IEEE Trans Neural Syst Rehabil Eng. 2024;32:1916-1925. doi: 10.1109/TNSRE.2024.3400790. Epub 2024 May 17.
Physical therapists play a crucial role in guiding patients through effective and safe rehabilitation processes according to medical guidelines. However, due to the therapist-patient imbalance, it is neither economical nor feasible for therapists to provide guidance to every patient during recovery sessions. Automated assessment of physical rehabilitation can help with this problem, but accurately quantifying patients' training movements and providing meaningful feedback poses a challenge. In this paper, an Expert-knowledge-based Graph Convolutional approach is proposed to automate the assessment of the quality of physical rehabilitation exercises. This approach utilizes experts' knowledge to improve the spatial feature extraction ability of the Graph Convolutional module and a Gated pooling module for feature aggregation. Additionally, a Transformer module is employed to capture long-range temporal dependencies in the movements. The attention scores and weight matrix obtained through this approach can serve as interpretability tools to help therapists understand the assessment model and assist patients in improving their exercises. The effectiveness of the proposed method is verified on the KIMORE dataset, achieving state-of-the-art performance compared to existing models. Experimental results also illustrate the interpretability of the method in both spatial and temporal dimensions.
物理治疗师根据医疗指南在指导患者进行有效和安全的康复过程中发挥着至关重要的作用。然而,由于治疗师与患者之间的不平衡,治疗师在康复期间为每个患者提供指导既不经济也不可行。自动化的物理康复评估可以帮助解决这个问题,但准确量化患者的训练动作并提供有意义的反馈是具有挑战性的。在本文中,提出了一种基于专家知识的图卷积方法来自动评估物理康复运动的质量。该方法利用专家的知识来提高图卷积模块的空间特征提取能力和用于特征聚合的门控池化模块。此外,还采用了 Transformer 模块来捕捉动作中的长程时间依赖关系。通过该方法获得的注意力得分和权重矩阵可以作为可解释性工具,帮助治疗师理解评估模型,并帮助患者改进他们的运动。所提出的方法在 KIMORE 数据集上进行了有效性验证,与现有模型相比,达到了最先进的性能。实验结果还说明了该方法在空间和时间维度上的可解释性。