Kinematic Marker Placement for Tilt-Cycle Research Make sure clothes are tight and tucked in for loose marker placement. All of the loose markers are attached using the circular double-sided stickers and reinforced with duct tape to make sure they don’t go anywhere. Bilateral markers should be even with each other and consistent from limb to limb. 1. Toe: This marker is placed on the 2nd metatarsal-phalangeal joint on top of the shoe. This should be done on each foot using 2 markers. 2. 5th Metatarsal: Feel for this on the lateral side of the foot. It is the larger bump right below the little toe. This should be done on each foot using2 markers. 3. 1st Metatarsal: Feel for this on the medial side of the foot. It is the larger bump right below the big toe. This should be done on each foot using2 markers. 4. Heel: These markers just go on the heel of the shoe. One marker will go on the bottom near the bottom of the heel, and one marker will go above that around the top of the heel. The two markers should be vertically in line with each other. This should be done on each foot using 4 markers 5. Lateral Heel: This marker will go on the lateral side of the heel of the shoe, slightly behind the lateral malleolus. This should be done on each foot using 2 markers. The 3 heel markers together should be far enough apart so that the camera system can identify each from the other. 6. Lateral Malleolus: This marker goes slightly forward on the lateral malleolus (ankle bone). This should be done on each leg using 2 markers. 7. Medial Malleolus: This marker goes slightly backward on the medial malleolus (ankle bone). This should be done on each leg using 2 markers. 8. Shank Tracking Markers: These markers should be placed in a rectangular shape along the lateral side of the shank of each leg, to simulate the marker plates. This should be done on each leg using 8 markers. 9. Lateral Knee Joint Space: To find this, straighten the leg and feel for the head of the fibula. Move your finger up and slightly medial to feel for the ligament. Between these two spots, you can feel for a small space that becomes more prominent by bending the knee a couple times. When the marker is on, it shouldn’t move much as the knee bends and should act more as an axis. This should be done on each leg using 2 markers. 10. Medial Knee Joint Space: To find this, feel for where the bones meet on the medial side of the knee. This is medial to the bottom of the kneecap. Feel medially to that with your fingers and you can find the medial ligament. This is harder to feel, but just apply a little pressure and move back and forth a little until you are sure you’ve found it. There will be a joint space right in front of this ligament where the marker goes. This marker shouldn’t move much when bending the knee, and should act more as an axis. This should be done on each leg using 2 markers. 11. Thigh Tracking Markers: These markers should be placed in a rectangular shape along the lateral side of each thigh, to simulate the marker plates. This should be done on each leg using 8 markers. 12. Greater Trochanter: To find this, have the subject standing with their weight on the opposite leg. Have the leg that the marker is being placed on up on the toe with the leg slightly bent. The greater trochanter can be found by twisting the whole leg on the toe and feeling slightly below and behind the hip. You can feel the ball going back and forth, and the marker goes there. This should be done on each leg using 2 markers. 13. Iliac Crest: This marker goes on the highest point of the iliac crest (hip bone). It should be in line vertically with the greater trochanter markers. This should be done on each hip using 2 markers. 14. Anterior Superior Iliac Spine: This is located on the front pelvis. Feel for this by having the subject bend backward slightly and feel for where the iliac spine comes to an end. It should be lower than the iliac crest markers. This should be done with 2 markers. Make sure the markers are taped down well with the duct tape, as they need to stay that way for the calibration and the entire test. After the standing calibration is complete the following markers can be removed for testing: 5th metatarsal, 1st metatarsal, lateral heel, medial malleoli, and medial knee joint.