Gait analysis using wearable wireless sensors can be an economical, convenient and effective way to provide diagnostic and clinical information for various health-related issues. In this work, our custom designed low-cost wireless gait analysis sensor that contains a basic inertial measurement unit (IMU) was used to collect the gait data for four patients diagnosed with balance disorders and additionally three normal subjects, each performing the Dynamic Gait Index (DGI) tests while wearing the custom wireless gait analysis sensor (WGAS). The small WGAS includes a tri-axial accelerometer integrated circuit (IC), two gyroscopes ICs and a Texas Instruments (TI) MSP430 microcontroller and is worn by each subject at the T4 position during the DGI tests. The raw gait data are wirelessly transmitted from the WGAS to a near-by PC for real-time gait data collection and analysis. In order to perform successful classification of patients vs. normal subjects, we used several different classification algorithms, such as the back propagation artificial neural network (BP-ANN), support vector machine (SVM), k-nearest neighbors (KNN) and binary decision trees (BDT), based on features extracted from the raw gait data of the gyroscopes and accelerometers. When the range was used as the input feature, the overall classification accuracy obtained is 100% with BP-ANN, 98% with SVM, 96% with KNN and 94% using BDT. Similar high classification accuracy results were also achieved when the standard deviation or other values were used as input features to these classifiers. These results show that gait data collected from our very low-cost wearable wireless gait sensor can effectively differentiate patients with balance disorders from normal subjects in real time using various classifiers, the success of which may eventually lead to accurate and objective diagnosis of abnormal human gaits and their underlying etiologies in the future, as more patient data are being collected.
Due to the serious concerns of fall risks for patients with balance disorders, it is desirable to be able to objectively identify these patients in real-time dynamic gait testing using inexpensive wearable sensors. In this work, the authors took a total of 49 gait tests from 7 human subjects (3 normal subjects and 4 patients), where each person performed 7 Dynamic Gait Index (DGI) tests by wearing a wireless gait sensor on the T4 thoracic vertebra. The raw gait data is wirelessly transmitted to a near-by PC for real-time gait data collection. To objectively identify the patients from the gait data, the authors used 4 different types of Support Vector Machine (SVM) classifiers based on the 6 features extracted from the raw gait data: Linear SVM, Quadratic SVM, Cubic SVM, and Gaussian SVM. The Linear SVM, Quadratic SVM and Cubic SVM all achieved impressive 98% classification accuracy, with 95.2% sensitivity and 100% specificity in this work. However, the Gaussian SVM classifier only achieved 87.8% accuracy, 71.7% sensitivity, and 100% specificity. The results obtained with this small number of human subjects indicates that in the near future, the authors should be able to objectively identify balance-disorder patients from normal subjects during real-time dynamic gaits testing using intelligent SVM classifiers.
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