Automating Timed Up and Go Phase Segmentation and Gait Analysis via the tugturn Markerless 3D Pipeline

📅 2026-02-24
📈 Citations: 0
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🤖 AI Summary
Current markerless Timed Up and Go (TUG) analyses lack robustness and reproducibility, limiting their utility in clinical and research settings. This work proposes tugturn.py, a Python-based, end-to-end markerless 3D TUG analysis pipeline that, for the first time, integrates phase segmentation, gait event detection, and advanced biomechanical metrics—such as Vector Coding and extrapolated Center of Mass (XCoM)—within a unified framework. The method employs spatial thresholds for phase segmentation and a relative distance strategy to identify heel-strike and toe-off events, leveraging 3D pose estimation to generate HTML reports, CSV outputs, and quality-control visualizations. Full reproducibility is ensured through TOML configuration files, while a command-line interface and comprehensive examples enhance accessibility. This pipeline substantially advances the standardization, reliability, and practical applicability of markerless TUG assessment.

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📝 Abstract
Instrumented Timed Up and Go (TUG) analysis can support clinical and research decision-making, but robust and reproducible markerless pipelines are still limited. We present \textit{tugturn.py}, a Python-based workflow for 3D markerless TUG processing that combines phase segmentation, gait-event detection, spatiotemporal metrics, intersegmental coordination, and dynamic stability analysis. The pipeline uses spatial thresholds to segment each trial into stand, first gait, turning, second gait, and sit phases, and applies a relative-distance strategy to detect heel-strike and toe-off events within valid gait windows. In addition to conventional kinematics, \textit{tugturn} provides Vector Coding outputs and Extrapolated Center of Mass (XCoM)-based metrics. The software is configured through TOML files and produces reproducible artifacts, including HTML reports, CSV tables, and quality-assurance visual outputs. A complete runnable example is provided with test data and command-line instructions. This manuscript describes the implementation, outputs, and reproducibility workflow of \textit{tugturn} as a focused software contribution for markerless biomechanical TUG analysis.
Problem

Research questions and friction points this paper is trying to address.

Timed Up and Go
markerless motion analysis
gait analysis
phase segmentation
biomechanics
Innovation

Methods, ideas, or system contributions that make the work stand out.

markerless motion analysis
Timed Up and Go
gait event detection
dynamic stability
Vector Coding
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A
Abel Gonçalves Chinaglia
Biomechanics and Motor Control Laboratory, School of Physical Education and Sport of Ribeirao Preto, University of Sao Paulo, Brazil; Graduate Program in Rehabilitation and Functional Performance, Ribeirao Preto Medical School, University of Sao Paulo, Brazil
G
Guilherme Manna Cesar
Department of Physical Therapy, Brooks College of Health, University of North Florida, USA
P
Paulo Roberto Pereira Santiago
Biomechanics and Motor Control Laboratory, School of Physical Education and Sport of Ribeirao Preto, University of Sao Paulo, Brazil; Graduate Program in Rehabilitation and Functional Performance, Ribeirao Preto Medical School, University of Sao Paulo, Brazil