The 6th vital sign, measured the same way every time

Every step.
Measured.
Understood.

Time a walk on your phone. See your walking speed, its range and a gait age from published norms. Nothing is uploaded.

Have an iPhone? Read the walking history your phone already keeps, on the device. Nothing uploads. healthgait.com/check →
Live calculator · starts with sample data, not a person 4-metre timed walk
Comfortable walking speed
1.18 m/s
Functional range

1.0–1.2 m/s: the third of the four ranges, the same scale healthgait.com uses. Street crossing: older studies used about 1.2 m/s; current US signal timing assumes about 1.07 m/s (3.5 ft/s).

Type your own distance and time; 4 m in 3.4 s is the sample it starts with. The same interpreter as /resources and healthgait.com. Bands are for comfortable speed: a screening guide, not a diagnosis. Each 0.1 m/s faster tracks with roughly 12% lower mortality (Studenski et al., JAMA 2011; 34,485 adults 65+).
Time your own walk, with age and gait age → or keep a log at healthgait.com/speed →
6th
vital sign, now measurable
Camera
live, in the browser
<2 min
to a gait score
4 codes
RTM, explained plainly

MotionSole in 15 seconds

Text version:
  1. Gait is the sixth vital sign. Still measured inconsistently.
  2. See your gait live, on camera. The video never leaves your browser.
  3. The method, in the open. Every threshold, formula and citation.
  4. Or time a walk on your phone. Your speed, its range and a gait age.
  5. MotionSole. Every step. Measured. Understood. motionsole.com
Less data. More done.

Not a dashboard. One number, one action.

Most wearables give you more: more sensors, more scores, more charts nobody acts on. Gait goes the other way. It is one number a clinician can act on with a review, a plan or a change. Before the fall, not after. Three sites, three steps:

Step 1 · fallrisks.com
See it coming
A pendant helps after a fall. A 3-minute STEADI screener puts a number on the risk before one.
Start here →
Step 2 · healthgait.com
Know your number
Your walking speed, read from the phone in your pocket. One number, one trend, all on the device.
See your number →
Step 3 · motionsole.com · you’re here
Act on it
See your gait live on camera, with the method in the open.
Explore the platform ↓
Hardware-agnostic

Two ways to measure, today.

MotionSole is a way to measure, not a device. Start with what you already have: Apple Health history or a live camera. No account, nothing to buy.

Both use the same cited method, on sensors you already have. The method →

The Science

Gait is the 6th Vital Sign

Heart rate. Blood pressure. Temperature. Respiratory rate. Now gait. The way you walk shows things a standard check-up can miss. And the signals they don’t miss, they measure inconsistently: in a survey of 514 U.S. physical therapists, nearly all used standardized outcome measures — but only 48% agreed that performance-based tests are administered in a standardized way across the profession (Kristal et al., PLOS One 2025). A measure taken the same way every time fixes that. A camera can do it; a hand-timed walk test often does not.

Comfortable walking speed
1.10 m/s
Functional
0.20.61.01.4
Gait age (decade)
—
Modeled mortality hazard vs. the commonly used 0.8 m/s threshold
—
Each 0.1 m/s faster is associated with roughly 12% lower mortality (Studenski et al., JAMA 2011; 34,485 adults). The curve and figures are an illustrative model of that published relationship — not a personal prediction.
Read your real number →

Walking speed tracks survival in older adults

In 34,485 adults 65+, gait speed was associated with survival (Studenski, JAMA 2011): each 0.1 m/s faster tracked with about 12% lower mortality — and it takes 10 seconds to measure.

Asymmetry after hip replacement can be measured

In 14 people walking with crutches after a hip replacement, a new asymmetry index showed clear side-to-side differences in hip motion and loading (Kabaciński, J Clin Med 2024). What lasting asymmetry means for recovery has not been shown yet.

Gait changes can come before dementia

In 422 adults over 75 followed for a median of 6.6 years, an abnormal gait at the start went with about twice the risk of later dementia, mostly vascular dementia (Verghese, NEJM 2002).

Gait shifts can flag rising fall risk months ahead

In 597 adults aged 70 and over, followed for 20 months, slower speed, longer double support and more stride-to-stride variability each predicted falls (Verghese, J Gerontol 2009). MotionSole is built to measure these. Automatic caregiver alerts are a design, not built yet.

How a person walks shapes knee implant wear

In 11 retrieved knee inserts, the wear predicted from each patient’s own gait matched the wear measured on the part (Knowlton, Bone Joint J 2020).

Movement is medicine — but the dose is individual

Joints depend on movement for lubrication, nutrition, and pain regulation; too little and too much both harm. The target is each person’s own adaptive loading window — found by measuring movement over time, not prescribing a fixed dose (Labusca et al., Med Sci 2026, a narrative review). A continuous gait signal is how you find it.

Clinical Intelligence

What a MotionSole session reveals

Gait metrics with an AI-drafted interpretation for a clinician to review. Sample data below — illustrative, not a real patient, and not a live product screen.

Pt
Sample patient
68 years old • TKA right knee, 8 weeks post-op (illustrative)
Cadence
97 steps/min Below Normal
0Typical: 100–130
Stride Length
1.2 m Low
0Normal: 1.4–1.7m
Ground Contact Time
680 ms Elevated
0Threshold: <600ms
Stride Symmetry
91% Acceptable
0Threshold: >95%
Pronation Angle
2.8° Normal
0Normal: 0–4°
AI Analysis

Reduced cadence and elevated ground contact time indicate guarded weight-bearing on the operative leg at 8 weeks post-TKA — consistent with incomplete proprioceptive recovery. Flag for PT if cadence does not improve to ≥103/min within 2 weeks.

Clinical actions

Fall Risk: Moderate-High 2 of 3 validated fall-risk criteria met. Recommend fall-prevention counseling. (Illustrative sample; caregiver alerts are a design, not built.)
Recovery Trajectory: Delayed Week-8 cadence of 97 is below the typical 100–130 steps/min range for comfortable to brisk walking.
Billing: not this tool’s call Week 8 after a knee replacement is inside the surgeon’s 90-day global period, and a surgeon cannot bill RTM inside their own global period. Any billing is the practice’s decision.
Next Action: PT Re-evaluation Symmetry at 91% is shown for context. Whether to re-evaluate is the clinician’s call; the sample only shows what they would look at.
Setup

Objective, standardized data in under 2 minutes

No technician. No lab. Start with the camera you already have.

1

Wear

Open the live page and walk or march in place in front of your camera. No fit protocol, no lab visit.

2

Measure

Today: pose tracking in the browser reads cadence and left/right symmetry live; the video stays on your device.

3

Act

Compare with your last walk and with the published ranges; take the number to your clinician. Time a walk →

RTM, plainly

What RTM is, and who bills it.

MotionSole bills nothing and promises no payment; RTM billing is the practice's own decision under its payer rules, and a surgeon cannot bill RTM inside their own global surgical period. MotionSole does not submit claims.

Code Description Note
98975 RTM device setup & patient education Once per episode
98977 Musculoskeletal monitoring, per 30 days 16+ data days
98980 Treatment management, first 20 min Documented time
98981 Treatment management, each add’l 20 min Documented time

98975 bills once per episode, not monthly; RPM and RTM are mutually exclusive per patient/period; what's actually billable in a given month depends on which codes were met and the one-practitioner-per-30-days rule — there is no single blended per-patient total.

Start with the camera the patient already has — a guided walk captures the gait signal with no hardware to buy or wear.

Billing, if any, is done by the practice under its own clinician’s NPI and payer rules.

Payment varies by payer, locality and year, and CMS changes the RTM rules over time. Read the CMS RTM brief →

Check what you know

Eight questions on walking speed, symmetry, and clinical gait monitoring

Check whether the numbers, thresholds, and boundaries on this page landed. Runs in your browser; your answers are never sent anywhere. The page only counts the visit.

8 questions · instant explanation & primary source for each
  1. 1. In the pooled JAMA analysis of 34,485 older adults across 9 cohorts (Studenski 2011), what did comfortable walking speed predict as strongly as age and sex?

    Studenski et al. pooled 34,485 adults aged 65+ and showed comfortable gait speed tracks survival across every cohort, with each 0.1 m/s faster associated with roughly 12% lower mortality. Read this section again: Gait is the 6th Vital Sign →

  2. 2. Why does the upper (“Community-strong”) reference band start at 1.2 m/s?

    The 2003 MUTCD timed pedestrian clearance at 4 ft/s (about 1.2 m/s); the 2009 MUTCD (section 4E.06) and the current edition assume 3.5 ft/s (about 1.07 m/s), with slower speeds where slower walkers routinely cross. Fritz & Lusardi’s white paper places the upper range at 1.2 m/s. Read this section again: Gait is the 6th Vital Sign →

  3. 3. When tracking walking speed over time, how large a shift does geriatric rehabilitation research (Perera 2006) treat as a real change rather than day-to-day noise?

    Perera et al. (2006) established ~0.05 m/s as a small meaningful change and ~0.10 m/s as a substantial meaningful change in older adults — the cutoffs our method uses for Watch and Slipping trend flags. Read this section again: Gait is the 6th Vital Sign →

  4. 4. Which MotionSole measurements run on your device today?

    Today you can run the browser camera check at /live, time a 4 m or 10 m walk at /resources#calculator, or read an Apple Health export at healthgait.com/check. Read this section again: Two ways to measure, today →

  5. 5. When you use the live camera gait check at /live, what happens to your camera video?

    MediaPipe Pose runs in WebAssembly/WebGL inside your browser tab. Only ankle and hip landmark coordinates are used to compute cadence and symmetry on your device; video frames never leave your browser. Read this section again: Two ways to measure, today →

  6. 6. Two people walk at the same comfortable speed (1.05 m/s), but one shows persistent left-right asymmetry and rising double-support time. Why look beyond speed alone?

    A person can hold their overall walking speed steady for a short hallway walk while favoring one leg or spending more of each cycle on both feet. Pairing speed with cadence and left-right symmetry gives a fuller picture for a physical therapist or physician. Read this section again: What a MotionSole session reveals →

  7. 7. Under CMS CY 2026 Medicare rules for musculoskeletal Remote Therapeutic Monitoring (RTM), how many days of device data in a 30-day period does CPT 98977 require (versus CPT 98985)?

    CMS CY 2026 rules keep the 16-to-30-day threshold for CPT 98977 and added CPT 98985 for 2 to 15 days of data in a 30-day period (and CPT 98979 for 10–19 minutes of treatment management). The device-supply codes (98975, 98977, 98985) need a device that meets the FDA definition of a medical device; MotionSole is not such a device, so a practice using it would plan on the treatment-management codes. Read this section again: How gait monitoring fits into clinical reimbursement →

  8. 8. During the 90-day global period after a total knee or hip replacement, who can bill monthly RTM codes — and does MotionSole itself bill anything?

    A surgeon cannot bill RTM inside their own 90-day global surgical package; post-op RTM during that window is billed by the treating physical therapist or an independent non-global clinic under its own NPI and payer rules. MotionSole is an informational measurement tool and bills nothing. Read this section again: How gait monitoring fits into clinical reimbursement →

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