Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization (Dec 2025)
Assessment of scapular position measurement using ultrasound sensors to correct skin to bone artifacts from skin mounted motion capture
Abstract
Combining traditional motion capture markers with ultrasound sensors (MC+U) could enable accurate measurement of bone positions and orientations beneath the skin. This is especially important where skin-mounted markers are inaccurate, such as tracking scapular position when the shoulder is abducted over 80°. Previous in vitro research showed that the MC+U technique can be used to accurately track scapular position in static positions and when the shape of the subject’s scapula is known a priori from CT. This study extends those results in a more realistic in vivo setting. Scapula position and orientation were measured at five different humeral elevation angles in four subjects using MC+U and an acromial marker cluster (AMC). The results were compared to biplane fluoroscopy as the gold standard. The mean root mean square (RMS) error in scapular position with MC+U was [Formula: see text] mm and [Formula: see text]. When the arm was elevated 150° in the coronal plane, translational RMS error was only [Formula: see text] mm for MC+U. These values represent a significant decrease in angular RMS error compared to the traditional AMC method in coronal plane motion, though larger than RMS errors in dual calibration methods. The MC+U technique shows promise for tracking scapular motion in dynamic multiplanar movements in vivo with further refinement.
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