ABSTRACT
This paper proposes a reliable monitoring scheme that can assist medical specialists in watching over the patient's condition. Although several technologies are traditionally used to acquire motion data of patients, the high costs as well as the large spaces they require make them difficult to be applied in a home context for rehabilitation. A reliable patient monitoring technique, which can automatically record and classify patient movements, is mandatory for a telemedicine protocol. In this paper, a comparison of several state-of-the-art machine learning classifiers is proposed, where stride data are collected by using a smartphone. The main goal is to identify a robust methodology able to assure a suited classification of gait movements, in order to allow the monitoring of patients in time as well as to discriminate among a pathological and physiological gait. Additionally, the advantages of smartphones of being compact, cost-effective and relatively easy to operate make these devices particularly suited for home-based rehabilitation programs. Graphical Abstract. This paper proposes a reliable monitoring scheme that can assist medical specialists in watching over the patient's condition. Although several technologies are traditionally used to acquire motion data of patients, the high costs as well as the large spaces they require make them difficult to be applied in a home context for rehabilitation. A reliable patient monitoring technique, which can automatically record and classify patient movements, is mandatory for a telemedicine protocol. In this paper, a comparison of several state-of-the-art machine learning classifiers is proposed, where stride data are collected and processed by using a smartphone(see figure). The main goal is to identify a robust methodology able to assure a suited classification of gait movements, in order to allow the monitoring of patients in time as well as to discriminate among a pathological and physiological gait. Additionally, the advantages of smartphones of being compact, cost-effective and relatively easy to operate make these devices particularly suited for home-based rehabilitation programs.
Subject(s)
Smartphone , Telemedicine , Gait , Gait Analysis , Humans , Machine LearningABSTRACT
This paper deals with the opportunity of extracting useful information from medical data retrieved directly from a stereophotogrammetric system applied to gait analysis. A feature selection method to exhaustively evaluate all the possible combinations of the gait parameters is presented, in order to find the best subset able to classify among diseased and healthy subjects. This procedure will be used for estimating the performance of widely used classification algorithms, whose performance has been ascertained in many real-world problems with respect to well-known classification benchmarks, both in terms of number of selected features and classification accuracy. Precisely, support vector machine, Naive Bayes and K nearest neighbor classifiers can obtain the lowest classification error, with an accuracy greater than 97 %. For the considered classification problem, the whole set of features will be proved to be redundant and it can be significantly pruned. Namely, groups of 3 or 5 features only are able to preserve high accuracy when the aim is to check the anomaly of a gait. The step length and the swing speed are the most informative features for the gait analysis, but also cadence and stride may add useful information for the movement evaluation.