Gait & Posture
Volume 23, Issue 2 , Pages 240-248 , February 2006

Identification and classification of toe-walkers based on ankle kinematics, using a data-mining method

  • Stéphane Armand

      Affiliations

    • Laboratoire d’Automatique, de Mécanique et d’Informatique Industrielles et Humaines, Université de Valenciennes et du Hainaut-Cambrésis, LAMIH, UMR CNRS 8530, France
    • Unité Clinique d’Analyse de la Marche du Mouvement, Institut Saint-Pierre, Palavas-Les-Flots, France
    • Corresponding Author InformationCorresponding author. Tel.: +33 3 27 51 13 48; fax: +33 3 27 51 13 16.
    • ,
  • Eric Watelain

      Affiliations

    • Laboratoire d’Automatique, de Mécanique et d’Informatique Industrielles et Humaines, Université de Valenciennes et du Hainaut-Cambrésis, LAMIH, UMR CNRS 8530, France
    • Département de Médecine Physique et de Réadaptation, Centre Hospitalier Régional, Universitaire de Lille, Lille, France
    • ,
  • Moïse Mercier

      Affiliations

    • Unité Clinique d’Analyse de la Marche du Mouvement, Institut Saint-Pierre, Palavas-Les-Flots, France
    • Service de Neuropédiatrie, Centre Hospitalier Saint-Eloi, Montpellier, France
    • ,
  • Ghislaine Lensel

      Affiliations

    • Laboratoire d’Etudes de la Motricité Humaine, Faculté des Sciences du Sport et de l’Education Physique, Ronchin, France
    • ,
  • François-Xavier Lepoutre

      Affiliations

    • Laboratoire d’Automatique, de Mécanique et d’Informatique Industrielles et Humaines, Université de Valenciennes et du Hainaut-Cambrésis, LAMIH, UMR CNRS 8530, France

Received 17 October 2004 ,Revised 18 February 2005 ,Accepted 25 February 2005.

References 

  1. Perry J, Burnfield JM, Gronley JK, Mulroy SJ. Toe walking: muscular demands at the ankle and knee. Arch Phys Med Rehabil. 2003;84:7–16
  2. Perry J. Gait analysis normal and pathological function. Thorofare (NJ) Slack. 1992;
  3. Papariello SG, Skinner SR. Dynamic electromyography analysis of habitual toe-walkers. J Pediatr Orthop. 1985;5:171–175
  4. Rodda JM, Graham HK, Carson L, Galea MP, Wolfe R. Sagittal gait patterns in spastic diplegia. J Bone Joint Surg Br. 2004;86:251–258
  5. Rose J, Martin JG, Torburn L, Rinsky LA, Gamble JG. Electromyographic differentiation of diplegic cerebral palsy from idiopathic toe walking: involuntary coactivation of the quadriceps and gastrocnemius. J Pediatr Orthop. 1999;19:677–682
  6. Policy JF, Torburn L, Rinsky LA, Rose J. Electromyographic test to differentiate mild diplegic cerebral palsy and idiopathic toe-walking. J Pediatr Orthop. 2001;21:784–789
  7. Kelly IP, Jenkinson A, Stephens M, O’Brien T. The kinematic patterns of toe-walkers. J Pediatr Orthop. 1997;17:478–480
  8. Hicks R, Durinick N, Gage JR. Differentiation of idiopathic toe-walking and cerebral palsy. J Pediatr Orthop. 1988;8:160–163
  9. Davids JR, Foti T, Dabelstein J, Bagley A. Voluntary (normal) versus obligatory (cerebral palsy) toe-walking in children: a kinematic, kinetic, and electromyographic analysis. J Pediatr Orthop. 1999;19:461–469
  10. Tardieu C, Lespargot A, Tabary C, Bret MD. Toe-walking in children with cerebral palsy: contributions of contracture and excessive contraction of triceps surae muscle. Phys Ther. 1989;69:656–662
  11. Armand S, Mercier M, Watelain E, Patte K, Pelissier J, Rivier F. A comparison of gait in spinal muscular atrophy, type II and Duchenne muscular dystrophy. Gait Posture, in press.
  12. Patte K, Pélissier J, Bénaim C, Laassel EM, Guibal C, Echenne B. Gait analysis in Duchenne muscular dystrophy. Ann Readapt Med Phys. 2000;43:53–68[in French]
  13. Sutherland DH, Olshen R, Cooper L, Wyatt M, Leach J, Mubarak S, et al. The pathomechanics of gait in Duchenne muscular dystrophy. Dev Med Child Neurol. 1981;23:3–22
  14. Kwon OY, Minor SD, Maluf KS, Mueller MJ. Comparison of muscle activity during walking in subjects with and without diabetic neuropathy. Gait Posture. 2003;18:105–113
  15. Karol LA, Concha MC, Johnston CE. Gait analysis and muscle strength in children with surgically treated clubfeet. J Pediatr Orthop. 1997;17:790–795
  16. Kalen V, Adler N, Bleck EE. Electromyography of idiopathic toe walking. J Pediatr Orthop. 1986;6:31–33
  17. Kerrigan DC, Riley PO, Rogan S, Burke DT. Compensatory advantages of toe walking. Arch Phys Med Rehabil. 2000;81:38–44
  18. Orendurff MS, Aiona MD, Dorociak RD, Pierce RA. Length and force of the gastrocnemius and soleus during gait following tendo Achilles lengthenings in children with equinus. Gait Posture. 2002;15:130–135
  19. Saraph V, Zwick EB, Steinwender C, Steinwender G, Linhart W. Conservative management of dynamic equinus in diplegic children treated by gait improvement surgery. J Pediatr Orthop B. 2001;10:287–292
  20. Sutherland DH, Kaufman KR, Wyatt MP, Chambers HG, Mubarak SJ. Double-blind study of botulinum A toxin injections into the gastrocnemius muscle in patients with cerebral palsy. Gait Posture. 1999;10:1–9
  21. Steinwender G, Saraph V, Zwick EB, Uitz C, Linhart W. Fixed and dynamic equinus in cerebral palsy: evaluation of ankle function after multilevel surgery. J Pediatr Orthop. 2001;21:102–107
  22. Stricker SJ, Angulo JC. Idiopathic toe walking: a comparison of treatment methods. J Pediatr Orthop. 1998;18:289–293
  23. Zwick EB, Leistritz L, Milleit B, Saraph V, Zwick G, Galicki M, et al. Classification of equinus in ambulatory children with cerebral palsy—discrimination between dynamic tightness and fixed contracture. Gait Posture. 2004;20:273–279
  24. Vardaxis VG, Allard P, Lachance RMD. Classification of able-bodied gait using 3D muscle powers. Human Mov Sci. 1998;17:121–136
  25. O’Byrne JM, Jenkinson A, O’Brien TM. Quantitative analysis and classification of gait patterns in cerebral palsy using a three-dimensional motion analyzer. J Child Neurol. 1998;13:101–108
  26. Watelain E, Barbier F, Allard P, Thevenon A, Angue JC. Gait pattern classification of healthy elderly men based on biomechanical data. Arch Phys Med Rehabil. 2000;81:579–586
  27. Su F, Wu W, Cheng Y, Chou Y. Fuzzy clustering of gait patterns of patients after ankle arthrodesis based on kinematic parameters. Med Eng Phys. 2001;23:83–90
  28. Mulroy S, Gronley J, Weiss W, Newsam C, Perry J. Use of cluster analysis for gait pattern classification of patients in the early and late recovery phases following stroke. Gait Posture. 2003;18:114–125
  29. Davis RB, Ounpuu S, Tybursky D, Gage JR. A gait analysis data collection and reduction technique. Human Mov Sci. 1991;10:575–587
  30. Siegel KL, Kepple TM, Stanhope SJ. Joint moment control of mechanical energy flow during normal gait. Gait Posture. 2004;19:69–75
  31. Hoaglin DC, Mosteller F, Tukey JW. Understanding robust and exploratory data analysis. New York: Wiley; 1983;
  32. Dunn JC. A fuzzy relative of the ISODATA process and its use in detecting compact well-separated clusters. J Cybernet. 1973;3:32–57
  33. Bezdek JC. Pattern recognition with fuzzy objective function algorithms. New York: Plenum Press; 1981;
  34. Benedetti MG, Catani F, Leardini A, Pignotti E, Giannini S. Data management in gait analysis for clinical applications. Clin Biomech. 1998;13:204–215
  35. Shah SC, Kusiak A. Data mining and genetic algorithm based gene/SNP selection. Artif Intell Med. 2004;31:183–196
  36. Li L, Tang H, Wu Z, Gong J, Gruidl M, Zou J, et al. Data mining techniques for cancer detection using serum proteomic profiling. Artif Intell Med. 2004;32:71–83
  37. Lin CJ, Guo LY, Su FC, Chou YL, Cherng RJ. Common abnormal kinetic patterns of the knee in gait in spastic diplegia of cerebral palsy. Gait Posture. 2000;11:224–232
  38. Sutherland DH, Davids JR. Common gait abnormalities of the knee in cerebral palsy. Clin Orthop. 1993;139–147
  39. Winters TF, Gage JR, Hicks R. Gait patterns in spastic hemiplegia in children and young adults. J Bone Joint Surg Am. 1987;69:437–441
  40. Kerrigan DC, Todd MK, Della Croce U, Lipsitz LA, Collins JJ. Biomechanical gait alterations independent of speed in the healthy elderly: evidence for specific limiting impairments. Arch Phys Med Rehabil. 1998;79:317–322
  41. Riener R, Rabuffetti M, Frigo C. Stair ascent and descent at different inclinations. Gait Posture. 2002;15:32–44
  42. Katz MM, Mubarak SJ. Hereditary tendo Achillis contractures. J Pediatr Orthop. 1984;4:711–714
  43. Gordon AM, Huxley AF, Julian FJ. The variation in isometric tension with sarcomere length in vertebrate muscle fibres. J Physiol. 1966;184:170–192

PII: S0966-6362(05)00031-7

doi: 10.1016/j.gaitpost.2005.02.007

Gait & Posture
Volume 23, Issue 2 , Pages 240-248 , February 2006

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