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Machine Learning Based Analytics for the Significance of Gait Analysis in Monitoring and Managing Lower Extremity Injuries

2023-09-27 · Mostafa Rezapour, Rachel B. Seymour, Stephen H. Sims, Madhav A. Karunakar, Nahir Habet, Metin Nafi Gurcan

This study explored the potential of gait analysis as a tool for assessing post-injury complications, e.g., infection, malunion, or hardware irritation, in patients with lower extremity fractures. The research focused on the proficiency of supervised machine learning models predicting complications using consecutive gait datasets. We identified patients with lower extremity fractures at an academic center. Patients underwent gait analysis with a chest-mounted IMU device. Using software, raw gait data was preprocessed, emphasizing 12 essential gait variables. Machine learning models including XGBoost, Logistic Regression, SVM, LightGBM, and Random Forest were trained, tested, and evaluated. Attention was given to class imbalance, addressed using SMOTE. We introduced a methodology to compute the Rate of Change (ROC) for gait variables, independent of the time difference between gait analyses. XGBoost was the optimal model both before and after applying SMOTE. Prior to SMOTE, the model achieved an average test AUC of 0.90 (95% CI: [0.79, 1.00]) and test accuracy of 86% (95% CI: [75%, 97%]). Feature importance analysis attributed importance to the duration between injury and gait analysis. Data patterns showed early physiological compensations, followed by stabilization phases, emphasizing prompt gait analysis. This study underscores the potential of machine learning, particularly XGBoost, in gait analysis for orthopedic care. Predicting post-injury complications, early gait assessment becomes vital, revealing intervention points. The findings support a shift in orthopedics towards a data-informed approach, enhancing patient outcomes.

📄 PDF Abstract BibTeX arXiv:2309.15990

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Feature Importance

Methods 이 논문이 사용한 방법론

SVM A Support Vector Machine, or SVM, is a non-parametric supervised learning model. For non-linear classification and regression, they utilise the kernel trick to map inputs…
SMOTE Perhaps the most widely used approach to synthesizing new examples is called the Synthetic Minority Oversampling Technique, or SMOTE for short. This technique was described by…
Logistic Regression Logistic Regression, despite its name, is a linear model for classification rather than regression. Logistic regression is also known in the literature as logit regression,…

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