Abstract

Participation in sports has risen in the United States over the last few years, increasing the risk of injuries such as tears to the anterior cruciate ligament (ACL) in the knee. Previous studies have shown a correlation between knee kinematics when landing from a jump and this injury. The purpose of this study was to validate the ability of a commercially available inertial measurement units (IMUs) to accurately measure knee joint angles during a dynamic movement. Eight healthy subjects participated in the study. Validation was performed by comparing the angles measured by the wearable device to those obtained through the gold standard motion capture system when landing from a jump. Root mean square, linear regression analysis, and Bland–Altman plots were performed/constructed. The mean difference between the wearable device and the motion capture data was 8.4° (flexion/extension), 4.9° (ab/adduction), and 3.9° (rotation). In addition, the device was more accurate at smaller knee angles. In our study, a commercially available wearable IMU was able to perform fairly well under certain conditions and was less accurate in other conditions.

Highlights

  • Over the last few years in the United States, the average participation rate in sports and exercise has risen, from just under 16% in 2003 to 20% in 2015 [1]

  • There was a moderate relationship between the wearable sensors and traditional motion capture when examining flexion/extension angle at mGRF (Pearson’s R = 0.58)

  • We found moderate to negligible linear correlations between the angles obtained through APDM Opal and those obtained through the Optitrack motion capture system

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Summary

Introduction

Over the last few years in the United States, the average participation rate in sports and exercise has risen, from just under 16% in 2003 to 20% in 2015 [1]. While participation in sports is beneficial, there is always the potential for injury. There are two mechanisms of ACL injury: contact or noncontact. Contact ACL injuries occur as the result of direct contact with another player/equipment and are primarily a singular event. Non-contact ACL injuries can either be acute (a single event) or the result of fatigue due to repetitive, high stress/strain inducing activities. 70%–84% of all ACL injuries result from this noncontact mechanism, with women being 3–4 times more likely to sustain them [5,6,7,8]

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