A support vector machine approach to detect trans-tibial prosthetic misalignment using 3-Dimensional ground reaction force features: A proof of concept.

Background: Prosthetists conventionally evaluate alignment based on visual interpretation of patients' gait, which is convenient, but largely subjective and depends on prosthetists' experience.Objective: In this paper, we explore the feasibility of using a support vector machine (SVM) approach to au...

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Publicado en:Technology & Health Care Vol. 26; no. 4; pp. 715 - 722
Autores principales: Zhang, Xueyi, Liu, Zhicheng, Fiedler, Goeran, Cao, Zhe
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2018
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: A support vector machine approach to detect trans-tibial prosthetic misalignment using 3-Dimensional ground reaction force features: A proof of concept.
      aug:
        au:
          Zhang, Xueyi
          Liu, Zhicheng
          Fiedler, Goeran
          Cao, Zhe
        affil: School of Biomedical Engineering, Capital Medical University, Beijing, China
      sug:
        subj:
          Amputees
          Limb Prosthesis
          Prosthesis Design
          Tibia Pathology
          Aged
          Gait
          Middle Age
          Kinematics
          Male
          Adult
          Female
          Weight-Bearing
          Human
          Aged: 65+ years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
          Female
      ab: Background: Prosthetists conventionally evaluate alignment based on visual interpretation of patients' gait, which is convenient, but largely subjective and depends on prosthetists' experience.Objective: In this paper, we explore the feasibility of using a support vector machine (SVM) approach to automatically detect misalignment of trans-tibial prostheses through ground reaction force (GRF).Methods: Alternate classification algorithms with varying kernels and feature sets were compared to assess the suitability for detection of a representative misalignment (six degrees of ankle plantar flexion) from normal alignment. A classical feature selection algorithm, Fisher Score, was further introduced to identify valuable features and reduce the dimension of feature sets.Results: The SVMs achieved a detection accuracy of 96.67% at best within the same subject and 88.89%, respectively, for inter-subject. Combined horizontal and vertical components of GRF features provided the maximum detection accuracies. Propulsion peak force was identified as key variable of gait for misalignment prediction.Conclusions: As a proof of concept, the results demonstrate potential in applying this approach to detect prosthetic misalignment based on gait patterns, and is a step towards future developments of tools for early prevention of misalignment in clinical.
      pubtype: Academic Journal
      doctype:
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      ougenre: Article
    language: English
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