Validity and reliability of the DANU sports system for walking and running gait assessment

Abstract

Objective: Gait assessments have traditionally been analysed in laboratory settings, but this may not reflect natural gait. Wearable technology may offer an alternative due to its versatility. The purpose of the study was to establish the validity and reliability of temporal gait outcomes calculated by the DANU Sports System, against a 3D motion capture reference system. Approach: Forty-one healthy adults (26M, 15F, age 36.4 ± 11.8 years) completed a series of overground walking and jogging trials and 60s treadmill walking and running trials at various speeds (8-14km/hr), participants returned for a second testing session to repeat the same testing. Main results: For validity, 1406 steps and 613 trials during overground and across all treadmill trials were analysed respectively. Temporal outcomes generated by the DANU Sports System included ground contact time, swing time and stride time and all demonstrated excellent agreement compared to the laboratory reference (intraclass correlation coefficient (ICC) >0.900), aside from ground contact time during overground jogging which had good agreement (ICC=0.778). For reliability, 666 overground and 511 treadmill trials across all speeds were examined. Test re-test agreement was excellent for all outcomes across treadmill trials (ICC>0.900), except for swing time during treadmill walking which had good agreement (ICC=0.886). Overground trials demonstrated moderate to good test re-test agreement (ICC=0.672-0.750), which may be due to inherent variability of self-selected (rather than treadmill set) pacing between sessions. Significance: Overall, this study showed that temporal gait outcomes from the DANU Sports System had good to excellent validity and moderate to excellent reliability in healthy adults compared to an established laboratory reference.