PMID- 36298311 OWN - NLM STAT- MEDLINE DCOM- 20221028 LR - 20221030 IS - 1424-8220 (Electronic) IS - 1424-8220 (Linking) VI - 22 IP - 20 DP - 2022 Oct 19 TI - Computer Vision and Machine Learning-Based Gait Pattern Recognition for Flat Fall Prediction. LID - 10.3390/s22207960 [doi] LID - 7960 AB - BACKGROUND: Gait recognition has been applied in the prediction of the probability of elderly flat ground fall, functional evaluation during rehabilitation, and the training of patients with lower extremity motor dysfunction. Gait distinguishing between seemingly similar kinematic patterns associated with different pathological entities is a challenge for the clinician. How to realize automatic identification and judgment of abnormal gait is a significant challenge in clinical practice. The long-term goal of our study is to develop a gait recognition computer vision system using artificial intelligence (AI) and machine learning (ML) computing. This study aims to find an optimal ML algorithm using computer vision techniques and measure variables from lower limbs to classify gait patterns in healthy people. The purpose of this study is to determine the feasibility of computer vision and machine learning (ML) computing in discriminating different gait patterns associated with flat-ground falls. METHODS: We used the Kinect((R)) Motion system to capture the spatiotemporal gait data from seven healthy subjects in three walking trials, including normal gait, pelvic-obliquity-gait, and knee-hyperextension-gait walking. Four different classification methods including convolutional neural network (CNN), support vector machine (SVM), K-nearest neighbors (KNN), and long short-term memory (LSTM) neural networks were used to automatically classify three gait patterns. Overall, 750 sets of data were collected, and the dataset was divided into 80% for algorithm training and 20% for evaluation. RESULTS: The SVM and KNN had a higher accuracy than CNN and LSTM. The SVM (94.9 +/- 3.36%) had the highest accuracy in the classification of gait patterns, followed by KNN (94.0 +/- 4.22%). The accuracy of CNN was 87.6 +/- 7.50% and that of LSTM 83.6 +/- 5.35%. CONCLUSIONS: This study revealed that the proposed AI machine learning (ML) techniques can be used to design gait biometric systems and machine vision for gait pattern recognition. Potentially, this method can be used to remotely evaluate elderly patients and help clinicians make decisions regarding disposition, follow-up, and treatment. FAU - Chen, Biao AU - Chen B AD - State Key Laboratory of Mechanical System and Vibration, Shanghai Jiao Tong University, Shanghai 200240, China. FAU - Chen, Chaoyang AU - Chen C AD - Orthopaedic Surgery and Sports Medicine, Detroit Medical Center, Detroit, MI 48201, USA. FAU - Hu, Jie AU - Hu J AD - State Key Laboratory of Mechanical System and Vibration, Shanghai Jiao Tong University, Shanghai 200240, China. FAU - Sayeed, Zain AU - Sayeed Z AD - Orthopaedic Surgery and Sports Medicine, Detroit Medical Center, Detroit, MI 48201, USA. FAU - Qi, Jin AU - Qi J AUID- ORCID: 0000-0002-4085-5041 AD - State Key Laboratory of Mechanical System and Vibration, Shanghai Jiao Tong University, Shanghai 200240, China. FAU - Darwiche, Hussein F AU - Darwiche HF AD - Orthopaedic Surgery and Sports Medicine, Detroit Medical Center, Detroit, MI 48201, USA. FAU - Little, Bryan E AU - Little BE AD - Orthopaedic Surgery and Sports Medicine, Detroit Medical Center, Detroit, MI 48201, USA. FAU - Lou, Shenna AU - Lou S AD - South Texas Health System-McAllen Department of Trauma, McAllen, TX 78503, USA. FAU - Darwish, Muhammad AU - Darwish M AD - South Texas Health System-McAllen Department of Trauma, McAllen, TX 78503, USA. FAU - Foote, Christopher AU - Foote C AD - South Texas Health System-McAllen Department of Trauma, McAllen, TX 78503, USA. FAU - Palacio-Lascano, Carlos AU - Palacio-Lascano C AD - South Texas Health System-McAllen Department of Trauma, McAllen, TX 78503, USA. LA - eng PT - Journal Article DEP - 20221019 PL - Switzerland TA - Sensors (Basel) JT - Sensors (Basel, Switzerland) JID - 101204366 SB - IM MH - Humans MH - Aged MH - *Artificial Intelligence MH - *Gait MH - Support Vector Machine MH - Machine Learning MH - Computers PMC - PMC9612353 OTO - NOTNLM OT - convolutional neural network OT - fall recognition OT - gait OT - k nearest neighbor OT - long short-time memory OT - machine learning OT - pattern recognition OT - support vector machine COIS- The authors declare no conflict of interest. EDAT- 2022/10/28 06:00 MHDA- 2022/10/29 06:00 PMCR- 2022/10/19 CRDT- 2022/10/27 01:56 PHST- 2022/09/21 00:00 [received] PHST- 2022/10/12 00:00 [revised] PHST- 2022/10/14 00:00 [accepted] PHST- 2022/10/27 01:56 [entrez] PHST- 2022/10/28 06:00 [pubmed] PHST- 2022/10/29 06:00 [medline] PHST- 2022/10/19 00:00 [pmc-release] AID - s22207960 [pii] AID - sensors-22-07960 [pii] AID - 10.3390/s22207960 [doi] PST - epublish SO - Sensors (Basel). 2022 Oct 19;22(20):7960. doi: 10.3390/s22207960.