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Criterion and construct validity of prosthesis-integrated measurement of joint moment data in persons with transtibial amputation. J Appl Biomech 2014 Jun;30(3):431-8 PMID: 24603673 PMCID: PMC4155026

Pubmed ID





Prosthesis-integrated sensors are appealing for use in clinical settings where gait analysis equipment is unavailable, but accurate knowledge of patients' performance is desired. Data obtained from load cells (inferring joint moments) may aid clinicians in the prescription, alignment, and gait rehabilitation of persons with limb loss. The purpose of this study was to assess the accuracy of prosthesis-integrated load cells for routine use in clinical practice. Level ground walking of persons with transtibial amputation was concurrently measured with a commercially available prosthesis-integrated load cell, a 10-camera motion analysis system, and piezoelectric force plates. Ankle and knee flexion/extension moments were derived and measurement methods were compared via correlation analysis. Pearson correlation coefficients ranged from 0.661 for ankle pronation/supination moments to 0.915 for ankle flexion/extension moments (P < .001). Root mean squared errors between measurement methods were in the magnitude of 10% of the measured range and were explainable. Differences in results depicted differences between systems in definition and computation of measurement variables. They may not limit clinical use of the load cell, but should be considered when data are compared directly to conventional gait analysis data. Construct validity of the load cell (ie, ability to measure joint moments in-situ) is supported by the study results.

Author List

Fiedler G, Slavens B, Smith RO, Briggs D, Hafner BJ


Brooke Slavens BS,MS,PhD Assistant Professor in the Occupational Science & Technology department at University of Wisconsin - Milwaukee
Roger Smith PhD Professor in the Occupational Science & Technology department at University of Wisconsin - Milwaukee


2-s2.0-84907399601   7 Citations

MESH terms used to index this publication - Major topics in bold

Amputation Stumps
Ankle Joint
Artificial Limbs
Computer Simulation
Equipment Design
Equipment Failure Analysis
Knee Joint
Middle Aged
Models, Biological
Reproducibility of Results
Sensitivity and Specificity
Systems Integration
jenkins-FCD Prod-332 f92a19b0ec5e8e1eff783fac390ec127e367c2b5