A Scoping Review on Minimum Foot Clearance Measurement: Sensing Modalities

Background: Falls are a major public health issue and tripping is the most common self-reported cause of outdoor falls. Minimum foot clearance (MFC) is a key parameter for identifying the probability of tripping. Optical motion capture systems are commonly used to measure MFC values; however, there is a need to identify alternative modalities that are better suited to collecting data in real-world settings. Objective: This is the first of a two-part scoping review. The objective of this paper is to identify and evaluate alternative measurement modalities to optical motion capture systems for measuring level-ground MFC. A companion paper identifies conditions that impact MFC and the range of MFC values individuals that these conditions exhibit. Methods: We searched four electronic databases, where peer-reviewed journals and conference papers reporting level-ground MFC characteristics were identified. The papers were screened by two independent reviewers for inclusion. The reporting was done in keeping with the PRISMA-ScR reporting guidelines. Results: From an initial search of 1571 papers, 17 papers were included in this paper. The identified technologies were inertial measurement units (IMUs) (n = 10), ultrasonic sensors (n = 2), infrared sensors (IR) (n = 2), optical proximity sensors (OPS) (n = 1), laser ranging sensors (n = 1), and ultra-wideband sensors (n = 1). From the papers, we extracted the sensor type, the analysis methods, the properties of the proposed system, and its accuracy and validation methods. Conclusions: The two most commonly used alternative modalities were IMUs and OPS. There was a lack of standardization among studies utilizing the same measurement modalities, as well as discrepancies in the methods used to assess performance. We provide a list of recommendations for future work to allow for more meaningful comparison between modalities as well as future research directions.

Automated summary

The study aimed to evaluate alternative measurement modalities to optical motion capture systems for measuring level-ground MFC values. IMUs and OPS were identified as the most commonly used alternative modalities, but there was a lack of standardization and discrepancies in methods among studies using the same measurement modalities.