PSA-FL-CDM: A Novel Federated Learning-Based Consensus Model for Post-Stroke Assessment.

The rapid development of Internet of Things (IoT) technologies and the potential benefits of employing the vast datasets generated by IoT devices, including wearable sensors and camera systems, has ushered in a new era of opportunities for enhancing smart rehabilitation in various healthcare systems. Maintaining patient privacy is paramount in healthcare while providing smart insights and recommendations. This study proposed the adoption of federated learning to develop a scalable AI model for post-stroke assessment while protecting patients' privacy. This research compares the centralized (PSA-MNMF) model performance with the proposed scalable federated PSA-FL-CDM model for sensor- and camera-based datasets. The computational time indicates that the federated PSA-FL-CDM model significantly reduces the execution time and attains comparable performance while preserving the patient's privacy. -This research introduces groundbreaking contributions to stroke assessment by successfully implementing federated learning for the first time in this domain and applying consensus models in each node. It enables collaborative model training among multiple nodes or clients while ensuring the privacy of raw data. The study explores eight different clustering methods independently on each node, revolutionizing data organization based on similarities in stroke assessment. Additionally, the research applies the centralized PSA-MNMF consensus clustering technique to each client, resulting in more accurate and robust clustering solutions. By utilizing the FedAvg federated learning algorithm strategy, locally trained models are combined to create a global model that captures the collective knowledge of all participants. Comparative performance measurements and computational time analyses are conducted, facilitating a fair evaluation between centralized and federated learning models in stroke assessment. Moreover, the research extends beyond a single type of database by conducting experiments on two distinct datasets, wearable and camera-based, broadening the understanding of the proposed methods across different data modalities. These contributions develop stroke assessment methodologies, enabling efficient collaboration and accurate consensus clustering models and maintaining data privacy.