Evaluating Rehabilitation Progress Using Motion Features Identified by Machine Learning

A novel method for assessing cycling movement status: an exploratory study integrating deep learning and signal processing technologies

This study proposes a deep learning-based motion assessment method that integrates the pose estimation algorithm (Keypoint RCNN) with signal processing techniques, demonstrating its reliability and effectiveness.The reliability and validity of this method were also verified.Twenty college students were recruited to pedal a stationary bike. Inertial sensors and a smartphone simultaneously recorded the participants' cycling movement. Keypoint RCNN(KR) algorithm was used to acquire 2D coordinates of the participants' skeletal keypoints from the recorded movement video. Spearman's rank correlation analysis, intraclass correlation coefficient (ICC), error analysis, and t-test were conducted to compare the consistency of data obtained from the two movement capture systems, including the peak frequency of acceleration, transition time point between movement statuses, and the complexity index average (CIA) of the movement status based on multiscale entropy analysis.The KR algorithm showed excellent consistency (ICC1,3=0.988) between the two methods when estimating the peak acceleration frequency. Both peak acceleration frequencies and CIA metrics estimated by the two methods displayed a strong correlation (r > 0.70) and good agreement (ICC2,1>0.750). Additionally, error values were relatively low (MAE = 0.001 and 0.040, MRE = 0.00% and 7.67%). Results of t-tests showed significant differences (p = 0.003 and 0.030) for various acceleration CIAs, indicating our method could distinguish different movement statuses.The KR algorithm also demonstrated excellent intra-session reliability (ICC = 0.988). Acceleration frequency analysis metrics derived from the KR method can accurately identify transitions among movement statuses. Leveraging the KR algorithm and signal processing techniques, the proposed method is designed for individualized motor function evaluation in home or community-based settings.

Refined matrix completion for spectrum estimation of heart rate variability

Heart rate variability (HRV) is an important metric in cardiovascular health monitoring. Spectral analysis of HRV provides essential insights into the functioning of the cardiac autonomic nervous system. However, data artefacts could degrade signal quality, potentially leading to unreliable assessments of cardiac activities. In this study, we introduced a novel approach for estimating uncertainties in HRV spectrum based on matrix completion. The proposed method utilises the low-rank characteristic of HRV spectrum matrix to efficiently estimate data uncertainties. In addition, we developed a refined matrix completion technique to enhance the estimation accuracy and computational cost. Benchmarking on five public datasets, our model shows effectiveness and reliability in estimating uncertainties in HRV spectrum, and has superior performance against five deep learning models. The results underscore the potential of our developed matrix completion-based statistical machine learning model in providing reliable HRV spectrum uncertainty estimation.

Weak Monotonicity With Trend Analysis for Unsupervised Feature Evaluation

Performance in an engineering system tends to degrade over time due to a variety of wearing or ageing processes. In supervisory controlled processes there are typically many signals being monitored that may help to characterize performance degradation. It is preferred to select the least amount of information to obtain high quality of predictive analysis from a large amount of collected data, in which labeling the data is not always feasible. To this end a novel unsupervised feature selection method, robust with respect to significant measurement disturbances, is proposed using the notion of "weak monotonicity" (WM). The robustness of this notion makes it very attractive to identify the common trend in the presence of measurement noises and population variation from the collected data. Based on WM, a novel suitability indicator is proposed to evaluate the performance of each feature. This new indicator is then used to select the key features that contribute to the WM of a family of processes when noises and variations among processes exist. In order to evaluate the performance of the proposed framework of the WM and suitability, a comparative study with other nine state-of-the-arts unsupervised feature evaluation and selection methods is carried out on well-known benchmark datasets. The results show a promising performance of the proposed framework on unsupervised feature evaluation in the presence of measurement noises and population variations.

The Use of Kinematic Features in Evaluating Upper Limb Motor Function Learning Progress Based on Machine Learning

Evaluating progress throughout a patient's rehabilitation process helps choose effective treatment and formulate personalised and evidence-based rehabilitation interventions. The evaluation process is difficult due to the limitations of current clinical assessments. They lack the ability to reflect sensitive changes continuously throughout the rehabilitation process. Kinematic features have been extracted from individual's movement to address this problem due to their sensitivity and continuity. However, choosing appropriate kinematic features for rehabilitation evaluation has always been challenging. This paper exploits the application of kinematic features to classify movement patterns and movement qualities. 12 kinematic features were firstly extracted from a 7-segment triangle pattern of motion to monitor the learning progress with more numbers of drawing attempts. A statistical analysis was then conducted to compare the selected kinematic features with the clinically validated normalised jerk. Two supervised machine learning models were finally developed to classify movement patterns and movement qualities based on the selected kinematic features. The study was based on data recorded from 14 participants using a single position sensor. 6 kinematic features were able to reflect sensitive changes during the experiment and all kinematic features contributed to the classification tasks. Consistent with the literature, the results indicated that features based on movement velocity were the most beneficial in the classification tasks.

The Use of Machine Learning for Inferencing the Effectiveness of a Rehabilitation Program for Orthopedic and Neurological Patients

Advance assessment of the potential functional improvement of patients undergoing a rehabilitation program is crucial in developing precision medicine tools and patient-oriented rehabilitation programs, as well as in better allocating resources in hospitals. In this work, we propose a novel approach to this problem using machine learning algorithms focused on assessing the modified Barthel index (mBI) as an indicator of functional ability. We build four tree-based ensemble machine learning models and train them on a private training cohort of orthopedic (OP) and neurological (NP) hospital discharges. Moreover, we evaluate the models using a validation set for each category of patients using root mean squared error (RMSE) as an absolute error indicator between the predicted mBI and the actual values. The best results obtained from the study are an RMSE of 6.58 for OP patients and 8.66 for NP patients, which shows the potential of artificial intelligence in predicting the functional improvement of patients undergoing rehabilitation.

Mixed-weight Neural Bagging for Detecting m6A Modifications in SARS-CoV-2 RNA Sequencing

Objective: The m6A modification is the most common ribonucleic acid (RNA) modification, playing a role in prompting the virus's gene mutation and protein structure changes in the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Nanopore single-molecule direct RNA sequencing (DRS) provides data support for RNA modification detection, which can preserve the potential \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document} signature compared to second-generation sequencing. However, due to insufficient DRS data, there is a lack of methods to find m6A RNA modifications in DRS. Our purpose is to identify \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document} modifications in DRS precisely. Methods: We present a methodology for identifying \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document} modifications that incorporated mapping and extracted features from DRS data. To detect \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document} modifications, we introduce an ensemble method called mixed-weight neural bagging (MWNB), trained with 5-base RNA synthetic DRS containing modified and unmodified \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document}. Results: Our MWNB model achieved the highest classification accuracy of 97.85% and AUC of 0.9968. Additionally, we applied the MWNB model to the COVID-19 dataset; the experiment results reveal a strong association with biomedical experiments. Conclusion: Our strategy enables the prediction of \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document} modifications using DRS data and completes the identification of \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document} modifications on the SARS-CoV-2. Significance: The Corona Virus Disease 2019 (COVID-19) outbreak has significantly influence, caused by the SARS-CoV-2. An RNA modification called \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document} is connected with viral infections. The appearance of \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document} modifications related to several essential proteins affects proteins’ structure and function. Therefore, finding the location and number of \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$m^6A$\end{document} RNA modifications is crucial for subsequent analysis of the protein expression profile.