A wearable force plate system for the continuous measurement of triaxial ground reaction force in biomechanical applications

The ambulatory measurement of ground reaction force (GRF) and human motion under free-living conditions is convenient, inexpensive and never restricted to gait analysis in a laboratory environment and is therefore much desired by researchers and clinical doctors in biomedical applications. A wearable force plate system was developed by integrating small triaxial force sensors and three-dimensional (3D) inertial sensors for estimating dynamic triaxial GRF in biomechanical applications. The system, in comparison to existent systems, is characterized by being lightweight, thin and easy-to-wear. A six-axial force sensor (Nitta Co., Japan) was used as a verification measurement device to validate the static accuracy of the developed force plate. To evaluate the precision during dynamic gait measurements, we compared the measurements of the triaxial GRF and the center of pressure (CoP) by using the developed system with the reference measurements made using a stationary force plate and an optical motion analysis system. The root mean square (RMS) differences of the two transverse components (x- and y-axes) and the vertical component (z-axis) of the GRF were 4.3 ± 0.9 N, 6.0 ± 1.3 N and 12.1 ± 1.1 N, respectively, corresponding to 5.1 ± 1.1% and 6.5 ± 1% of the maximum of each transverse component and 1.3 ± 0.2% of the maximum vertical component of GRF. The RMS distance between the two systems' CoP traces was 3.2 ± 0.8 mm, corresponding to 1.2 ± 0.3% of the length of the shoe. Moreover, based on the results of the assessment of the influence of the system on natural gait, we found that gait was almost never affected. Therefore, the wearable system as an alternative device can be a potential solution for measuring CoP and triaxial GRF in non-laboratory environments.