Comparision of Methods for Calculating Symmetry in 3D Angular Kinematics of Lower Limb Joints During Athlete Walking

Document Type : Original research papers

Authors

1 Department of Sports Biomechanics, Tehran Central Branch, Islamic Azad University, Tehran, Iran.

2 University of Social Welfare and Rehabilitation Science, Tehran, Islamic Republic of Iran.

3 Mechanical Engineering Department, Sharif University of Technology, Tehran, Iran

10.22098/jast.2025.15688.1371

Abstract

The lack of coordination in body movements while walking is known as asymmetry. Excessive asymmetry in movement can be used to diagnose various diseases among individuals with and without pathology. Despite the wide variety of equations and formulas used to estimate symmetry and asymmetry, it remains unclear which equation is superior to the others. The present study aims to compare the equations to gain a better understanding of three-dimensional joint angle symmetry during walking and to select a more suitable equation for estimating symmetry in athletes. 30 healthy female athletes walked barefoot in front of 10 Vicon motion analyzer cameras along a 10-meter walkway to record three-dimensional angles of both lower limb joints. Then by independent t-test, the results of two equations of calculating the symmetry of the three-dimensional angles of the hip, knee, and ankle joints of the lower limbs were compared. The study's results revealed that there was no statistically significant variance in the lower limb symmetry when comparing the two distinct symmetry equations. coaches and sports professionals can use these findings to analyze the symmetry of athletes' movements and develop tailored training programs. Moreover, these assessments can aid in identifying and correcting any asymmetries to prevent sports-related injuries, as symmetry and the dominant leg are crucial for maintaining proper technique across a wide range of sports.

Keywords

Main Subjects

References

1. Mirelman A, Shema S, Maidan I, Hausdorff JM. Gait. Handbook of clinical neurology. 2018;159:119-
34.https://d1wqtxts1xzle7.cloudfront.net/56566775/Commissures2. Burnfield M. Gait analysis: normal and pathological function. Journal of Sports Science and Medicine.
2010;9(2):353. https://pmc.ncbi.nlm.nih.gov/articles/PMC3761742/pdf/jssm-09-353.pdf
3. Awad LN, Palmer JA, Pohlig RT, Binder-Macleod SA, Reisman DS. Walking speed and step length
asymmetry modify the energy cost of walking after stroke. Neurorehabilitation and neural repair.
2015;29(5):416-23. https://doi.org/10.1177/154596831455252
4. Patterson KK, Parafianowicz I, Danells CJ, Closson V, Verrier MC, Staines WR, et al. Gait asymmetry
in community-ambulating stroke survivors. Archives of physical medicine and rehabilitation. 2008;89(2):304-
10. https://doi.org/10.1016/j.apmr.2007.08.142
5. Mills K, Hettinga BA, Pohl MB, Ferber R. Between-limb kinematic asymmetry during gait in
unilateral and bilateral mild to moderate knee osteoarthritis. Archives of physical medicine and rehabilitation.
2013;94(11):2241-7. https://doi.org/10.1016/j.apmr.2013.05.010                                                                                             6. Yu W-H, Liu W-Y, Wong AM-K, Wang T-C, Li Y-C, Lien H-Y. Effect of forced use of the lower
extremity on gait performance and mobility of post-acute stroke patients. Journal of physical therapy science.
2015;27(2):421-5. https://doi.org/10.1589/jpts.27.421
7. Sadeghi H, Allard P, Prince F, Labelle H. Symmetry and limb dominance in able-bodied gait: a review.
Gait & posture. 2000;12(1):34-45. https://doi.org/10.1016/S0966-6362(00)00070-9
8. Sadeghi H. Local or global asymmetry in gait of people without impairments. Gait & posture.
2003;17(3):197-204. https://doi.org/10.1016/S0966-6362(02)00089-9
9. Yousefian Molla R, Sadeghi H, Kiani A. Symmetry or Asymmetry of Lower Limb 3D-Mechanical
Muscle Power in Female Athletes’ Gait. Journal of Advanced Sport Technology. 2023;7(2):12-22.
10.22098/JAST.2023.2348
10. Balasubramanian CK, Bowden MG, Neptune RR, Kautz SA. Relationship between step length
asymmetry and walking performance in subjects with chronic hemiparesis. Archives of physical medicine and
rehabilitation. 2007;88(1):43-9. https://doi.org/10.1016/j.apmr.2006.10.004
11. Wafai L, Zayegh A, Woulfe J, Aziz SM, Begg R. Identification of foot pathologies based on plantar
pressure asymmetry. Sensors. 2015;15(8):20392-408. https://doi.org/10.3390/s150820392
12. Fox KT, Pearson LT, Hicks KM. The effect of lower inter-limb asymmetries on athletic performance:
A systematic review and meta-analysis. Plos one. 2023;18(6):e0286942.
https://doi.org/10.1371/journal.pone.0286942
13. Wayner RA, Robinson R, Simon JE. Gait asymmetry and running-related injury in female collegiate
cross-country runners. Physical Therapy in Sport. 2023;59:1-6. https://doi.org/10.1016/j.ptsp.2022.11.001
14. Viteckova S, Kutilek P, Svoboda Z, Krupicka R, Kauler J, Szabo Z. Gait symmetry measures: A
review of current and prospective methods. Biomedical Signal Processing and Control. 2018;42:89-100.
https://doi.org/10.1016/j.bspc.2018.01.013
15. Prosser LA, Lauer RT, VanSant AF, Barbe MF, Lee SC. Variability and symmetry of gait in early
walkers with and without bilateral cerebral palsy. Gait & posture. 2010;31(4):522-6.
https://doi.org/10.1016/j.gaitpost.2010.03.001
16. Ellis RG, Howard KC, Kram R. The metabolic and mechanical costs of step time asymmetry in
walking. Proceedings of the Royal Society B: Biological Sciences. 2013;280(1756):20122784.
https://doi.org/10.1098/rspb.2012.2784
17. Walker A, Wilson A, Pfau T. Comparison of kinematic symmetry index calculations and the effects
of straight and circular trotting. Equine Veterinary Journal. 2010;42:482-7. https://doi.org/10.1111/j.2042-
3306.2010.00195.x
18. Ogihara H, Tsushima E, Kamo T, Sato T, Matsushima A, Niioka Y, et al. Kinematic gait asymmetry
assessment using joint angle data in patients with chronic stroke—A normalized cross-correlation approach.
Gait & posture. 2020;80:168-73. https://doi.org/10.1016/j.gaitpost.2020.05.042
19. Vaverka F, Elfmark M, Svoboda Z, Janura M. System of gait analysis based on ground reaction force
assessment. Acta Gymnica. 2015;45(4):187-93. https://doi.org/10.5507/ag.2015.022
20. Hodt-Billington C, Helbostad JL, Vervaat W, Rognsvåg T, Moe-Nilssen R. Criteria of gait asymmetry
in patients with hip osteoarthritis. Physiotherapy Theory and Practice. 2012;28(2):134-41.
https://doi.org/10.3109/09593985.2011.574783                                                                                                                       21. Patterson KK, Nadkarni NK, Black SE, McIlroy WE. Gait symmetry and velocity differ in their
relationship to age. Gait & posture. 2012;35(4):590-4. https://doi.org/10.1016/j.gaitpost.2011.11.030
22. Patterson KK, Gage WH, Brooks D, Black SE, McIlroy WE. Evaluation of gait symmetry after stroke:
a comparison of current methods and recommendations for standardization. Gait & posture. 2010;31(2):241-
6. https://doi.org/10.1016/j.gaitpost.2009.10.014
23. Haber CK, Sacco M. Scoliosis: lower limb asymmetries during the gait cycle. Archives of
physiotherapy. 2015;5:1-8. DOI 10.1186/s40945-015-0001-1
24. Wu J, Wu B. The novel quantitative technique for assessment of gait symmetry using advanced
statistical learning algorithm. BioMed research international. 2015;2015(1):528971.
https://doi.org/10.1155/2015/528971
25. Xiong Q, Liu Y, Mo J, Chen Y, Zhang L, Xia Z, et al. Gait asymmetry in children with Duchenne
muscular dystrophy: evaluated through kinematic synergies and muscle synergies of lower limbs. BioMedical
Engineering OnLine. 2023;22(1):75. https://doi.org/10.1186/s12938-023-01134-7
26. Liu Q, Chen H, Song Y, Alla N, Fekete G, Li J, et al. Running velocity and longitudinal bending
stiffness influence the asymmetry of kinematic variables of the lower limb joints. Bioengineering.
2022;9(11):607.
27. Błażkiewicz M, Wiszomirska I, Wit A. Comparison of four methods of calculating the symmetry of
spatial-temporal parameters of gait. Acta of bioengineering and biomechanics. 2014;16(1).
https://doi.org/10.3390/bioengineering9110607
28. Plotnik M, Wagner JM, Adusumilli G, Gottlieb A, Naismith RT. Gait asymmetry, and bilateral
coordination of gait during a six-minute walk test in persons with multiple sclerosis. Scientific reports.
2020;10(1):12382. https://doi.org/10.1038/s41598-020-68263-0
29. Brændvik SM, Goihl T, Braaten RS, Vereijken B. The effect of increased gait speed on asymmetry
and variability in children with cerebral palsy. Frontiers in Neurology. 2020;10:1399.
https://doi.org/10.3389/fneur.2019.01399
30. Gagnat Y, Brændvik SM, Ringheim I, Roeleveld K. The relation of energy cost of walking with gait
deviation, asymmetry, and lower limb muscle co-activation in children with cerebral palsy: a retrospective
cross-sectional study. BMC Musculoskeletal Disorders. 2023;24(1):111. https://doi.org/10.1186/s12891-023-
06223-1
31. Siebers HL, Alrawashdeh W, Betsch M, Migliorini F, Hildebrand F, Eschweiler J. Comparison of
different symmetry indices for the quantification of dynamic joint angles. BMC Sports Science, Medicine and
Rehabilitation. 2021;13:1-11. https://doi.org/10.1186/s13102-021-00355-4
32. Giannakou E, Fotiadou S, Gourgoulis V, Mavrommatis G, Aggelousis N. A Comparative Analysis of
Symmetry Indices for Spatiotemporal Gait Features in Early Parkinson’s Disease. Neurology International.
2023;15(3):1129-39. https://doi.org/10.3390/neurolint15030070
Journal of Advanced Sport Technology
Volume 8, Issue 3 - Serial Number 18
September 2024
Pages 62-70

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History

  • Receive Date: 21 August 2024
  • Revise Date: 09 January 2025
  • Accept Date: 01 March 2025

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