Department of Computer and Information Sciences, Northumbria University, Newcastle upon Tyne, UK.
Department of Engineering Science, University of Oxford, Oxford, UK.
J Med Syst. 2022 Oct 6;46(11):76. doi: 10.1007/s10916-022-01857-5.
Musculoskeletal and neurological disorders are the most common causes of walking problems among older people, and they often lead to diminished quality of life. Analyzing walking motion data manually requires trained professionals and the evaluations may not always be objective. To facilitate early diagnosis, recent deep learning-based methods have shown promising results for automated analysis, which can discover patterns that have not been found in traditional machine learning methods. We observe that existing work mostly applies deep learning on individual joint features such as the time series of joint positions. Due to the challenge of discovering inter-joint features such as the distance between feet (i.e. the stride width) from generally smaller-scale medical datasets, these methods usually perform sub-optimally. As a result, we propose a solution that explicitly takes both individual joint features and inter-joint features as input, relieving the system from the need of discovering more complicated features from small data. Due to the distinctive nature of the two types of features, we introduce a two-stream framework, with one stream learning from the time series of joint position and the other from the time series of relative joint displacement. We further develop a mid-layer fusion module to combine the discovered patterns in these two streams for diagnosis, which results in a complementary representation of the data for better prediction performance. We validate our system with a benchmark dataset of 3D skeleton motion that involves 45 patients with musculoskeletal and neurological disorders, and achieve a prediction accuracy of 95.56%, outperforming state-of-the-art methods.
肌肉骨骼和神经系统疾病是老年人行走问题最常见的原因,它们常常导致生活质量下降。手动分析行走运动数据需要经过培训的专业人员,并且评估结果并不总是客观的。为了促进早期诊断,最近基于深度学习的方法已经在自动分析方面取得了有希望的结果,这些方法可以发现传统机器学习方法中未发现的模式。我们观察到,现有的工作大多将深度学习应用于个体关节特征,例如关节位置的时间序列。由于从一般规模较小的医疗数据集发现关节之间的特征(例如脚部之间的距离(即步幅))的挑战,这些方法通常表现不佳。因此,我们提出了一种解决方案,该解决方案明确将个体关节特征和关节之间的特征作为输入,从而使系统无需从小数据中发现更复杂的特征。由于这两种类型的特征具有独特的性质,我们引入了一个双流框架,其中一个流从关节位置的时间序列中学习,另一个流从相对关节位移的时间序列中学习。我们进一步开发了一个中层融合模块,用于组合这两个流中发现的模式以进行诊断,从而为更好的预测性能提供了数据的互补表示。我们使用涉及 45 名肌肉骨骼和神经系统疾病患者的 3D 骨骼运动基准数据集验证了我们的系统,预测准确率达到 95.56%,优于最先进的方法。