Unit (IMU). Gait events in all motion planes, temporal gait parameters, kinematic data, asymmetry indexes (ASI), and Bland-Altman-liked correlations were also computed. Greater diversity gait patterns were observed in stroke patients. Compared with healthy controls, stroke patients showed reduced stance time on their affected side and lower non-affected swing time, causing gait asymmetry, as reflected in higher ASIs. The stroke patients’ shank exhibited limited motion in all motion planes resulting in lower angular velocity and displacement. Sagittal plane angular velocity results were validated using intra-subject comparisons that showed good agreement between limbs in healthy subjects. These empirical findings in this study provide evidence that shank-based IMUs are effective in revealing temporal-spatial gait alterations in people with stroke compared to healthy individuals which can be exploited to develop a targeted rehabilitation plan to reduce abnormalities in the stroke patient group. |
| format | Article |
| id | doaj-art-f855e480ccdf4b29bf39ebef4bb1f637 |
| institution | DOAJ |
| issn | 2169-3536 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | IEEE |
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| series | IEEE Access |
| spelling | doaj-art-f855e480ccdf4b29bf39ebef4bb1f6372025-08-20T03:07:40ZengIEEEIEEE Access2169-35362025-01-0113832298323910.1109/ACCESS.2025.356852310994433Comparative Analysis of 3D Shank Kinematics During Walking: Stroke Patients Versus Healthy IndividualsThanita Sanghan0https://orcid.org/0009-0005-1693-5673Nusreena Hohsoh1Tulaya Dissaneewate2https://orcid.org/0000-0003-2947-0375Desmond Y. R. Chong3https://orcid.org/0000-0003-1601-9614Goran Stojanovic4https://orcid.org/0000-0003-2098-189XRezaul Begg5https://orcid.org/0000-0002-3195-8591Surapong Chatpun6https://orcid.org/0000-0002-6888-5170Department of Biomedical Sciences and Biomedical Engineering, Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandDepartment of Biomedical Sciences and Biomedical Engineering, Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandDepartment of Rehabilitation Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandEngineering Cluster, Singapore Institute of Technology, 10 Dover Dr, SingaporeDepartment of Electronics, Faculty of Technical Sciences, University of Novi Sad, Novi Sad, SerbiaInstitute for Health and Sport, Victoria University, Melbourne, VIC, AustraliaDepartment of Biomedical Sciences and Biomedical Engineering, Faculty of Medicine, Prince of Songkla University, Songkhla, ThailandThis study investigated the 3-axis gait kinematics of people with stroke to healthy individuals. The specific focus was stroke effects on shank movements in the sagittal, frontal and transverse planes. Sixteen stroke patients and sixteen healthy participants walked along a 10-meter walkway at self-comfortable walking speed, with shank angular velocity measured using two gyroscopes integrated into an Inertial Measurement Unit (IMU). Gait events in all motion planes, temporal gait parameters, kinematic data, asymmetry indexes (ASI), and Bland-Altman-liked correlations were also computed. Greater diversity gait patterns were observed in stroke patients. Compared with healthy controls, stroke patients showed reduced stance time on their affected side and lower non-affected swing time, causing gait asymmetry, as reflected in higher ASIs. The stroke patients’ shank exhibited limited motion in all motion planes resulting in lower angular velocity and displacement. Sagittal plane angular velocity results were validated using intra-subject comparisons that showed good agreement between limbs in healthy subjects. These empirical findings in this study provide evidence that shank-based IMUs are effective in revealing temporal-spatial gait alterations in people with stroke compared to healthy individuals which can be exploited to develop a targeted rehabilitation plan to reduce abnormalities in the stroke patient group.https://ieeexplore.ieee.org/document/10994433/Angular velocityasymmetry indexgyroscopemotion planesstroke gait |
| spellingShingle | Thanita Sanghan Nusreena Hohsoh Tulaya Dissaneewate Desmond Y. R. Chong Goran Stojanovic Rezaul Begg Surapong Chatpun Comparative Analysis of 3D Shank Kinematics During Walking: Stroke Patients Versus Healthy Individuals IEEE Access Angular velocity asymmetry index gyroscope motion planes stroke gait |
| title | Comparative Analysis of 3D Shank Kinematics During Walking: Stroke Patients Versus Healthy Individuals |
| title_full | Comparative Analysis of 3D Shank Kinematics During Walking: Stroke Patients Versus Healthy Individuals |
| title_fullStr | Comparative Analysis of 3D Shank Kinematics During Walking: Stroke Patients Versus Healthy Individuals |
| title_full_unstemmed | Comparative Analysis of 3D Shank Kinematics During Walking: Stroke Patients Versus Healthy Individuals |
| title_short | Comparative Analysis of 3D Shank Kinematics During Walking: Stroke Patients Versus Healthy Individuals |
| title_sort | comparative analysis of 3d shank kinematics during walking stroke patients versus healthy individuals |
| topic | Angular velocity asymmetry index gyroscope motion planes stroke gait |
| url | https://ieeexplore.ieee.org/document/10994433/ |
| work_keys_str_mv | AT thanitasanghan comparativeanalysisof3dshankkinematicsduringwalkingstrokepatientsversushealthyindividuals AT nusreenahohsoh comparativeanalysisof3dshankkinematicsduringwalkingstrokepatientsversushealthyindividuals AT tulayadissaneewate comparativeanalysisof3dshankkinematicsduringwalkingstrokepatientsversushealthyindividuals AT desmondyrchong comparativeanalysisof3dshankkinematicsduringwalkingstrokepatientsversushealthyindividuals AT goranstojanovic comparativeanalysisof3dshankkinematicsduringwalkingstrokepatientsversushealthyindividuals AT rezaulbegg comparativeanalysisof3dshankkinematicsduringwalkingstrokepatientsversushealthyindividuals AT surapongchatpun comparativeanalysisof3dshankkinematicsduringwalkingstrokepatientsversushealthyindividuals |