Kinematic Analysis of Patients with Charcot–Marie–Tooth Disease Using OpenSim

This study proposes a methodology for conducting computational simulations of pathological gait. The literature shows a consensus that biomechanical models for gait analysis should be formulated as control problems. To achieve this, it is common prac-tice to guide the solution using kinematic or kin...

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Detalles Bibliográficos
Autores: Martín Sosa, Ezequiel, Mayo Núñez, Juana, Ferrand Ferri, Patricia, Zarco Periñán, María José, Romero Sánchez, Francisco, Ojeda Granja, Joaquín
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad de Huelva (UHU)
Repositorio:Arias Montano. Repositorio Institucional de la Universidad de Huelva
Idioma:inglés
OAI Identifier:oai:ariasmontano.uhu.es:10272/27304
Acceso en línea:https://hdl.handle.net/10272/27304
Access Level:acceso abierto
Palabra clave:Charcot–Marie–Tooth
OpenSim
gait analysis
instability
ankle kinematics
33 Ciencias Tecnológicas
Descripción
Sumario:This study proposes a methodology for conducting computational simulations of pathological gait. The literature shows a consensus that biomechanical models for gait analysis should be formulated as control problems. To achieve this, it is common prac-tice to guide the solution using kinematic or kinetic data to prevent temporal instabil-ity. The aim of this study is to implement a biomechanical model of the Charcot-–Marie-–Tooth disease in OpenSim software that enables more comprehensive simula-tions, which may in future involve the musculoskeletal system of patient and predic-tive studies. In this way, it will be possible to design specific active assistive devices tailored to each patient. Experimental gait data from six Charcot-–Marie-–Tooth pa-tients were used. The dataset comprises three-dimensional trajectories of reflective markers placed according to the Davis-Heel protocol. The acquired data allowed a pa-tient-specific adjustment of the biomechanical model. The inverse kinematic was solved, and the results were validated by comparing them with those obtained using the commercial BTS Bioengineering® software. The results show a strong alignment in ankle kinematics between the OpenSim model and the data generated by BTS Bioengi-neering®. Additionally, the kinematic results have been compared with normative curves, allowing the identification of potential areas for intervention using active as-sistive devices aimed at improving movement patterns of patients.