Skip to main content

Efficacy of Accelerometry Technology in Evaluating Knee Mechanics and Pronated Foot Posture in Subjects with Anterior Knee Pain

  • Conference paper
  • First Online:
Proceedings of the 6th International Conference on Data Science, Machine Learning and Applications, Volume 2 (ICDSMLA2024 2024)

Abstract

Anterior knee pain (AKP) is one of the most prevalent musculoskeletal conditions and significantly affects the adolescents’ age group. Modern methods of diagnosis frequently depend on subjective evaluation, which may result in misdiagnoses and suboptimal clinical care. This study aims to investigate, efficacy of accelerometry technology in evaluating knee mechanics and pronated foot posture in subjects with anterior knee pain. To investigate the efficacy of accelerometry technology in routine clinical practice for patients with AKP, find the correlation between accelerometry-derived metrics and traditional clinical measures of knee pain and function, and explore biomechanical impact of pronated foot posture on knee mechanics. This cross-sectional study recruits 20 participants aged 18–45 years with anterior knee pain. Participants undergone baseline evaluation followed that, The ActiGraph GT9X Link accelerometer was used to measure stride length, cadence, acceleration peaks, and movement variability during standardized activities. Data were analyzed using SPSS version 27.0 and MATLAB R2021b, with correlations and multiple regression analyses performed to explore relationships between variables. The results support that, significant correlations were found between accelerometry data and traditional clinical measures of knee outcome measures. Cadence (r = −0.42), Stride length (r = −0.45), and acceleration peaks (r = −0.38) were inversely correlated with VAS pain scores, while movement variability (r = 0.40) was positively correlated. Pronated foot posture was a significant factor of abnormal knee mechanics, with stride length (β = −0.32, p < 0.01), cadence (β = −0.28, p < 0.01), and acceleration peaks (β = −0.30, p < 0.01) affected. Accelerometry is an efficient tool for assessing knee mechanics in patients with AKP, providing objective data that correlates with clinical outcome measures of pain and function. Pronated foot posture significantly influences knee mechanics, emphasizing the need for targeted interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+
from €37.37 /Month
  • Starting from 10 chapters or articles per month
  • Access and download chapters and articles from more than 300k books and 2,500 journals
  • Cancel anytime
View plans

Buy Now

Chapter
EUR 29.95
Price includes VAT (India)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 181.89
Price includes VAT (India)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
EUR 219.99
Price excludes VAT (India)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Crossley, K.M., van Middelkoop, M., Callaghan, M.J., Collins, N.J., Rathleff, M.S., Barton, C.J.: 2016 patellofemoral pain consensus statement from the 4th international patellofemoral pain research retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions). Br. J. Sports Med. 50, 844–852 (2016)

    Article  Google Scholar 

  2. Fulkerson, J.P.: Diagnosis and treatment of patients with patellofemoral pain. Am. J. Sports Med. 30, 447–456 (2002)

    Article  Google Scholar 

  3. Bergmann, J.H.M., Mayagoitia, R.E., Smith, I.C.H.: A portable system for collecting anatomical joint angles during stair ascent: a comparison with an optical tracking device. Dyn. Med. 8, 1–7 (2009)

    Article  Google Scholar 

  4. Godfrey, A., Conway, R., Meagher, D., ÓLaighin, G.: Direct measurement of human movement by accelerometry. Med. Eng. Phys. 30, 1364–1386 (2008)

    Article  Google Scholar 

  5. Monaghan, K., Delahunt, E., Caulfield, B.: Increasing the number of gait trial recordings maximises intra-rater reliability of the CODA motion analysis system. Gait Posture. 25, 303–315 (2007)

    Article  Google Scholar 

  6. Micó-Amigo, M.E., et al.: A novel accelerometry-based algorithm for the detection of step durations over short episodes of gait in healthy elderly. J. Neuroeng. Rehabil. 13, 1–12 (2016)

    Article  Google Scholar 

  7. Barton, C.J., Bonanno, D., Levinger, P., Menz, H.B.: Foot and ankle characteristics in patellofemoral pain syndrome: a case control and reliability study. J. Orthop. Sports Phys. Ther. 40, 286–296 (2010)

    Article  Google Scholar 

  8. Fredericks, W., Swank, S., Teisberg, M., Hampton, B., Ridpath, L., Hanna, J.B.: Lower extremity biomechanical relationships with different speeds in traditional, minimalist, and barefoot footwear. J. Sports Sci. Med. 14, 276 (2015)

    Google Scholar 

  9. Barton, C.J., Bonanno, D., Menz, H.B.: Development and evaluation of a tool for the assessment of footwear characteristics. J. Foot Ankle Res. 2, 1–12 (2009)

    Article  Google Scholar 

  10. Neal, B.S., et al.: Foot posture as a risk factor for lower limb overuse injury: a systematic review and meta-analysis. J. Foot Ankle Res. 7, 1–13 (2014)

    Article  Google Scholar 

  11. Levinger, P., Gilleard, W.: The heel strike transient during walking in subjects with patellofemoral pain syndrome. Phys. Ther. Sport. 6, 83–88 (2005)

    Article  Google Scholar 

  12. Crossley, K.M., Bennell, K.L., Cowan, S.M., Green, S.: Analysis of outcome measures for persons with patellofemoral pain: which are reliable and valid? Arch. Phys. Med. Rehabil. 85, 815–822 (2004)

    Article  Google Scholar 

  13. Roos, E.M., Roos, H.P., Ekdahl, C., Lohmander, L.S.: Knee injury and osteoarthritis outcome score (KOOS)-validation of a Swedish version. Scand. J. Med. Sci. Sports. 8, 439–448 (1998)

    Article  Google Scholar 

  14. Redmond, A.C., Crosbie, J., Ouvrier, R.A.: Development and validation of a novel rating system for scoring standing foot posture: the foot posture index. Clin. Biomech. 21, 89–98 (2006)

    Article  Google Scholar 

  15. Barton, C.J., Levinger, P., Crossley, K.M., Webster, K.E., Menz, H.B.: Relationships between the foot posture index and foot kinematics during gait in individuals with and without patellofemoral pain syndrome. J. Foot Ankle Res. 4, 1–8 (2011)

    Article  Google Scholar 

  16. Ghaffari, A., Rahbek, O., Lauritsen, R.E.K., Kappel, A., Kold, S., Rasmussen, J.: Criterion validity of linear accelerations measured with low-sampling-frequency accelerometers during overground walking in elderly patients with knee osteoarthritis. Sensors. 22, 5289 (2022)

    Article  Google Scholar 

  17. Bolink, S.A.A.N., van Laarhoven, S.N., Lipperts, M., Heyligers, I.C., Grimm, B.: Inertial sensor motion analysis of gait, sit-stand transfers and step-up transfers: differentiating knee patients from healthy controls. Physiol. Meas. 33(11), 1947–1958 (2012). https://doi.org/10.1088/0967-3334/33/11/1947

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vinodhkumar Ramalingam .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2026 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Kumar, A.A.U., Ramalingam, V., Selvam, S. (2026). Efficacy of Accelerometry Technology in Evaluating Knee Mechanics and Pronated Foot Posture in Subjects with Anterior Knee Pain. In: Kumar, A., Gunjan, V.K., Senatore, S., Hu, YC. (eds) Proceedings of the 6th International Conference on Data Science, Machine Learning and Applications, Volume 2. ICDSMLA2024 2024. Lecture Notes in Electrical Engineering, vol 1529. Springer, Singapore. https://doi.org/10.1007/978-981-95-5835-3_121

Download citation

Keywords

Publish with us

Policies and ethics

Profiles

  1. Vinodhkumar Ramalingam