Mo Jieyi, Xiong Qiliang, Chen Ying, Liu Yuan, Wu Xiaoying, Xiao Nong, Hou Wensheng
Department of Biomedical Engineering, Nanchang Hangkong University, Jiangxi, China.
Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China.
Biomed Eng Online. 2025 Apr 2;24(1):39. doi: 10.1186/s12938-025-01360-1.
Hands-and-knees crawling is a promising rehabilitation intervention for infants with motor impairments, while research on assistive crawling devices for rehabilitation training was still in its early stages. In particular, precisely generating motion trajectories is a prerequisite to controlling exoskeleton assistive devices, and deep learning-based prediction algorithms, such as Long-Short-Term Memory (LSTM) networks, have proven effective in forecasting joint trajectories of gait. Despite this, no previous studies have focused on forecasting the more variable and complex trajectories of infant crawling. Therefore, this paper aims to explore the feasibility of using LSTM networks to predict crawling trajectories, thereby advancing our understanding of how to actively control crawling rehabilitation training robots.
We collected joint trajectory data from 20 healthy infants (11 males and 9 females, aged 8-15 months) as they crawled on hands and knees. This study implemented LSTM networks to forecast bilateral elbow and knee trajectories based on corresponding joint angles. The data set comprised 58, 782 time steps, each containing 4 joint angles. We partitioned the data set into 70% for training and 30% for testing to evaluate predictive performance. We investigated a total of 24 combinations of input and output time-frames, with window sizes for input vectors ranging from 10, 15, 20, 30, 40, 50, 70, and 100 time steps, and output vectors from 5, 10, and 15 steps. Evaluation metrics included Mean Absolute Error (MAE), Mean Squared Error (MSE), and Correlation Coefficient (CC) to assess prediction accuracy.
The results indicate that across various input-output windows, the MAE for elbow joints ranged from 0.280 to 4.976°, MSE ranged from 0.203° to 59.186°, and CC ranged from 89.977% to 99.959%. For knee joints, MAE ranged from 0.277 to 4.262°, MSE from 0.229 to 53.272°, and CC from 89.454% to 99.944%. Results also show that smaller output window sizes lead to lower prediction errors. As expected, the LSTM predicting 5 output time steps has the lowest average error, while the LSTM predicting 15 time steps has the highest average error. In addition, variations in input window size had a minimal impact on average error when the output window size was fixed. Overall, the optimal performance for both elbow and knee joints was observed with input-output window sizes of 30 and 5 time steps, respectively, yielding an MAE of 0.295°, MSE of 0.260°, and CC of 99.938%.
This study demonstrates the feasibility of forecasting infant crawling trajectories using LSTM networks, which could potentially integrate with exoskeleton control systems. It experimentally explores how different input and output time-frames affect prediction accuracy and sets the stage for future research focused on optimizing models and developing effective control strategies to improve assistive crawling devices.
手膝爬行对运动功能受损的婴儿来说是一种很有前景的康复干预方式,而针对康复训练的辅助爬行设备的研究仍处于早期阶段。特别是,精确生成运动轨迹是控制外骨骼辅助设备的前提条件,基于深度学习的预测算法,如长短期记忆(LSTM)网络,已被证明在预测步态关节轨迹方面是有效的。尽管如此,以前尚无研究关注预测婴儿爬行中更具变化性和复杂性的轨迹。因此,本文旨在探讨使用LSTM网络预测爬行轨迹的可行性,从而增进我们对如何主动控制爬行康复训练机器人的理解。
我们收集了20名健康婴儿(11名男性和9名女性,年龄在8至15个月之间)手膝爬行时的关节轨迹数据。本研究采用LSTM网络,根据相应的关节角度预测双侧肘部和膝部轨迹。数据集包含58782个时间步长,每个时间步长包含4个关节角度。我们将数据集划分为70%用于训练,30%用于测试,以评估预测性能。我们总共研究了24种输入和输出时间框架的组合,输入向量的窗口大小范围为10、15、20、30、40、50、70和100个时间步长,输出向量的窗口大小为5、10和15个时间步长。评估指标包括平均绝对误差(MAE)、均方误差(MSE)和相关系数(CC),以评估预测准确性。
结果表明,在各种输入 - 输出窗口中,肘关节的MAE范围为0.280至4.976°,MSE范围为0.203°至59.186°,CC范围为89.977%至99.959%。对于膝关节,MAE范围为0.277至4.262°,MSE范围为0.229至53.272°,CC范围为89.454%至99.944%。结果还表明,较小的输出窗口大小会导致较低的预测误差。正如预期的那样,预测5个输出时间步长的LSTM平均误差最低,而预测15个时间步长的LSTM平均误差最高。此外,当输出窗口大小固定时,输入窗口大小的变化对平均误差影响最小。总体而言,肘关节和膝关节的最佳性能分别在输入 - 输出窗口大小为30和5个时间步长时观察到,MAE为0.295°,MSE为0.260°,CC为99.938%。
本研究证明了使用LSTM网络预测婴儿爬行轨迹的可行性,这可能会与外骨骼控制系统集成。它通过实验探索了不同的输入和输出时间框架如何影响预测准确性,并为未来专注于优化模型和开发有效控制策略以改进辅助爬行设备的研究奠定了基础。