Validation of Electronic Weighing Device for Vertical Ground Reaction Force and Centre of Pressure Measurement; and Clinical Metrics Derivation

Authors

  • Ying Heng Yeo Neurorehabilitation Engineering and Assistance Systems Research, School of Mechanical Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang, Malaysia
  • Muhammad Fauzinizam Razali Neurorehabilitation Engineering and Assistance Systems Research, School of Mechanical Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang, Malaysia
  • Zaidi Mohd Ripin Neurorehabilitation Engineering and Assistance Systems Research, School of Mechanical Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang, Malaysia
  • Nur-Akasyah J. Neurorehabilitation Engineering and Assistance Systems Research, School of Mechanical Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang, Malaysia
  • Mohamad Ikhwan Zaini Ridzwan Neurorehabilitation Engineering and Assistance Systems Research, School of Mechanical Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang, Malaysia
  • Alexander Wai Teng Tan Neurorehabilitation Engineering and Assistance Systems Research, School of Mechanical Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang, Malaysia
  • Jia Yi Tay Neurorehabilitation Engineering and Assistance Systems Research, School of Mechanical Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang, Malaysia

DOI:

https://doi.org/10.11113/mjfas.v20n4.3546

Keywords:

Force plate, validation, ground reaction force, centre of pressure, biomechanics.

Abstract

Custom force plates developed from digital bathroom scales are demonstrated to be an alternative to laboratory-grade force plates. Nevertheless, applying custom force plates are questionable as the measurement accuracy has not been thoroughly validated. This study evaluated the validity of a custom force plate constructed from a digital bathroom scale, which successfully measured vertical Ground Reaction Force (GRF), Centre of Pressure (CoP), and clinical assessment metrics derived from vertical GRF and CoP. The custom force plate data collected during quiet standing, sit-to-stand, gait initialisation, gait, quiet sitting, maximal trunk flexion and extension, and lateral bending were compared to a laboratory-grade force plate. In measuring vertical GRF, CoP, and clinical assessment metrics for all tasks, the validity of the custom force plate was demonstrated through high Pearson correlations, coefficient of determinations, and intraclass correlation coefficients (2, 1) of more than 0.95, 0.89, and 0.95, respectively. Moreover, the performance outcome of the custom force plate was comparable to the commercialised force plates reported in previous studies and successfully matched that of a laboratory-grade force plate. Hence, the custom force plate could be an alternative solution to measure vertical GRF, CoP, and clinical assessment metrics in the biomechanical, biomedical engineering, and clinical rehabilitation field.

References

Chen, B., Liu, P., Xiao, F., Liu, Z., & Wang, Y. (2021). Review of the upright balance assessment based on the force plate. International Journal of Environmental Research and Public Health, 18(5), 2696.

Fransz, D. P., Huurnink, A., Kingma, I., Verhagen, E. A. L. M., & van Dieën, J. H. (2013). A systematic review and meta-analysis of dynamic tests and related force plate parameters used to evaluate neuromusculoskeletal function in foot and ankle pathology. Clinical Biomechanics, 28(6), 591–601.

Wong, C., Zhang, Z. Q., Lo, B., & Yang, G. Z. (2015). Wearable sensing for solid biomechanics: A review. IEEE Sensors Journal, 15(5), 2747–2760.

Brady, K., & Kiernan, D. (2020). Centre of pressure error with increasing gait velocity: The clinical impact on predicted inverse dynamics during gait in children with typical development. Gait & Posture, 82, 96–99.

Van Hulle, R., Schwartz, C., Denoël, V., Croisier, J.-L., Forthomme, B., & Brüls, O. (2020). A foot/ground contact model for biomechanical inverse dynamics analysis. Journal of Biomechanics, 100, 109412.

Richmond, S. B., Dames, K. D., Goble, D. J., & Fling, B. W. (2018). Leveling the playing field: Evaluation of a portable instrument for quantifying balance performance. Journal of Biomechanics, 75, 102–107.

O'Connor, S. M., Baweja, H. S., & Goble, D. J. (2016). Validating the BTrackS Balance Plate as a low-cost alternative for the measurement of sway-induced center of pressure. Journal of Biomechanics, 49(16), 4142–4145.

Mengarelli, A., Verdini, F., Cardarelli, S., Di Nardo, F., Burattini, L., & Fioretti, S. (2018). Balance assessment during squatting exercise: A comparison between laboratory grade force plate and a commercial, low-cost device. Journal of Biomechanics, 71, 264–270.

Verdini, F., et al. (2019). Accuracy evaluation of force measurement through the Wii Balance Board during squat and functional reach tests. In 2019 IEEE 23rd International Symposium on Consumer Technologies (ISCT) (pp. 291–295).

Lee, J., Webb, G., Shortland, A. P., Edwards, R., Wilce, C., & Jones, G. D. (2019). Author correction: Reliability and feasibility of gait initiation centre-of-pressure excursions using a Wii® Balance Board in older adults at risk of falling. Aging Clinical and Experimental Research, 31(2), 293.

Severini, G., et al. (2017). Use of Nintendo Wii Balance Board for posturographic analysis of multiple sclerosis patients with minimal balance impairment. Journal of NeuroEngineering and Rehabilitation, 14(1), 19.

Clark, R. A., Mentiplay, B. F., Pua, Y.-H., & Bower, K. J. (2018). Reliability and validity of the Wii Balance Board for assessment of standing balance: A systematic review. Gait & Posture, 61, 40–54.

Levy, S. S., Thralls, K. J., & Kviatkovsky, S. A. (2018). Validity and reliability of a portable balance tracking system, BTrackS, in older adults. Journal of Geriatric Physical Therapy, 41(2), 102–107.

Hearn, M. C., Levy, S. S., Baweja, H. S., & Goble, D. J. (2018). BTrackS Balance Test for concussion management is resistant to practice effects. Clinical Journal of Sport Medicine, 28(2), 177–179.

Golriz, S., Hebert, J. J., Foreman, K. B., & Walker, B. F. (2012). The validity of a portable clinical force plate in assessment of static postural control: Concurrent validity study. Chiropractic & Manual Therapies, 20(1), 15.

Saadprai, S., Vorapojpisut, N., Srikajohnlap, C., & Rungroungdouyboon, B. (2021). Design and development of a low-cost force plate with software application for analyzing balance and coordination training for the elderly. Journal of Exercise Physiology Online, 24, 52+.

Hong, C. Y., Guo, L. Y., Song, R., Nagurka, M. L., Sung, J. L., & Yen, C. W. (2016). Assessing postural stability via the correlation patterns of vertical ground reaction force components. Biomedical Engineering Online, 15(1), 90.

Cimbala, J. M. (2013). Stress, strain, and strain gages. Penn State University, 24.

Clark, R. A., Mentiplay, B. F., Tan, H. H., Bechard, L., Hough, E., & Pua, Y. H. (2021). Digital bathroom scales with open source software provide valid dynamic ground reaction force data for assessment and biofeedback. Gait & Posture, 84, 137–140.

Quijoux, F., et al. (2021). A review of center of pressure (COP) variables to quantify standing balance in elderly people: Algorithms and open-access code. Physiological Reports, 9(22), e15067.

Näf, O. B., Bauer, C. M., Zange, C., & Rast, F. M. (2020). Validity and variability of center of pressure measures to quantify trunk control in stroke patients during quiet sitting and reaching tasks. Gait & Posture, 76, 218–223.

Baltasar-Fernandez, I., et al. (2021). Sit-to-stand muscle power test: Comparison between estimated and force plate-derived mechanical power and their association with physical function in older adults. Experimental Gerontology, 145, 111213.

Zijlstra, W., Bisseling, R. W., Schlumbohm, H., & Baldus, H. (2010). A body-fixed-sensor-based analysis of power during sit-to-stand movements. Gait & Posture, 31(2), 272–278.

Elhafez, S. M., Ashour, A. A., Elhafez, N. M., Elhafez, G. M., & Abdelmohsen, A. M. (2019). Percentage contribution of lower limb moments to vertical ground reaction force in normal gait. Journal of Chiropractic Medicine, 18(2), 90–96.

Clark, R. A., Bryant, A. L., Pua, Y., McCrory, P., Bennell, K., & Hunt, M. (2010). Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait & Posture, 31(3), 307–310.

Scaglioni-Solano, P., & Aragón-Vargas, L. F. (2014). Validity and reliability of the Nintendo Wii Balance Board to assess standing balance and sensory integration in highly functional older adults. International Journal of Rehabilitation Research, 37(2), 138–143.

Arifin, W. N. (2018). A web-based sample size calculator for reliability studies. Journal of Statistical Computation and Simulation, 10, 67–76.

Abujaber, S., Gillispie, G., Marmon, A., & Zeni, J., Jr. (2015). Validity of the Nintendo Wii Balance Board to assess weight bearing asymmetry during sit-to-stand and return-to-sit tasks. Gait & Posture, 41(2), 676–682.

Khusainov, R., Azzi, D., Achumba, I. E., & Bersch, S. D. (2013). Real-time human ambulation, activity, and physiological monitoring: Taxonomy of issues, techniques, applications, challenges, and limitations. Sensors, 13(10), 12852–128902.

Ross, R. (2021). Wood handbook: Wood as an engineering material (FPL-GTR-282, vol. 282, pp. 1–543).

Horsak, B., Slijepcevic, S., Raberger, A.-M., Schwab, C., Worisch, M., & Zeppelzauer, M. (2020). GaitRec, a large-scale ground reaction force dataset of healthy and impaired gait. Scientific Data, 7(1), 143.

Regtien, P., & Dertien, E. (2018). Uncertainty aspects. In Sensors for Mechatronics (2nd ed., pp. 39–60). Elsevier.

Lo, P. Y., Su, B. L., You, Y. L., Yen, C. W., Wang, S. T., & Guo, L. Y. (2022). Measuring the reliability of postural sway measurements for a static standing task: The effect of age. Frontiers in Physiology, 13, 850707.

Yamako, G., Chosa, E., Totoribe, K., Fukao, Y., & Deng, G. (2017). Quantification of the sit-to-stand movement for monitoring age-related motor deterioration using the Nintendo Wii Balance Board. PLoS ONE, 12(11), e0188165.

Onuma, R., et al. (2021). Measurements of the centre of pressure of individual legs reveal new characteristics of reduced anticipatory postural adjustments during gait initiation in patients with post-stroke hemiplegia. Journal of Rehabilitation Medicine, 53(7), jrm00211.

Eltoukhy, M., Kuenze, C., Andersen, M. S., Oh, J., & Signorile, J. (2017). Prediction of ground reaction forces for Parkinson's disease patients using a Kinect-driven musculoskeletal gait analysis model. Medical Engineering & Physics, 50, 75–82.

Spratling, M. W. (2020). Explaining away results in accurate and tolerant template matching. Pattern Recognition, 104, 107337.

Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155–163.

Robeson, S. M., & Willmott, C. J. (2023). Decomposition of the mean absolute error (MAE) into systematic and unsystematic components. PLOS ONE, 18(2), e0279774.

Šverko, Z., Vrankić, M., Vlahinić, S., & Rogelj, P. (2022). Complex Pearson correlation coefficient for EEG connectivity analysis. Sensors, 22(4), 1477.

Pojskic, H., Papa, E. L., Wu, S. S. X., Wu, X., & Pagaduan, J. (2020). Validity, reliability, and usefulness of jump performance from a low-cost contact mat. Journal of Human Sport and Exercise, 15.

Chicco, D., Warrens, M. J., & Jurman, G. (2021). The coefficient of determination R-squared is more informative than SMAPE, MAE, MAPE, MSE, and RMSE in regression analysis evaluation. PeerJ Computer Science, 7, e623.

Waldmann, P. (2019). On the use of the Pearson correlation coefficient for model evaluation in genome-wide prediction. Frontiers in Genetics, 10, 899.

Cramer, L. A., Wimmer, M. A., Malloy, P., O'Keefe, J. A., Knowlton, C. B., & Ferrigno, C. (2022). Validity and reliability of the Insole3 instrumented shoe insole for ground reaction force measurement during walking and running. Sensors, 22(6), 217.

Walsh, M., Church, C., Hoffmeister, A., Smith, D., & Haworth, J. (2021). Validation of a portable force plate for evaluating postural sway. Perceptual and Motor Skills, 128(1), 191–199.

Cerrito, A., Bichsel, L., Radlinger, L., & Schmid, S. (2015). Reliability and validity of a smartphone-based application for the quantification of the sit-to-stand movement in healthy seniors. Gait & Posture, 41(2), 409–413.

Faraji Aylar, M., Jafarnezhadgero, A. A., & Salari Esker, F. (2018). Sit-to-stand ground reaction force characteristics in blind and sighted female children. Gait & Posture, 62, 34–40.

Piano, L., Geri, T., & Testa, M. (2020). Raising and stabilization phase of the sit-to-stand movement better discriminate healthy elderly adults from young subjects: A pilot cross-sectional study. Archives of Physiotherapy, 10(1), 7.

Giavarina, D. (2015). Understanding Bland-Altman analysis. Biochemia Medica, 25(2), 141–151.

Chang, J. O., Levy, S. S., Seay, S. W., & Goble, D. J. (2014). An alternative to the balance error scoring system: Using a low-cost balance board to improve the validity/reliability of sports-related concussion balance testing. Clinical Journal of Sport Medicine, 24(3), 256–262.

Singh, A., Datta, R., & Singh, R. (2022). The use of a low-cost gaming platform as a substitute to medical-grade force plate in objective evaluation of balance. Indian Journal of Otolaryngology and Head & Neck Surgery, 74(2), 217–224.

Silapabanleng, S., Nualon, P., Vorapojpisut, S., Rungroungdouyboon, B., & Saadprai, S. (2023). Validity and reliability of kinetic step box on vertical ground reaction forces measurement. Journal of Exercise Physiology Online, 26(2).

Mylonas, V., Chalitsios, C., & Nikodelis, T. (2023). Validation of a portable wireless force platform system to measure ground reaction forces during various tasks. International Journal of Sports Physical Therapy, 18(6), 1283.

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Published

27-08-2024