One Step At a Time

Newly Proposed Gait Event Detection Using Position Benchmarked Against Existing Acceleration­-Based Methods

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Abstract

Gait event detection allows for insight into one’s gait pattern, an invaluable aid in rehabilitation. Current methods often rely on measured acceleration and rarely on position measurements [3]–[6]. In this paper we propose 4 novel gait detection methods based on the position of the Center of Mass (one approach being causal and thus suitable for real-time use) and compare them to 4 existing state-of-the-art acceleration- based methods. All algorithms are benchmarked on an existing data set (overground walking, 23 participants, 1772 steps), comparing the detection rate, false positive rate and the mean and (intra- and interparticipant) standard deviation of the timing error for Heel Strikes and Toe-Offs. We show that position-based algorithms give well-balanced results and are able to outperform the acceleration-based algorithms in all five metrics. Additionally, we propose and compare several methods for detecting left and right steps, thereby enabling quantification of the full gait cycle.