Spinal Stability & Pelvic Tilt Kinematics

Spinal Stability & Pelvic Tilt Kinematics

Inertial sensor-based lumbopelvic movement analysis and a clinical motion analysis platform for rehabilitation assessment.


Overview

Posterior pelvic tilt (PPT) is a critical biomechanical parameter in spine rehabilitation, yet its clinical assessment remains largely subjective. Our lab uses IMU sensors (Movella DOT) to quantify pelvic tilt kinematics during functional movements, and has developed SpineView — a web-based clinical platform that transforms sensor data into actionable biomechanical scores.

This research-to-platform pipeline bridges the gap between laboratory kinematics research and bedside clinical application.


1. Pelvic Tilt Kinematics Research

ProjectStage
Clinical vs. inertial sensor measurements of posterior pelvic tilt📜 Published
Posterior pelvic tilt and radiographic parameter correlation📜 Published
Machine learning analysis of squat movements📊 Analyzing
AI-based prediction of premature posterior pelvic tilt✅ Completed
Biomechanical analysis of PPT during squats using inertial sensors💵 Funded (Ongoing)

Biomechanical Parameters

  • PPA (Posterior Pelvic Angle): pelvis end - pelvis initial
  • LL (Lumbar Lordosis): 180° - lumbar pitch + pelvis pitch
  • HA (Hip Angle), KA (Knee Angle)
  • SPPT-I / SPPT-E (Seated Pelvic Position Test, Initial/End)

Methods

  • Sensors: Movella DOT IMU (spine + pelvis dual-sensor)
  • Signal Processing: Gaussian smoothing, inflection point detection via gradient analysis
  • Analysis: Python (NumPy, SciPy), custom parameter extraction pipeline

2. SpineView — Clinical Motion Analysis Platform

SpineView is the clinical translation of our kinematics research into a real-time assessment tool.

Analysis Modules

ModuleFunctionKey Outputs
Real-time StreamingLive BLE sensor visualizationFlexion-extension curves, 60-second rolling window
Research AnalysisInflection point detection, lordosisPPA, LL, SPPT-I/E, Gaussian smoothing
Squat AnalysisFlexion-extension kinematicsROM, angular velocity, acceleration, jerk, coordination (R²)
Sit-to-Stand AnalysisFunctional movement scoringLordosis score, Hip Hinge score, Trunk Lean score (0-100)

Clinical Scoring System

ScoreTargetOptimal
Lordosis IndexSpine FE - Pelvis FE≤ 0°
Hip Hinge ScorePelvis ROM optimization30-60°
Trunk Lean ScorePeak spine flexion + timing + smoothness0-100

Technical Stack

ComponentTechnology
BackendDjango 5.2 (Python 3.12)
DatabasePostgreSQL 16
Data Processingpandas, NumPy, SciPy
FrontendTailwind CSS + Plotly.js
SensorsMovella DOT (BLE)
DeploymentDocker + docker-compose

Development Status

MilestoneStatus
Core analysis engine (CSV)✅ Completed
Real-time BLE streaming✅ Completed
Squat & sit-to-stand modules✅ Completed
Docker deployment✅ Completed
Multi-patient data management🔄 In Progress
Clinical validation study💡 Planned

Key Presentations

YearTitleVenue
2023Relationship between Posterior Pelvic Tilt and Radiographic Parameters51st KARM Annual Meeting
2022Clinical Versus Inertial Sensor Measurements of Posterior Pelvic Tilt50th KARM Anniversary Meeting

Funding

  • Biomechanical Analysis and Clinical Correlation of Posterior Pelvic Tilt During Squats Using Inertial Sensors — PNUH Biomedical Research Institute, 2025 (Ongoing)
  • Prediction of Premature Posterior Pelvic Tilt Using AI and Wearable Sensor — Kosin University College of Medicine, 2020-2021
  • Smart Posture Correction System — Pukyong National University, 2019-2020