Kinematics or kinetics: Optimum measurement of the vertical variations of the center of mass during gait initiation

Abstract

Background: During gait, the braking index represents postural control, and consequently, the risk of falls. Previous studies based their determination of the braking index during the first step on kinetic methods using force platforms, which are highly variable. This study aimed to investigate whether determining the braking index with a kinematic method, through 3D motion capture, provides more precise results. Methods: Fifty participants (20 to 40 years) performed ten trials in natural and fast gait conditions. Their braking index was estimated from their first step simultaneously using a force platform and VICON motion capture system. The reliability of each braking index acquisition method was assessed by intraclass correlation coefficients, standard error measurements, and the minimal detectable change. Results: Both kinetic and kinematic methods allowed good to excellent reliability and similar minimum detectable changes (10%). Conclusion: Estimating the braking index through a kinetic or a kinematic method was highly reliable.