Sensors (Basel, Switzerland) | 2024 | Mason R, Celik Y, Barry G, Godfrey A
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[Indexed for MEDLINE] Conflict of interest statement: The authors declare no conflicts of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of the data; in the writing of the manuscript; or in the decision to publish the results. 16. Gait Posture. 2022 May;94:210-216. doi: 10.1016/j.gaitpost.2022.03.007. Epub 2022 Mar 26. Pathological gait clustering in post-stroke patients using motion capture data. Kim H(1), Kim YH(2), Kim SJ(3), Choi MT(4). Author information: (1)School of Mechanical Engineering Sungkyunkwan University, Suwon, Republic of Korea. Electronic address: gudxo1229@g.skku.edu. (2)Department of Physical and Rehabilitation Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. Electronic address: yun1225.kim@samsung.com. (3)Department of Biomedical Engineering, College of Medicine, Korea University, Seoul, Republic of Korea. Electronic address: sjkim586@korea.ac.kr. (4)School of Mechanical Engineering Sungkyunkwan University, Suwon, Republic of Korea. Electronic address: mtchoi@skku.edu. BACKGROUND: Analyzing the complex gait patterns of post-stroke patients with lower limb paralysis is essential for rehabilitation. RESEARCH QUESTION: Is it feasible to use the full joint-level kinematic features extracted from the motion capture data of patients directly to identify the optimal gait types that ensure high classification performance? METHODS: In this study, kinematic features were extracted from 111 gait cycle data on joint angles, and angular velocities of 36 post-stroke patients were collected eight times over six months using a motion capture system. Simultaneous clustering and classification were applied to determine the optimal gait types for reliable classification performance. RESULTS: In the given dataset, six optimal gait groups were identified, and the clustering and classification performances were denoted by a silhouette coefficient of 0.1447 and F1 score of 1.0000, respectively. SIGNIFICANCE: There is no distinct clinical classification of post-stroke hemiplegic gaits. However, in contrast to previous studies, more optimal gait types with a high classification performance fully utilizing the kinematic features were identified in this study. Copyright © 2022. Published by Elsevier B.V. DOI: 10.1016/j.gaitpost.2022.03.007
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