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Asymmetry vs Deviation plot

User Manual

Author: Nikolaos Darras

Version 1.0.1 2013

ELEPAP Gait & Motion Analysis Center

Athens, Greece

gait_lab@elepap.gr

How does it work?

For the construction of the ADplot, the observed Asymmetry and Deviation in a gait analysis graph, are expressed as proportions to the Standard Deviation (SDs) that the normal subjects group exhibit in the respective gait graph.

So, these two values indicate how many Normal Standard Deviations are needed to produce the differences observed in Asymmetry and Deviation.

These values are clinically relevant, because they allow the direct evaluation of the severity of the deviation. In gait analysis, deviations observed for the subject measured within one Standard Deviation of the normal subjects group, are considered non pathological or within the normal range, while larger deviations are considered increasingly pathological.

The use of these two values of Asymmetry and Deviation on the AD plot help to visualize the characteristics of the subject measured graphs for these two very important parameters of pathology.

Is it useful to you?

Until now there was no other way to assess quantitatively asymmetry together with deviation. Thus clinical gait analysis personnel as well as researchers can benefit from this comprehensive visualization and evaluation tool.

You may start using if today. Download and install our MatLab solution from the download area of the site. View instructions here.

It is easy to use it. Just remember: the aim of your treatment should move the plotted points in the green area.

What is Asymmetry vs Deviation plot (ADplot)?

Asymmetry vs Deviation plot is a data reduction and enhanced analysis tool, developed for Gait Analysis.

Gait Graph Asymmetry has been defined as the difference observed between the left and the right side gait analysis graph curves of the subject measured.

Gait Graph Deviation has been defined as the difference observed between the left side gait analysis graph curve of the subject measured with the mean curve of the normal subjects group that are used as controls, as well as the right side gait analysis graph curve with the mean normal subjects curve.

Asymmetry vs Deviation plot is a gait analysis instrument that helps to summarise and visualise the Asymmetry and Deviation observed in gait analysis graphs simultaneously.

What is it for?

ADplot has great versatility and may be used for various applications.

Clinical gait analysis can be enhanced by evaluating subject's gait using the classical gait graphs together with the Gait TriPlane ADplots and the Gait PrePlaneADplots

Overall evaluation of the measurements Pre-Post treatment of a patient using the respective Pre-Post Gait Global ADplot can be

ADplot is a data reduction tool to produce comprehensive and accurate results for evaluating subject's consistency over multiple gait cycles using the Gait Consistency ADplot.

Another ADplot version is particularly suitable for comparing different data sets. Group Analysis ADplot is a highly informative graph that helps to visualize the behavior differences in asymmetry and deviation of the groups.

Ultimately the Unified Summary ADplot version can be used to create maps of gait graph pathology.

Unified Summary ADplot can be used to locate the mean Asymmetry and Deviation values for a specific group of patients. Then the SD bars around the mean values are used as the lower and upper limits of the ranges that define the moderate gait graph pathology area. By mapping the moderate gait graph pathology area of the specified group of patients , it is then possible to discriminate whether the measured subject's values are showing light, moderate or heavy pathology, depending on their position relative to the moderate gait graph pathology area.