Error analysis on spinal motion measurement using skin mounted sensors

Measurement errors of skin-mounted sensors in measuring forward bending movement of the lumbar spines are investigated. In this investigation, radiographic images capturing the entire lumbar spines' positions were acquired and used as a 'gold' standard. Seventeen young male volunteers (21 (SD 1) years old) agreed to participate in the study. Light-weight miniature sensors of the electromagnetic tracking systems-Fastrak were attached to the skin overlying the spinous processes of the lumbar spine. With the sensors attached, the subjects were requested to take lateral radiographs in two postures: neutral upright and full flexion. The ranges of motions of lumbar spine were calculated from two sets of digitized data: the bony markers of vertebral bodies and the sensors and compared. The differences between the two sets of results were then analyzed. The relative movement between sensor and vertebrae was decomposed into sensor sliding and titling, from which sliding error and titling error were introduced. Gross motion range of forward bending of lumbar spine measured from bony markers of vertebrae is 67.8 degrees (SD 10.6 degrees ) and that from sensors is 62.8 degrees (SD 12.8 degrees ). The error and absolute error for gross motion range were 5.0 degrees (SD 7.2 degrees ) and 7.7 degrees (SD 3.9 degrees ). The contributions of sensors placed on S1 and L1 to the absolute error were 3.9 degrees (SD 2.9 degrees ) and 4.4 degrees (SD 2.8 degrees ), respectively.