Volume 7 Supplement 1
Effect of marker placement on Oxford Foot Model hindfoot segment axes
© Paik et al; licensee BioMed Central Ltd. 2014
Published: 8 April 2014
Measurement accuracy of joint kinematics is influenced by how closely the trajectories of surface markers represent the motion of underlying bones . For the Oxford Foot Model (OFM) hindfoot segment, the heel (HEE), lateral calcaneus (LCA) and sustentaculum tali (STL) markers are used to track the movement of the calcaneus . This paper investigates the how changes in marker placement affect the orientation of the OFM hindfoot segment axes.
Twenty adult females participated in the study (40 feet in total). Radiopaque monitoring electrodes (Type 2223, 3M Healthcare, Neuss, Germany) were placed on the feet at the locations specified by the OFM. CT images (GE 64-slice Lightspeed VCT scanner) were acquired as the subjects lay supine. The 3-Dimensional (3D) coordinates of the electrodes and of the points corresponding to the ideal marker locations were extracted from the images, using Mimics (Materialise NV, Leuven, Belgium). The marker based OFM A-P axis (AP) which extends from HEE to the mid-point (MID) of LCA and STL was calculated. A corrected A-P axis based on the ideal HEE marker location (APH) was also calculated. MID was then adjusted by correcting either LCA or STL to make them equidistant from HEE, as specified by the OFM marker placement protocol. From that, a corrected A-P axis based on the modified MID (APM) was computed. Finally, a fully corrected A-P axis (APC) based on the revised HEE and MID positions were obtained. The transverse plane projections of all the axes (AP, APH, APM, APC) were compared.
HEE and MID placement error and angular differences between the AP, APH, APM, and APC axes.
APM – AP(°)
APH – AP (°)
APC – AP (°)
MID Error (mm)
HEE Error (mm)
The anteroposterior orientation of the A-P axis is more sensitive to the location of the HEE marker than to the locations of the LCA and STL markers. Therefore, it is essential to ensure that the HEE marker is placed accurately.
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