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  4. Ecological validity of a deep learning algorithm to detect gait events from real-life walking bouts in mobility-limiting diseases
 
research article

Ecological validity of a deep learning algorithm to detect gait events from real-life walking bouts in mobility-limiting diseases

Romijnders, Robbin
•
Salis, Francesca
•
Hansen, Clint
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October 16, 2023
Frontiers In Neurology

Introduction: The clinical assessment of mobility, and walking specifically, is still mainly based on functional tests that lack ecological validity. Thanks to inertial measurement units (IMUs), gait analysis is shifting to unsupervised monitoring in naturalistic and unconstrained settings. However, the extraction of clinically relevant gait parameters from IMU data often depends on heuristics-based algorithms that rely on empirically determined thresholds. These were mainly validated on small cohorts in supervised settings.Methods: Here, a deep learning (DL) algorithm was developed and validated for gait event detection in a heterogeneous population of different mobility-limiting disease cohorts and a cohort of healthy adults. Participants wore pressure insoles and IMUs on both feet for 2.5 h in their habitual environment. The raw accelerometer and gyroscope data from both feet were used as input to a deep convolutional neural network, while reference timings for gait events were based on the combined IMU and pressure insoles data.Results and discussion: The results showed a high-detection performance for initial contacts (ICs) (recall: 98%, precision: 96%) and final contacts (FCs) (recall: 99%, precision: 94%) and a maximum median time error of -0.02 s for ICs and 0.03 s for FCs. Subsequently derived temporal gait parameters were in good agreement with a pressure insoles-based reference with a maximum mean difference of 0.07, -0.07, and <0.01 s for stance, swing, and stride time, respectively. Thus, the DL algorithm is considered successful in detecting gait events in ecologically valid environments across different mobility-limiting diseases.

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Type
research article
DOI
10.3389/fneur.2023.1247532
Web of Science ID

WOS:001098128000001

Author(s)
Romijnders, Robbin
Salis, Francesca
Hansen, Clint
Kuederle, Arne
Paraschiv-Ionescu, Anisoara  
Cereatti, Andrea
Alcock, Lisa
Aminian, Kamiar  
Becker, Clemens
Bertuletti, Stefano
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Corporate authors
Mobilise D Consortium
Date Issued

2023-10-16

Publisher

Frontiers Media Sa

Published in
Frontiers In Neurology
Volume

14

Article Number

1247532

Subjects

Life Sciences & Biomedicine

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Deep Learning (Artificial Intelligence)

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Free-Living

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Gait Analysis

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Gait Events Detection

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Inertial Measurement Unit (Imu)

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Mobility

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

FunderGrant Number

Land Schleswig-Holstein within the funding program Open Access Publikationsfonds

820820

Innovative Medicines Initiative 2 Joint Undertaking (JU)

European Unionapos;s Horizon 2020 research and innovation program

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Available on Infoscience
February 19, 2024
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/204175
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