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Construct validity of markerless three-dimensional gait biomechanics in healthy older adults

2025-07Journal article Open access
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCarvalho, Andreia
dc.contributor.authorVanrenterghem, Jos
dc.contributor.authorCabral, Sílvia
dc.contributor.authord'Assunção, Ana M.
dc.contributor.authorCarnide, Filomena
dc.contributor.authorVeloso, António P.
dc.contributor.authorMoniz-Pereira, Vera
dc.date.accessioned2025-06-05T14:21:05Z
dc.date.available2025-06-05T14:21:05Z
dc.date.issued2025-07
dc.descriptionThe authors are grateful to all the subjects who volunteered to participate in this study. This work was supported by Fundação para a Ciência e a Tecnologia: Grant numbers DOI 10.54499/2020.07958.BD (PhD Grant), DOI: 10.54499/UIDB/00447/2020, and DOI: 10.54499/ UIDP/00447/2020) attributed to CIPER–Centro Interdisciplinar de Estudo da Performance Humana (unit 447).
dc.description.abstractBackground and aim: Gait changes due to aging can result in functional limitations and a higher risk of falls, with older adults showing alterations in joint angles and moments. Marker-based gait analysis is not widely used in clinical settings due to its complexity and discomfort, especially in older adults. Recent advances in markerless motion capture, such as Theia3D, offer a promising alternative. This study aims to assess the construct validity of a markerless motion capture system for gait analysis in healthy older adults. Methods: A cross-sectional study included 30 healthy community-dwelling older adults. Gait data were collected using marker-based and markerless motion capture systems in randomized order, with participants wearing tight-fitting minimal clothes plus 46 reflective markers attached, or their usual clothes, respectively. Joint kinematics (including range of motion) and kinetics were analyzed, and correlations between methods (Rxy) were assessed. Bland-Altman analysis was used to measure agreement. Root-mean-square differences (RMSD) were computed. Acceptable thresholds were set at ≤ 5º for kinematics and at ≤ 10 % of signal amplitude for kinetics. Results: Strong correlations (Rxy≥0.7) were found between the systems for sagittal plane kinematics (except for the pelvis), particularly for knee and ankle joints. A low agreement was detected in sagittal plane hip and pelvis kinematics, along with RMSD exceeding 5º. Weaker correlations and poor agreement were observed for transverse and frontal plane motions. Overall, strong correlations were found for kinetics, except for the joint ankle inversion-eversion moment, and poor agreement for the frontal and transverse planes. Conclusion: Overall, markerless motion capture demonstrated good construct validity for measuring sagittal plane gait lower-limb gait kinematics (excluding pelvis) and kinetics in healthy older adults. However, considering the agreement between methods and the results for the other movement planes, further validation is required before markerless and marker-based systems can be used interchangeably in gait assessments.eng
dc.identifier.citationCarvalho A, Vanrenterghem J, Cabral S, M d'Assunção A, Carnide F, Veloso AP, et al. Construct validity of markerless three-dimensional gait biomechanics in healthy older adults. Gait Posture. 2025;120:217-25.
dc.identifier.doi10.1016/j.gaitpost.2025.04.022
dc.identifier.issn0966-6362
dc.identifier.urihttp://hdl.handle.net/10400.21/21911
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier BV
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/pii/S0966636225001857
dc.relation.ispartofGait & Posture
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPhysiotherapy
dc.subjectRehabilitation
dc.subjectCorrelation
dc.subjectKinematics
dc.subjectKinetics
dc.subjectMarker-based
dc.subjectMethods comparison
dc.subjectWalking
dc.titleConstruct validity of markerless three-dimensional gait biomechanics in healthy older adultseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage225
oaire.citation.startPage217
oaire.citation.titleGait & Posture
oaire.citation.volume120
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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