gait analysis
Motion2Meaning: A Clinician-Centered Framework for Contestable LLM in Parkinson's Disease Gait Interpretation
Nguyen, Loc Phuc Truong, Do, Hung Thanh, Nguyen, Hung Truong Thanh, Cao, Hung
AI-assisted gait analysis holds promise for improving Parkinson's Disease (PD) care, but current clinical dashboards lack transparency and offer no meaningful way for clinicians to interrogate or contest AI decisions. To address this issue, we present Motion2Meaning, a clinician-centered framework that advances Contestable AI through a tightly integrated interface designed for interpretability, oversight, and procedural recourse. Our approach leverages vertical Ground Reaction Force (vGRF) time-series data from wearable sensors as an objective biomarker of PD motor states. The system comprises three key components: a Gait Data Visualization Interface (GDVI), a one-dimensional Convolutional Neural Network (1D-CNN) that predicts Hoehn & Yahr severity stages, and a Contestable Interpretation Interface (CII) that combines our novel Cross-Modal Explanation Discrepancy (XMED) safeguard with a contestable Large Language Model (LLM). Our 1D-CNN achieves 89.0% F1-score on the public PhysioNet gait dataset. XMED successfully identifies model unreliability by detecting a five-fold increase in explanation discrepancies in incorrect predictions (7.45%) compared to correct ones (1.56%), while our LLM-powered interface enables clinicians to validate correct predictions and successfully contest a portion of the model's errors. A human-centered evaluation of this contestable interface reveals a crucial trade-off between the LLM's factual grounding and its readability and responsiveness to clinical feedback. This work demonstrates the feasibility of combining wearable sensor analysis with Explainable AI (XAI) and contestable LLMs to create a transparent, auditable system for PD gait interpretation that maintains clinical oversight while leveraging advanced AI capabilities. Our implementation is publicly available at: https://github.com/hungdothanh/motion2meaning.
Dual-Path Region-Guided Attention Network for Ground Reaction Force and Moment Regression
Accurate estimation of three-dimensional ground reaction forces and moments (GRFs/GRMs) is crucial for both biomechanics research and clinical rehabilitation evaluation. In this study, we focus on insole-based GRF/GRM estimation and further validate our approach on a public walking dataset. We propose a Dual-Path Region-Guided Attention Network that integrates anatomy-inspired spatial priors and temporal priors into a region-level attention mechanism, while a complementary path captures context from the full sensor field. The two paths are trained jointly and their outputs are combined to produce the final GRF/GRM predictions. Conclusions: Our model outperforms strong baseline models, including CNN and CNN-LSTM architectures on two datasets, achieving the lowest six-component average NRMSE of 5.78% on the insole dataset and 1.42% for the vertical ground reaction force on the public dataset. This demonstrates robust performance for ground reaction force and moment estimation.
Explainable Parkinsons Disease Gait Recognition Using Multimodal RGB-D Fusion and Large Language Models
Alnaasan, Manar, Sarowar, Md Selim, Kim, Sungho
Accurate and interpretable gait analysis plays a crucial role in the early detection of Parkinsons disease (PD),yet most existing approaches remain limited by single-modality inputs, low robustness, and a lack of clinical transparency. This paper presents an explainable multimodal framework that integrates RGB and Depth (RGB-D) data to recognize Parkinsonian gait patterns under realistic conditions. The proposed system employs dual YOLOv11-based encoders for modality-specific feature extraction, followed by a Multi-Scale Local-Global Extraction (MLGE) module and a Cross-Spatial Neck Fusion mechanism to enhance spatial-temporal representation. This design captures both fine-grained limb motion (e.g., reduced arm swing) and overall gait dynamics (e.g., short stride or turning difficulty), even in challenging scenarios such as low lighting or occlusion caused by clothing. To ensure interpretability, a frozen Large Language Model (LLM) is incorporated to translate fused visual embeddings and structured metadata into clinically meaningful textual explanations. Experimental evaluations on multimodal gait datasets demonstrate that the proposed RGB-D fusion framework achieves higher recognition accuracy, improved robustness to environmental variations, and clear visual-linguistic reasoning compared with single-input baselines. By combining multimodal feature learning with language-based interpretability, this study bridges the gap between visual recognition and clinical understanding, offering a novel vision-language paradigm for reliable and explainable Parkinsons disease gait analysis. Code:https://github.com/manaralnaasan/RGB-D_parkinson-LLM
Conditional Generative Adversarial Networks Based Inertial Signal Translation
The paper presents an approach in which inertial signals measured with a wrist-worn sensor (e.g., a smartwatch) are translated into those that would be recorded using a shoe-mounted sensor, enabling the use of state-of-the-art gait analysis methods. In the study, the signals are translated using Conditional Generative Adversarial Networks (GANs). Two different GAN versions are used for experimental verification: traditional ones trained using binary cross-entropy loss and Wasserstein GANs (WGANs). For the generator, two architectures, a convolutional autoencoder, and a convolutional U-Net, are tested. The experiment results have shown that the proposed approach allows for an accurate translation, enabling the use of wrist sensor inertial signals for efficient, every-day gait analysis.
ProGait: A Multi-Purpose Video Dataset and Benchmark for Transfemoral Prosthesis Users
Yin, Xiangyu, Yang, Boyuan, Liu, Weichen, Xue, Qiyao, Alamri, Abrar, Fiedler, Goeran, Gao, Wei
Prosthetic legs play a pivotal role in clinical rehabilitation, allowing individuals with lower-limb amputations the ability to regain mobility and improve their quality of life. Gait analysis is fundamental for optimizing prosthesis design and alignment, directly impacting the mobility and life quality of individuals with lower-limb amputations. Vision-based machine learning (ML) methods offer a scalable and non-invasive solution to gait analysis, but face challenges in correctly detecting and analyzing prosthesis, due to their unique appearances and new movement patterns. In this paper, we aim to bridge this gap by introducing a multi-purpose dataset, namely ProGait, to support multiple vision tasks including Video Object Segmentation, 2D Human Pose Estimation, and Gait Analysis (GA). ProGait provides 412 video clips from four above-knee amputees when testing multiple newly-fitted prosthetic legs through walking trials, and depicts the presence, contours, poses, and gait patterns of human subjects with transfemoral prosthetic legs. Alongside the dataset itself, we also present benchmark tasks and fine-tuned baseline models to illustrate the practical application and performance of the ProGait dataset. W e compared our baseline models against pre-trained vision models, demonstrating improved generalizability when applying the ProGait dataset for prosthesis-specific tasks. Our code is available at https://github.com/pittisl/ProGait
Canine Clinical Gait Analysis for Orthopedic and Neurological Disorders: An Inertial Deep-Learning Approach
Palez, Netta, Straß, Léonie, Meller, Sebastian, Volk, Holger, Zamansky, Anna, Klein, Itzik
Canine gait analysis using wearable inertial sensors is gaining attention in veterinary clinical settings, as it provides valuable insights into a range of mobility impairments. Neurological and orthopedic conditions cannot always be easily distinguished even by experienced clinicians. The current study explored and developed a deep learning approach using inertial sensor readings to assess whether neurological and orthopedic gait could facilitate gait analysis. Our investigation focused on optimizing both performance and generalizability in distinguishing between these gait abnormalities. Variations in sensor configurations, assessment protocols, and enhancements to deep learning model architectures were further suggested. Using a dataset of 29 dogs, our proposed approach achieved 96% accuracy in the multiclass classification task (healthy/orthopedic/neurological) and 82% accuracy in the binary classification task (healthy/non-healthy) when generalizing to unseen dogs. Our results demonstrate the potential of inertial-based deep learning models to serve as a practical and objective diagnostic and clinical aid to differentiate gait assessment in orthopedic and neurological conditions.
OptiGait-LGBM: An Efficient Approach of Gait-based Person Re-identification in Non-Overlapping Regions
Chowdhury, Md. Sakib Hassan, Ahamed, Md. Hafiz, Paul, Bishowjit, Abhi, Sarafat Hussain, Siddique, Abu Bakar, Sany, Md. Robius
Gait recognition, known for its ability to identify individuals from a distance, has gained significant attention in recent times due to its non-intrusive verification. While video-based gait identification systems perform well on large public datasets, their performance drops when applied to real-world, unconstrained gait data due to various factors. Among these, uncontrolled outdoor environments, non-overlapping camera views, varying illumination, and computational efficiency are core challenges in gait-based authentication. Currently, no dataset addresses all these challenges simultaneously. In this paper, we propose an OptiGait-LGBM model capable of recognizing person re-identification under these constraints using a skeletal model approach, which helps mitigate inconsistencies in a person's appearance. The model constructs a dataset from landmark positions, minimizing memory usage by using non-sequential data. A benchmark dataset, RUET-GAIT, is introduced to represent uncontrolled gait sequences in complex outdoor environments. The process involves extracting skeletal joint landmarks, generating numerical datasets, and developing an OptiGait-LGBM gait classification model. Our aim is to address the aforementioned challenges with minimal computational cost compared to existing methods. A comparative analysis with ensemble techniques such as Random Forest and CatBoost demonstrates that the proposed approach outperforms them in terms of accuracy, memory usage, and training time. This method provides a novel, low-cost, and memory-efficient video-based gait recognition solution for real-world scenarios.
A Methodological and Structural Review of Parkinsons Disease Detection Across Diverse Data Modalities
Miah, Abu Saleh Musa, Suzuki, taro, Shin, Jungpil
Parkinsons Disease (PD) is a progressive neurological disorder that primarily affects motor functions and can lead to mild cognitive impairment (MCI) and dementia in its advanced stages. With approximately 10 million people diagnosed globally 1 to 1.8 per 1,000 individuals, according to reports by the Japan Times and the Parkinson Foundation early and accurate diagnosis of PD is crucial for improving patient outcomes. While numerous studies have utilized machine learning (ML) and deep learning (DL) techniques for PD recognition, existing surveys are limited in scope, often focusing on single data modalities and failing to capture the potential of multimodal approaches. To address these gaps, this study presents a comprehensive review of PD recognition systems across diverse data modalities, including Magnetic Resonance Imaging (MRI), gait-based pose analysis, gait sensory data, handwriting analysis, speech test data, Electroencephalography (EEG), and multimodal fusion techniques. Based on over 347 articles from leading scientific databases, this review examines key aspects such as data collection methods, settings, feature representations, and system performance, with a focus on recognition accuracy and robustness. This survey aims to serve as a comprehensive resource for researchers, providing actionable guidance for the development of next generation PD recognition systems. By leveraging diverse data modalities and cutting-edge machine learning paradigms, this work contributes to advancing the state of PD diagnostics and improving patient care through innovative, multimodal approaches.