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Towards the Use of 2D Video-Based Markerless Motion Capture to Measure and Parameterize Movement During Functional Capacity Evaluation

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Abstract

Purpose The objective of this study was to determine the agreement of kinematic parameters calculated from motion data collected via a 2D video-based pose-estimation (markerless motion capture) approach and a laboratory-based 3D motion capture approach during a floor-to-waist height functional lifting test. Method Twenty healthy participants each performed three floor-to-waist height lifts. Participants’ lifts were captured simultaneously using 2D video (camcorder) in the sagittal plane and 3D motion capture (Vicon, Oxford, UK). The three lifts were representative of a perceived light, medium, and heavy load. Post-collection, video data were processed through a pose-estimation software (i.e., markerless motion capture). Motion data from 3D motion capture and video-based markerless motion capture were each used to calculate objective measures of interest relevant to a functional capacity evaluation (i.e., posture, balance, distance of the load from the body, and coordination). Bland–Altman analyses were used to calculate agreement between the two methods. Results Bland–Altman analysis revealed that mean differences ranged from 1.9° to 22.1° for posture and coordination-based metrics calculated using markerless and 3D motion capture, respectively. Limits of agreement for most posture and coordination measures were approximately + 20°. Conclusions 2D video-based pose estimation offers a strategy to objectively measure movement and subsequently calculated metrics of interest within an FCE context and setting, but at present the agreement between metrics calculated using 2D video-based methods and 3D motion capture is insufficient. Therefore, continued effort is required to improve the accuracy of 2D-video based pose estimation prior to inclusion into functional testing paradigms.

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Abbreviations

FCE:

Functional capacity evaluation

RTW:

Return to work

BOS:

Base of support

COG:

Center of gravity

MARP:

Mean absolute relative phase

CRP:

Continuous relative phase

MMH:

Manual materials handling

ASIS:

Anterior superior iliac spine

SI:

Superior inferior

AP:

Anterior posterior

ML:

Medial lateral

CBOS:

Center of base of support

FSL:

Functional stability limit

B–A:

Bland–Altman

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Funding

This study was supported by an Ontario Early Career Award (ER16-12-163) held by S. Fischer. S. Remedios received partial support via the Employers' Advocacy Council, Occupational Health and Safety Research Scholarship.

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Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception, design and data analysis. Data collection was performed by Sarah M. Remedios. All authors contributed to drafting of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Steven L. Fischer.

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Conflict of interest

Sarah M. Remedios and Steven L. Fischer declare that they have no conflict of interest.

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All participants provided written informed consent prior to participation.

Ethics approval

This study was approved by the University’s Institutional Ethics Board.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helinski Declaration of 1975, as revised in 2000(5). Informed consent was obtained from all patients for being included in the study.

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Remedios, S.M., Fischer, S.L. Towards the Use of 2D Video-Based Markerless Motion Capture to Measure and Parameterize Movement During Functional Capacity Evaluation. J Occup Rehabil 31, 754–767 (2021). https://doi.org/10.1007/s10926-021-10002-x

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