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Original Article

Proc IMechE Part P:


J Sports Engineering and Technology
2014, Vol. 228(1) 3–15
Method analysis of accelerometers and Ó IMechE 2013
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gyroscopes in running gait: A sagepub.co.uk/journalsPermissions.nav
DOI: 10.1177/1754337113502472

systematic review pip.sagepub.com

Michelle Norris, Ross Anderson and Ian C Kenny

Abstract
To review articles utilising accelerometers and gyroscopes to measure running gait and assess various methodology uti-
lised when doing so. To identify research- and coaching-orientated parameters which have been previously investigated
and offer evidence based recommendations as to future methodology employed when investigating these parameters.
Electronic databases were searched using key-related terminology such as accelerometer(s) and gyroscope(s) and/or
running gait. Articles returned were then visually inspected and subjected to an inclusion and exclusion criteria after
which citations were inspected for further relevance. A total of 38 articles were then included in the review.
Accelerometers, gyroscopes plus combined units have been successfully utilised in the generation of research-orientated
parameters such as head/tibial acceleration, vertical parameters and angular velocity and also coach-orientated para-
meters such as stride parameters and gait pattern. Placement of sensors closest to the area of interest along with the
use of bi/tri- axial accelerometers appear to provide the most accurate results. Accelerometers and gyroscopes have
proven to provide accurate and reliable results in running gait measurement. The temporal and spatial running para-
meters require sensor placement close to the area of interest and the use of bi/triaxial sensors. Post data analysis is criti-
cal for generating valid results.

Keywords
Accelerometry, gyroscopes, inertial measurement unit, kinematics, variability

Date received: 11 March 2013; accepted: 21 July 2013

Introduction accelerometer’.4 Scientists have also discovered their


potential in assessing gait analysis without the restric-
While running continues to increase in popularity so tions of laboratory technology.5 In addition, research
too does the number of people suffering from has shown that typical observational kinematic mea-
running-related injuries (RRI).1 Injury incidence lev- surement systems, such as video analysis techniques,
els among runners have reached as high as 85% in often employed by coaches are wholly subjective and
recent research.2 In an effort to combat RRI levels, based on the knowledge of the coach6 and that coa-
there has been increasing demand for running gait ches accuracy at scoring the same movement recorded
research. While previous methods of analysis have using video analysis changes over time.7 Therefore,
generally required well-equipped research labora-
accelerometers and gyroscopes are also bridging a gap
tories, recently, there has been a move to produce
between coaching and science performance measures
low-cost, portable equipment. This allows researchers
providing research-orientated parameters (accelera-
to remove participants from an artificial laboratory
tion, velocity) and coach-orientated parameters
environment, to measure participants in a more natu-
(stride length, stride frequency). These parameters,
ral environment and uncover longitudinal informa-
tion perhaps more applicable to real-life practice.3
With this, the use of accelerometers and gyroscopes Biomechanics Research Unit, University of Limerick, Limerick, Ireland
has increased. These devices ‘exploit the property of
Corresponding author:
inertia, i.e. resistance to a change in motion, to sense Michelle Norris, Biomechanics Research Unit, University of Limerick,
angular motion in the case of the gyroscope, and Limerick, Ireland.
changes in linear motion in the case of the Email: michelle.norris@ul.ie
4 Proc IMechE Part P: J Sports Engineering and Technology 228(1)

both alone and combined, have in the past been Research methods
linked to RRI.8 The evolution of these sensors for
PubMed, ScienceDirect, Web of Knowledge and
biomechanical analysis has gathered pace as they pro-
Google Scholar were searched to identify studies which
vide direct contact with the subject in question, while
utilised accelerometers and/or gyroscopes for running
also becoming smaller in size and more wearable,
gait kinematic analysis. Searches consisted of a combi-
allowing for use during more dynamic movement.9
nation of the following keywords: (1) inertial sensors or
Microelectromechanical systems (MEMS) acceler-
accelerometer/s or acceleration or gyroscopes or wear-
ometers have led the way in technology for direct
able sensors or sensing technology or IMU and (2) gait
measurement of acceleration. While previous optical
or locomotion or running or running gait. Due to
measurement systems allow for acceleration calcula-
recent technology advances, articles within the last
tion error, during the differentiation of displacement
decade were preferentially considered.
and velocity measurements (such as two-dimensional
The inclusion criteria for study selection were (1) the
(2D) image analysis), accelerometers avoid this while
literature was written in English, (2) participants were
also having the benefit of utilising one or multiple
human, (3) sensors consisted of accelerometers or gyro-
axes.3 This has led to accelerometers being success-
scopes individually or when combined within one unit
fully validated for identifying a number of parameters
(IMU), (4) participants performed running gait while
when measuring running gait including centre of mass wearing the sensors and (5) clearly defined outcome mea-
(COM) vertical displacement,10 stride parameters, sures were kinematic parameters. Articles which did not
running speed11 and angular velocity.12 Similar to meet the inclusion criteria after inspection of the title and
accelerometers, gyroscopes are portable, lightweight abstract were omitted. Reference lists of articles which
and provide direct measurement, in this case, of angu- met the inclusion criteria were then physically searched
lar velocity. Gyroscopes when combined with acceler- to identify any potentially relevant articles which may
ometers form a very useful, compact measurement not have been identified in the previous search. A total
system, an inertial measurement unit (IMU), which of 38 articles were identified (see Figure 1).
have also been successfully validated in identifying
parameters when measuring running gait including
stride times,13 vertical displacement14 and speed.15 Results
While there has been much evidence to support the In the 38 articles, 385 participants (166 distance run-
validity of accelerometers and gyroscopes in measur- ners, 12 sprinters, 144 recreational runners and 63
ing running gait, there is still debate regarding the mixed sport or unknown) were tested with a mean of
techniques used while utilising these systems. A previ- 10.1 6 7.8 participants per study. These participants
ous systematic review16 focused on the implementa- performed on average 3.8 6 3.9 trials from which accel-
tion and data processing of the sensors (i.e. study erometer and/or gyroscope data were used, with a total
design, fixation); however, that review focused only of 1488 trials completed. Of the 38 articles, only 10
on lower limb kinematics and also included a range of articles13–15,17–23 utilised IMUs, with combined accel-
activities including walking, sitting and tennis serving. erometer and gyroscope capabilities, while the
While that review may aid researchers in considering remaining 28 utilised either accelerometers or gyro-
implementing this analysis method across a range of scopes individually.
activities, it does not divulge critical information as to
the direct methodology when performing movement
at high velocity, as done in running. It is also neces-
Research-orientated kinematic output parameters
sary that this information is made accessible both to Of the 38 articles included in the review, 23 utilised
the science community and to running coaches, so it accelerometers and/or gyroscopes during running gait
can be accessed by the running population. Therefore, to derive research-orientated kinematic parameters (see
a systematic review is necessary so that a summary of Table 1).
information will be collated from which biomecha-
nists and coaches alike will be able to make educated
decisions about the appropriate methods of the appli- Tibial/shank acceleration. First, shank/tibial acceleration
cation of accelerometers and/or gyroscopes to assess was identified in 12 of the 23 articles (see Table 1). Peak
running gait. While in this review, accelerometers, tibial acceleration after impact was identified in all 12
gyroscopes or combined units (IMU) will be included, studies which may be due to its links with overuse
accelerometers will feature more heavily due to their injury such as tibial stress fractures.28,39 All but 1 of the
greater popularity in running gait analysis. 12 studies generated peak tibial acceleration data by
Regardless, from the information gathered here, it is attaching the accelerometer to the distal anteromedial
hoped in the future that scientists and coaches alike portion of the tibia. Clark et al.27 placed their acceler-
will be able to successfully identify kinematic para- ometer on the proximal tibial tuberosity. Although
meters from sensor data, which may be linked with research has indicated that the distal anteromedial por-
RRI. tion of the tibia is chosen as a placement site to reduce
Norris et al. 5

Figure 1. Flowchart describing the selection and exclusion of articles.

the effect of angular acceleration and rotational kept minimal (\ 3 g suggested).41The accelerometer
movement,30 Clark et al.27 were not incorrect in their used by Clark et al.27 weighed 25 g, over eight times the
placement. Clark et al.27 were interested in tibial accel- suggested mass, which may have led to spurious data,
eration at the knee, of most importance in the mediolat- in all planes. For the remaining articles, six utilised
eral plane, as they investigated varus/valgus knee accelerometers weighing more than 3 g,1,26,30,34,35,39
motion during running. By placing the accelerometer at which questions the validity of their results. Three stud-
the proximal end of the tibia, Clark et al.27 were follow- ies utilised accelerometers weighing less than 3 g,24,29,36
ing protocol in line with the study of Mathie et al.,39 and one28 did not outline the mass of the accelerometer
which states that accelerometer placement is key to pro- used. It is also important to note that the majority of
viding accurate output and should be placed on the area the 12 studies identified peak tibial acceleration utilising
of interest. Clark et al.’s27 study also led them to being uni-axial accelerometers (n = 8) which, despite produc-
the only study of the 12 which identified tibial accelera- ing sufficient peak tibial acceleration data, has
tion in all three planes, vertical, mediolateral and ante- limitations.
roposterior, which has been previously identified as an Mercer et al.34 reported that when the subject was
area to be investigated due to high acceleration rates standing, the axis of the accelerometer was aligned with
within these planes.40 While their study may provide the longitudinal axis of the tibia; however, with any
important information on knee movement one flaw can manipulation of stride length, as can happen in fati-
be identified, which is the size of the accelerometer used. guing during long-distance running, the axis alignment
When comparing bone- and skin-mounted acceler- became distorted. Although previous research has
ometers, while the former was found to be more accu- stated that this misalignment leads to minimal differ-
rate, the skin-mounted accelerometers were found to be ences in acceleration values (1%–2% impact peak mag-
acceptable as long as the mass of the accelerometer was nitude),42 the risk of this affecting data could be
6

Table 1. Research-orientated kinematic output article details.

Abt Bergamini Butler Channells Clansey Clansey and Clark Crowell Derrick Gullstrand Laughton Le Bris Lee et al.32 Lee McGregor Mercer Mercer Mercer Milner Patterson Stohrmann Stohrmann Tan
1
et al. et al.17 et al.24 et al.12 et al.25 Hanlon26 et al.27 et al.28 et al.29 et al.10 et al.30 et al.31 et al.5 et al.33 et al.34 et al.35 et al.36 et al.37 et al.38 et al.22 et al.23 et al.14

Tibial/shank            
acceleration
Head acceleration       
Shock attenuation      
Vertical parameters      
Angular velocity  
Stride regularity/ 
symmetry
Accelerometry 
relative to Vo2
and speed
Total acceleration 
and kinematic
patterns

Table 2. Coach-orientated kinematic output parameters.

Auvinet Bergamini Bichler Cooper Hausswirth Heiden Le Bris Lee Lee McCurdy McGrath Mercer Mercer Neville Neville O’Donovan Purcell Stohrmann Stohrmann Stohrmann Tan Wixted Yang
et al.47 et al.17 et al.18 et al.19 et al.11 et al.48 et al.31 et al.32 et al.46 et al.49 et al.13 et al.35 et al.36 et al.50 et al.51 et al.20 et al.52 et al.22 et al.21 et al.23 et al.14 et al.53 et al.15

Step/stride frequency          
Temporal parameters          
Gait pattern   
Step/stride length    
Foot strike type   
Heel lift  
Speed  
Knee angle 
Sprint time 
Upper body parameters 
Proc IMechE Part P: J Sports Engineering and Technology 228(1)
Norris et al. 7

minimised with the use of bi-axial and tri-axial acceler- these segments. It was another variable commonly
ometers. Four studies29,34–36 also analysed tibial accel- looked at within the 12 articles containing research-
eration across the stance phase using the fast Fourier orientated kinematic parameters. Shock attenuation
transformation function to calculate power spectral was identified in 6 of the 12 articles and is important
density (PSD) using a previously published method.43 considering the repetitive nature of running. Any altera-
Using the aforementioned methods, tibial acceleration tion of the body’s ability to absorb shock could lead to
has been successfully identified to be reduced in high- additional stresses being placed on joints and the onset
arched runners when running in cushion trainer shoes of overuse injury.1 Four of the six articles1,29,34,35 calcu-
compared to motion control shoes24 and also decreased lated shock attenuation using the same transfer func-
when provided as visual feedback to those running on tion utilising frequency-domain analysis. All of these
treadmills.28 Tibial acceleration was also found to be articles identified shock attenuation as the average
increased in forefoot strikers opposed to rear foot stri- transfer function across similar impact frequencies
kers30 and identified to increase mediolaterally in ranges (10–20 Hz for Abt et al.,1 Derrick et al.29 and
women during menstruation compared to ovulation.27 Mercer et al.;34 11–18 Hz for Mercer et al.35). This
Finally, it has been found to increase with increases in method resulted in a shock attenuation value in deci-
preferred stride length34 and showed mixed increases bels, with positive values indicating a gain in the accel-
when investigated in relation to fatiguing runs (depen- eration signal from leg to head and negative values
dent on run length and training status of indicating attenuation of the signal. Of the two remain-
runner).1,25,29,35,36,39 ing articles, however, one study utilised a simplified
frequency-domain analysis of ratio of PSDhead to
PSDleg (with a low ratio indicative of greater attenua-
Head acceleration. A second variable of interest was
tion)36 and the other utilised time-domain analysis
head acceleration, which was successfully identified in
using averaged peak head and tibial accelerations,26 as
seven1,26,29,34–36,39 of the 23 articles, which examined
shown in equation (1)
research-orientated kinematic parameters. Head accel-
eration has been identified due to its role in under- Shock attenuation =
standing shock absorption as the body attempts to  
peak head acceleration
combat the repetitive forces being applied to it during 1 3100 ð1Þ
running.26 All seven studies outline that to acquire peak tibial acceleration
head acceleration data, the accelerometer was placed
on the anterior aspect of the forehead34 or the frontal Although these methods generate a numeric value
bone of the skull,29 while all seven also provided extra representative of shock attenuation, it is thought that
strapping or adhesive to ensure attachment. Head peak the preferred method is using the PSD and Four
impact acceleration was the key parameter investigated Fourier technique followed by the average transfer
in all seven studies with four of the studies29,34–36 also function. This analysis of the frequency domain allows
generating the PSD value for head acceleration during us to attain greater understanding of the distribution of
stance. Head acceleration values were successfully the energy in the signal, in this case acceleration, and
acquired within all seven studies with no limitations also can let us see how quickly shock attenuation can
identified (as regards to attachment point or output occur. Within the six articles, three articles29,34,36 identi-
data). Using accelerometry to analyse head movement fied shock attenuation increases, all utilising the aver-
has, therefore, led to information being derived such as age transfer function value at similar running impact
knowledge that PSDhead remains between a narrow frequencies. While Derrick et al.’s29 study was based on
magnitude when stride length or frequency is adapted, an exhaustive run, Mercer et al.34,36 altered running
without inducing fatigue.35 Also accelerometry data conditions (stride length, frequency and speed), but
have found that PSDhead and peak impact head accel- commonly all three articles found an increase in stride
erations can significantly increase26 or remain relatively length as well as shock attenuation. This link between
consistent29,35 after fatiguing runs. This, as before, may shock attenuation and stride length is supported by
be due to varying conditions within the different studies Mercer et al.35 who found decreases in shock attenua-
such as test design (i.e. length of run) and training sta- tion post fatigue, but also consistent stride length pre
tus of runners playing a role, with Hamill et al.44 and post fatigue. Similarly, Abt et al.1 and Clansey and
believing that at high speed, constant head acceleration Hanlon26 also found decreases in shock attenuation fol-
is needed to maintain visual field.36 Alternatively, lon- lowing fatiguing runs and indicate that this is due to a
ger fatiguing runs that altered joint mechanics due to highly trained population, who perhaps do not adapt
increased fatigue can have a greater impact, perhaps stride length when facing fatigue due to enhanced cop-
even in more highly trained athletes.25 ing strategies.

Shock attenuation. Shock attenuation is the process of Vertical parameters. Vertical acceleration, displacement
decreasing the magnitude of impact force between the or vertical oscillation was also identified in 6 of the
leg and head and is derived from the accelerations of 23 articles.5,10,14,22,23,32 When measuring vertical
8 Proc IMechE Part P: J Sports Engineering and Technology 228(1)

oscillation, five of the six articles located the acceler- utilised an IMU consisting of a tri-axial accelerometer
ometer5,10,32 or IMU22,23 in proximity to the COM, and a tri-axial gyroscope placed on the lower back (L1)
placing it either on/near the sacrum5,10,32 or located on to provide analysis of amateur and elite sprinters. They
the hip22,23 in order to give a true reflection of vertical found that acceleration and angular velocity profiles
displacement. On the contrary, Tan et al.14 attached provided no consistent features which could be linked
their global positioning systems (GPS)/IMU system to to foot strike and toe-off, which is in contrast to previ-
the top of a cyclist’s helmet which was worn by the run- ous research using lumbar-based sensors.45,46 It is
ner. This GPS/IMU unit combined GPS capabilities of thought that Bergamini et al.’s17 results may be due to
determining speed over ground and an IMU comprised utilising sprint trials in their study, which due to fore-
an accelerometer, gyroscope, three-dimensional (3D) foot striking causes increased dampening of impact
magnetometer and temperature sensor.14 Placement on forces, making identifiable markers harder to distin-
top of the helmet was for convenience as the system guish. This raises the question whether lower back–
was bulky and required the mounting of an antenna, as attached sensors are suitable for measuring sprint para-
was the GPS system, it was being compared to (OEM4; meters. In contrast to this, however, Bergamini et al.17
Novatel, Canada). Also in Tan et al.’s14 study, when were able to identify consistent events on the second
compared to the GPS system (OEM4), the combined derivative of angular velocity wavelet, which verified
GPS/IMU system achieved a reliability of 0.02 m in that not only is trunk rotation present in sprinting, as
vertical displacement. Given this relatively large sys- had been previously found in walking and long-distance
tematic error and the authors’ statement that the error running, but also that this feature could be found across
was as a result of both measurements containing error, different levels of athletes (amateur and elite) and could
neither of these two systems would be recommended be utilised to identify stride duration. Negative and pos-
for future measurement of vertical displacement. Of the itive peaks related to time of heel strike and toe-off were
remaining articles, Lee et al.32 found accelerometry also found on this wavelet. While Bergamini et al.17 uti-
acceptable in generating vertical acceleration in a trans- lised gyroscopes within an IMU to identify angular
tibial amputee sprinter, and Lee et al.5 also found near velocity patterns, Channells et al.12 utilised accelerome-
perfect correlations and very small error between COM try data which were then integrated. They placed an
vertical acceleration when derived from an accelerometer acceleration measurement unit (AMU) consisting of
and compared to 3D motion capture. This would indi- two bi-axial accelerometers (one measuring mediolat-
cate accelerometry as a highly valid method of deriving eral and anteroposterior accelerations –x- and y-axes,
vertical COM parameters. However, while this level of the second measuring vertical accelerations –z-axis) on
validity is supported by Gullstrand et al.,10 when com- the athlete’s shin with which they then performed a
pared to 3D infrared motion capture and position trans- series of walking, jogging and running trials. Angular
ducers, the reliability of the accelerometer is seen to be velocity data were then generated through integration
very poor as it produces a large amount of random error which were compared to angular velocity derived
(5, 7 and 11 mm). Gullstrand et al.,10 however, put this through the same calculation using motion capture.
error down to changes in the orientation of the uni-axial They found that the AMU resulted in comparable
accelerometers used. Although this was assumed to be angular velocity patterns when compared to the motion
constant, the orientation was most likely altered at each capture, and this was not affected by running tech-
step. Their suggestion for more complex sensors to be nique. It was, however, affected by running speed;
used to avoid this is supported by Lee et al.5 as they used results indicating that as speed increased so did error
a tri-axial accelerometer, and their data did not suffer (percentage error ranges from 2.31% in walking to
from this orientation alteration and therefore had small 9.76% at higher speeds). This increase in error could be
typical error (1.84 m/s2). Of the studies which chose to due to increasing noise induced integration error due to
analyse vertical displacement as opposed to accelera- poor attachment at increased speeds. Both articles
tion,10,22,23 all studies double integrated the vertical accel- found increased problems when looking at angular
eration component derived at the hip/sacrum. By using velocity during sprinting and so may raise the question
the above methods, previous research has identified sym- as to techniques used by both studies. Perhaps, combin-
metry in running gait,5 examined the validity of acceler- ing the equipment used by Bergamini et al.,17 based on
ometers in assessing vertical parameters5,10,14 and shown its high validity and gyroscope utilisation, and the tibial
that there is little difference between vertical acceleration attachment site (used by Channells et al.12) should be
in anatomical and prosthetic strides.32 Previous studies further investigated when analysing angular velocity in
have also found conflicting results as to levels of vertical sprinting.
oscillation, dependent on running ability.22,23
Remaining parameters. Having identified the common
Angular velocity. While most of the variables identified themes within the 38 articles investigating research-
within this review so far have been linked to accelera- orientated kinematic parameters there were 3 articles
tion patterns, 2 of the 28 articles identified also looked which identified unique variables31,33,38 utilising accel-
at angular velocity while running. Bergamini et al.17 erometers. Le Bris et al.31 investigated the effect of
Norris et al. 9

fatigue on middle-distance runner’s stride patterns Coach-orientated kinematic output parameters


using the Locometrixä system (Centaure Metrix, Having investigated research-orientated kinematic
France) located on the lower back. While they looked parameters identified using accelerometers and/or gyro-
at stride regularity (similarity of cranial–caudal accel- scopes, it was also important to investigate coach-
eration over successive strides) and stride symmetry orientated parameters. This is to ensure that these sen-
(similarity of cranial–caudal acceleration over left and
sors were able to generate information accessible to
right strides) through autocorrelation, these variables
audiences of different scientific knowledge back-
are similar to those found by articles looking at vertical
grounds. Of the 38 articles included in this review, 23
acceleration.5,10,14,22,23,32 Of greater interest, however,
articles utilised accelerometers and/or gyroscopes dur-
was their use of accelerometry in the investigation into
ing running gait to identify coach-orientated kinematic
mediolateral axis acceleration patterns. While this is
parameters (see Table 2).
similar to that done by Clark et al.27 in their investiga-
tion of knee varus/valgus movement, Le Bris et al.31
located their accelerometer on the centre of the lower Step/stride frequency/rate. First, frequency or rate of step
back, close to the COM, which gives a better indicator and stride was commonly identified in 10 of the 38
of whole body movement as affected by fatigue. From articles.11,14,18,23,31,35,36,49–51 Stride frequency is impor-
this, they found that fatigue increased the mediolateral tant as increased stride frequency means increased repe-
impulse significantly in sub-elite middle-distance run- titive impacts on the body which can lead to a higher
ners, perhaps indicating they cannot combat fatigue as risk of injury and degenerative disease due to increased
effectively as elite, leading to increasing energy expendi- stress on the structure of the body.44 Of the 10 articles,
ture in an axis (mediolateral) not conducive to propul- 4 articles did not define how they identified step/stride
sion. McGregor et al.33 also investigated kinematic frequency11,14,31,49 with some only identifying that it
accelerometry patterns by locating an accelerometer on was analysed using the fast Fourier Transform via
the lower back of their participants; however, they MATLAB.31 Of the remaining six articles, however,
wished to investigate the validity of using the acceler- five identified stride frequency using similar methods.
ometer relative to Vo2 and speed by comparing the Mercer et al.36,35 identified the peak in vertical accelera-
tion associated with foot impact and calculated stride
root mean square of the three axes and the Euclidean
frequency as a result of the time, while Stohrmann
resultant (RES) to Vo2. They not only found that the
et al.23 identified peak impact by not only looking at
accelerometer was highly valid and reliable in predict-
the anterior–posterior acceleration curve but combining
ing Vo2 but also looked to investigate the differences
the three planes of acceleration to calculate the magni-
between trained and untrained runners with regard to
tude. All three studies chose lower limb sensor attach-
acceleration at certain speeds, economy of acceleration
ment, and while Stohrmann23 utilised an IMU, all three
relative to speed and ratio of accelerations relative to
articles identified results through accelerometer-
RES in all axes. By using the acceleration data derived
generated data. Neville et al.50,51 again utilised acceler-
from their trials in this manner, McGregor et al.33 were
ometer sensors combined with a zero crossing method
able to divulge a wealth of information regarding accel- in MATLAB (not dissimilar to the previously men-
eration pattern differences between trained and tioned method). Here, every zero crossing in the
untrained runners performing to fatigue. They found anterior–posterior plane was identified as a foot
that nearly all acceleration parameters were lower in impact, which was then divided by the time between
trained than untrained runners, perhaps indicating first and last impact to derive stride frequency. As there
enhanced running economy when reaching fatigue would be minimal time difference in the time of zero
(through positive adaptions), which is supported crossing and impact peak and both methods success-
through much of the research,1,26 supporting the fully derived stride frequency both methods could be
validity of their study. Finally, Patterson et al.38 used. However, the zero crossing method was success-
looked at acceleration of the lower limb by placing a fully compared to speed as measured using a stopwatch
tri-axial accelerometer on the shoe laces of their sub- (stride frequency showing a linear trend as speed
ject. From this, they wished to investigate the rela- increase, r2 = 0.896) and GPS (r2 = 0.901)51 and
tionship between the total acceleration, x- and y-axes against various speeds as measured by GPS (walking:
accelerations and kinematic gait movements such as r2 = 0.0820, running: r2 = 0.83850). This supports its
knee and ankle angle at various parts of the gait cycle position as the method with proven validity. It is
(initial swing, mid-swing) during fatiguing runs. They important to note, however, the use of a stopwatch as a
were able to identify certain relationships existed, comparison speed measurement device. This method is
such as accelerometer variables during mid-swing highly subjective and has been found to be a valid
being predictive of dorsi-flexor fatigue. However, method in assessing speed only when used by a trained
their study was only performed on one subject, and tester.54 It is not stated in Neville et al.’s51 study
so, these results are not necessarily generalizable to a whether the tester is trained or not, which may question
larger population, given that gait has such individual the derived speed accuracy. While it could be argued
characteristics. that Neville et al.50,51 placed their accelerometers on the
10 Proc IMechE Part P: J Sports Engineering and Technology 228(1)

lower back, against that recommended by Mathie et only identified study to utilise it with accelerometry
al.,39 foot strike here created easily identifiable makers data. A more commonly identified method to generate
in large peak acceleration changes and so was identifi- foot contact times was by analysis of the anterior–
able regardless of position. This is in contrast to that posterior accelerometry data with positive peaks
found by Bergamini et al.17 who utilising an IMU were identifying foot strike and smaller peaks identifying
unable to identify a regular pattern on the acceleration toe-off.17,32,46,52 This method can provide information
curve using the same sensor placement. However, in easily as it can be generated through visual observation
Bergamini et al.’s17 study, the subjects sprinted, which of acceleration patterns, as done in Lee et al.’s32 study.
is thought to have hindered pattern identification. The validity of this method has also been tested over
Finally, in terms of identifying stride frequency, Bichler differing conditions including a paralympic sprinter
et al.18 utilised an IMU, however, unlike Bergamini using a prosthetic limb, and at varying running speeds
et al.17 and Stohrmann et al.23 they utilised the gyro- with similar results.46,52 Lee et al.46 found that an
scope data available to identify stride frequency. They accelerometer-based sensor placed on the lower back
expanded the ‘pedestrian dead reckoning’ method had strong agreement and near perfect correlations
(a method used to give position and orientation of a (r = 0.90 +) to 3D motion capture, for most para-
subject using integration of acceleration and angular meters (step, stride and stance times) at varying run-
velocity – Torres-Solis and Chau55) to provide greater ning speeds (low, medium and high). This was similar
accuracy during running. This method identified the to Purcell et al.’s52 findings when comparing tibial
rotation of the foot prior to, during and after stance in accelerometry contact time measures to force plate data
order to derive stride parameters such as stride fre- (r = 0.89 +). Gyroscope data derived from IMU units
quency. From this, stance could be identified due to were also utilised to measure temporal parameters with
rotation below a certain threshold (\ 1 rad/s) and also O’Donovan et al.,20 Bichler et al.18 and McGrath
with combined accelerometer key markers (peak at et al.13 all identifying foot/ground interface using angu-
impact).18 When this method was compared to video lar velocity. All three studies identified different meth-
analysis, it was found to show a more regular pattern in ods to analyse angular velocity for ground contact.
terms of stride frequency but also that increases in O’Donovan et al.20 used a method by Aminian et al.56
speed increased parameter failure rate. However, these which utilised mediolateral angular velocity. Bichler et
differences between measurement systems (IMU/GPS al.18 stated that foot contact occurred between the first
and video) overall were minimal and most lay within and last samples of angular velocity below 1 rad in the
95% limits of agreement. Any differences could also be respective foot and McGrath et al.13 utilised an algo-
due to the weak comparison method of 2D analysis rithm which calculated thresholds based on angular
and also stance would have been identified here as velocity about the y-axis (mediolateral) and also incor-
ground contact time, as opposed to with the sensor porated an artefact rejection routine. Two of the three
data where it was identified by level of rotational move- studies validated their methods in comparison to 3D
ment. By using the above methods, the use of acceler- motion capture with Bichler et al.18 identifying their
ometers and/or gyroscopes to derive stride frequency 2D camera analysis as a limitation to their study, per-
has been validated11,14,50,51 and also been successfully haps being too weak for a comparison method and
used to derive stride frequency changes with speed,36 leading to poorer results with intra-class coefficient
fatigue23,31 and its relationship to jump performance.49 (ICC) results here (averaged 0.4) being lower than both
O’Donovan et al.’s20 (0.86) and McGrath et al.’s13
(0.53 +) findings. When looking at the individual para-
Temporal parameters. Secondary coach-orientated kine- meter findings, McGrath et al.13 showed poor to mod-
matic parameters which were identified were temporal erate ICC (0.24–0.66) for stance and swing times across
and covered a multitude of smaller parameters. all speeds when comparing gyroscope data to motion
Parameters which included foot/ground interface (foot capture. This is in contrast to O’Donovan et al.20 who
contact time, step, stance and stride duration) and also found high ICC values (0.85 and 0.99) for these para-
airborne parameters such as swing time were identified meters, although a major difference here is that
through the use of accelerometers and/or gyroscopes in O’Donovan et al.20 utilised both walking and jogging
10 of the 24 articles.13,17,18,20–23,32,46,52 In order to iden- and did not differentiate the results of both or state the
tify these parameters, all the studies required identifica- speeds utilised. Therefore, the higher values represented
tion of when the foot was in contact with the ground by O’Donovan et al.20 could be due to slower speeds,
through knowledge of when foot strike occurred and which is supported by the fact that ICC values at the
toe-off occurred. Utilising an IMU, Stohrmann top of McGrath et al.’s13 range for swing and stance
et al.21,22 identified foot/ground contact through an time utilising gyroscopes were closer to O’Donovan et
acceleration threshold, where below 2g (g = gravity) al.’s20 values (0.66 compared to 0.99 for stance time).
represented stance time with values increasing above Overall, studies which utilised gyroscopes all demon-
this representing swing time. This use of a threshold is strated limitations or require further study in the vali-
commonly seen in comparison analysis when using dation of this method, so accelerometer data may be a
force plates,17,52 but Stohrmann et al.’s21,22 study is the more valid method of analysis in temporal parameters.
Norris et al. 11

In general studies which have utilised the above meth- recognised identification of gait pattern, as seen in these
ods have investigated changing temporal parameters three studies, provides information on basic running
regarding fatigue,23 in sprinting kinematics with the use pattern important to coaches.
of a prosthetics limb32 and in the validity of acceler-
ometers and/or gyroscopes as a measurement
Stride/step length. Another parameter identified via
technique.17,18,52
accelerometers and/or gyroscopes was stride/step
length, identified in 4 of the 23 articles.18,35,36,49 Stride
Gait pattern. Gait pattern was also identified in 3 of the length is a key parameter for coaches as it provides
24 articles which examined coach-orientated para- information on fatigue and also has been linked with
meters.47,48,53 All three studies utilised accelerometers RRI in relation to lower limb stiffness.57 While
and wished to identify key markers of gait pattern such McCurdy et al.49 did not discuss how stride length val-
as the acceleration peaks at foot strike and toe-off to ues were obtained, only that it was done so using an
confirm that accelerometry was feasible for gait pattern accelerometer attached to a waist belt, Mercer
analysis. Two of the studies compared accelerometric et al.,35,36 in both their studies, utilised the same
measures to force measures, with Heiden et al.48 using method, dividing treadmill speed by already attained
force plate data as a comparison and Wixted et al.53 stride frequency (as previously discussed). All
using insole shoe sensors. While Heiden et al.48 did not three35,36,49 of these articles utilised accelerometers in
discuss comparison results, Wixted et al.53 found by attaining stride/step length while Bichler et al.18 utilised
visual observation that accelerometer data showed a IMU-derived gyroscope data also. While outlining the
significant negative peak in the anterior–posterior plane advanced pedestrian dead reckoning method which
which occurred at the approximate same time as heel Bichler et al.18 used to derive kinematic parameters
strike, as shown by the insole shoe sensors. The end of does not specifically outline the method for calculating
foot contact, the period directly after toe-off, was then stride length, results show that when compared to 2D
characterised by vertical acceleration crossing zero posi- camera analysis the mean stride length calculated by
tively, as foot contact and sensor pressure data ceased. the IMU differed by only 0.01 m. This parameter was
Unfortunately, no analysis was done on the timing of most sensitive to difference at higher speeds. Within
these events relative to one another, and so, it is not these studies accelerometers and/or gyroscopes have
possible to compare these data to previous validation uncovered stride length increases with increased velo-
studies. Auvinet et al.47 also employed visual compari- city36 and unchanged stride length values after a graded
son of gait pattern derived from accelerometer data exercise test35. Also, they have uncovered the relation-
(peaks in anterior–posterior and vertical planes) and, in ship between stride length and jump performance in
this case, 2D motion capture data and once more found soccer players50 and been validated to derive stride
a deceleration trough in the anterior–posterior plane at length at lower speeds.18 However, as Bichler et al.18
foot strike with loading (zero crossing) at toe-off, same were the only authors to test the validity of stride
as Wixted et al.53 found. Of most interest in these three length results generated, and this was from gyroscope
articles was Heiden et al.’s48 investigation as to whether data, this is an area requiring further study.
the hip sensor or ankle sensor presented the most accu-
rate data for gait pattern markers (heel strike and toe
Various remaining parameters. Other parameters identified
off). They reported that the hip sensor resulted in gait are foot strike type,21,23 heel lift,22,23 running speed,11,15
pattern data that could not lead to accurate and easily knee angle,19 sprint time49 and arm movement, trunk
identifiable gait markers, whereas the ankle sensor gen- forward lean and shoulder rotation.23 Although mea-
erated replicable and identifiable data. This supports surements such as angle derivation and speed may not
Mathie et al.’s39 thoughts on sensor location but con- be commonly identified using accelerometers and/or
trasts with the findings by Lee et al.46 and Bergamini gyroscopes, this information does provide insight into
et al.17 Both Lee et al.46 and Bergamini et al.17 utilised advancing capabilities of these low-cost transducers
lower back placement and successfully identified gait while also providing support for their validity within
pattern. Although Bergamini et al.17 did so using the this research.
second derivative of angular velocity, it is possible Lee
et al.46 did so at increased velocities compared to
Heiden et al.,48 which they identified led to increased Recommendations for future research
accelerometer peaks and easier identification. When
using a lumbar sensor to derive gait pattern, perhaps Parameter-specific recommendations
Lee et al.46 utilised the best running speed (range 2.8– For researchers who intend to utilise accelerometers
5.3 m/s) as they successfully validated this method in and/or gyroscopes for research- and coach-orientated
comparison to Heiden et al.48 (unknown speed) and kinematic parameters for running gait, there are several
Bergamini et al.17 (range 5.7–10.8 m/s) who at increased recommendations. First, regarding research-orientated
speeds found the signal was dampened and markers on kinematics, there are recommendations when investi-
the accelerometer curve were unidentifiable. Easily gating tibial acceleration, head acceleration, shock
12 Proc IMechE Part P: J Sports Engineering and Technology 228(1)

attenuation, vertical parameters and angular velocity the proximal tibia, accelerometers have been found to
among some parameters. In terms of tibial acceleration, generate knee valgus/varus data27 and when attached to
it is recommended to follow guidelines as suggested by the lower back have generated running efficiency
Mathie et al.39 (placement closest to the area of inter- data.31 This provides support for future studies not only
est), with accelerometer placement at the anterior/distal investigating cranial–caudal and anteroposterior planes
aspect of the tibia if tibia acceleration or running pat- but also mediolateral to divulge important information.
terns derived from acceleration curves are of interest. It In terms of generating coach-orientated kinematic
is also recommended that a bi-axial or tri-axial acceler- parameters through accelerometer and/or gyroscope
ometer is used as axial alignment has been found to utilisation, there are also a number of recommenda-
become distorted during testing34 and by having multi- tions. With stride frequency, identification has been
ple axes to analyse this may have less of a negative successful using both the zero crossing method and
effect on data collection. Sensor/device weight also identifying the peak in the anteroposterior acceleration
plays an important role, and it is recommended for curves. Also, while stride frequency has been success-
accurate data collection to keep weight to \ 3 g. This fully generated on accelerometers and/or gyroscopes
may be of vital importance especially in collecting tibial attached to both lumbar and lower limb attachment
acceleration data as the sensor will be placed in a body points,50 research has shown that sprinting analysis can
segment of small surface area (distal tibia compared to lead to diminished acceleration patterns with lumbar
lower back placement) and by keeping sensor weight attachment,17 and so, lower limb and tibia attachment
low, this will maximise the unobtrusive method of data are recommended. While gyroscopes alone were also
collection. Second, in terms of head acceleration, rec- utilised to derive stride frequency, they were validated
ommendations on placement follow those of Mathie against a subjective comparison method (2D video
et al.,39 and so, anterior aspect of the forehead is sug- analysis) and have been found to provide greater com-
gested and has been proven to be successful. This place- plications than accelerometers (drift), and so, acceler-
ment, however, can be the most obtrusive as the ometers are recommended in terms of the sensor
attachment of a foreign object onto the centre of a sub- utilised. For temporal parameters, a common technique
ject’s forehead may be uncomfortable and unwanted utilised which has also been validated at different
during running. It is, therefore, suggested that this pla- speeds and with various subjects (i.e. paralympian) is
cement may be of the least value, as it obtains informa- identifying foot contact through examination of the
tion only on shock attenuation and head acceleration acceleration curves. Again, this would be recommended
and also may have the greatest effect on running effi- with tibial or lower limb attachment for distinct pat-
ciency and economy depending on the subject. terns and also to minimise time lag between acceler-
Recommendations in terms of collecting vertical ometer data and actual foot contact. While gyroscopes
parameter data using accelerometers and/or gyroscopes have also previously been utilised, it was found that
were also generated, and again sensor location was rec- those that validated against 3D motion capture gener-
ommended closest to the area of interest, the subject’s ated less accurate parameter output as speed increased.
COM (lower back), for valid results. Also bi-axial or This would again lead to the recommendation of accel-
tri-axial accelerometers were recommended as altered erometer utilisation for temporal parameter collection.
orientation had again been observed and stated as a For gait pattern research, visual inspection of the accel-
limitation using uni-axial accelerometers.10 For angular eration curve (and the key gait markers associated with
velocity, both accelerometers and gyroscopes have been it) generated via accelerometers has been validated
utilised successfully; however, placement has proven to against both in-shoe sensors and 2D motion capture.
be vital as lumbar placed sensors were found to produce Research here has also shown that lower limb (ankle)
inconsistent patterns in relation to acceleration and attachment has provided greater accuracy in providing
angular velocity peaks and dips associated with gait, gait pattern analysis than hip placement48 which is con-
making it difficult to identify parameters in subjects sistent in previous research. However, it is suggested
performing a sprint. In contrast, when accelerometers that if lower limb attachment is not possible, perhaps
on their own were utilised, while attached to the distal due to limitation of sensor quantity availability, but gait
tibia, consistent patterns were found, although error information is still desired that running speed be main-
within these patterns increased with speed. It is, there- tained between 2.8 and 5.3 m/s. This speed, along with
fore, recommended that a combination of methods is lumbar sensor attachment, has been previously vali-
utilised in the future to generate angular velocity data, dated in gait pattern analysis,46 while higher speeds
especially for sprinting analysis. The utilisation of gyro- (5.7–10.8 m/s) have been found to dampen gait pattern
scopes, as used by Bergamini et al.,17 to provide reliable acceleration curves.17 For stride length, limited infor-
data, followed with placement used by Channells mation in the derivation of results has been outlined
et al.12 is, therefore, recommended for future study. with only the advanced pedestrian dead reckoning
While these are the main research-orientated kinematic method utilised by Bichler et al.18 and dividing tread-
parameters, accelerometers have also been proven to mill speed by stride frequency35,36 being stated in the lit-
generate reliable data in the mediolateral planes when erature. Of these methods, Bichler et al.18 are the only
located at various attachment points. When attached to authors to have provided validation, and so, this
Norris et al. 13

method may be the preferred method. However it is to then let this lead the methodology. The importance
important to note that stride length was most sensitive of accelerometers and/or gyroscopes in combating
to error at higher speeds and so perhaps following simi- increasing levels of RRI is valid as by accurate genera-
lar guidelines and speeds suggested for the derivation of tion of kinematic data, they may provide a wealth of
gait pattern (previously mentioned) should be followed information on ever-changing running patterns in an
to control this risk of error. Accelerometers and/or unobtrusive and natural environment.
gyroscopes have also been utilised in deriving other
lower body parameters such as foot strike type and heel Declaration of conflicting interests
lift and upper body parameters (arm movement, trunk
forward lean, etc.); however, due to limited research on The authors declare that there is no conflict of interest.
these parameters, it is difficult to make future guidelines
as to the most accurate methodology to be employed Funding
when these are of interest. However, by utilising general Funding for this research was provided by an
guidelines as to the placement39 and weight41 of these Education and Health Sciences Faculty, University of
sensors and by following recommendations on the deri- Limerick.
vation of similar parameters, this may lead to greater
accuracy in data collection.
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