Novel Methods of AI-Based Gait Analysis in Post-Stroke Patients

Abstract

Featured Application: Potential applications of the findings presented in this article include low-cost, fast, and simple gait analysis systems for use by primary care physicians, orthopedists, neurologists, and geriatricians, enabling the screening of patients who require a further more accurate gait diagnosis, including as part of preventive medicine. Research on gait function assessment is important not only in terms of the patient’s mobility, but also in terms of the patient’s current and future quality of life, ability to achieve health goals, family life, study and/or work, and participation in society. The main methods used herein include a literature review and an analysis of our own original research and concepts. This study used the historical data of 92 ischemic stroke patients (convenience trial) undergoing two kinds of rehabilitation. An artificial neural network, fractal analysis, and fuzzy analysis were used to analyze the results. Our findings suggest that artificial neural networks, fuzzy logic, and multifractal analysis are useful for building simple, low-cost, and efficient computational tools for gait analysis, especially in post-stroke patients. The novelty lies in the simultaneous application of the three aforementioned technologies to develop a computational model for the analysis of a patient’s post-stroke gait. The contribution of this work consists not only in its proposal of a new and useful clinical tool for gait assessment, even in the most severe post-stroke cases, but also in its attempt to offer a comprehensive computational explanation of observed gait phenomena and mechanisms. We conclude by anticipating more advanced and broader future applications of artificial intelligence (AI) in gait analysis, especially in post-stroke patients.