Ecological validity of a deep learning algorithm to detect gait events from real-life walking bouts in mobility-limiting diseases

Introduction

The clinical assessment of mobility, and walking specifically, is still mainly based on functional tests that lack ecological validity. Thanks to inertial measurement units (IMUs), gait analysis is shifting to unsupervised monitoring in naturalistic and unconstrained settings. However, the extraction of clinically relevant gait parameters from IMU data often depends on heuristics-based algorithms that rely on empirically determined thresholds. These were mainly validated on small cohorts in supervised settings.

Methods

Here, a deep learning (DL) algorithm was developed and validated for gait event detection in a heterogeneous population of different mobility-limiting disease cohorts and a cohort of healthy adults. Participants wore pressure insoles and IMUs on both feet for 2.5 h in their habitual environment. The raw accelerometer and gyroscope data from both feet were used as input to a deep convolutional neural network, while reference timings for gait events were based on the combined IMU and pressure insoles data.

Results and discussion

The results showed a high-detection performance for initial contacts (ICs) (recall: 98%, precision: 96%) and final contacts (FCs) (recall: 99%, precision: 94%) and a maximum median time error of -0.02 s for ICs and 0.03 s for FCs. Subsequently derived temporal gait parameters were in good agreement with a pressure insoles-based reference with a maximum mean difference of 0.07, -0.07, and <0.01 s for stance, swing, and stride time, respectively. Thus, the DL algorithm is considered successful in detecting gait events in ecologically valid environments across different mobility-limiting diseases.

Tasks and Visualizations Used for Data Profiling: A Survey and Interview Study

The use of good-quality data to inform decision making is entirely dependent on robust processes to ensure it is fit for purpose. Such processes vary between organisations, and between those tasked with designing and following them. In this paper we report on a survey of 53 data analysts from many industry sectors, 24 of whom also participated in in-depth interviews, about computational and visual methods for characterizing data and investigating data quality. The paper makes contributions in two key areas. The first is to data science fundamentals, because our lists of data profiling tasks and visualization techniques are more comprehensive than those published elsewhere. The second concerns the application question "what does good profiling look like to those who routinely perform it?," which we answer by highlighting the diversity of profiling tasks, unusual practice and exemplars of visualization, and recommendations about formalizing processes and creating rulebooks.

To Explore What Isn't There-Glyph-Based Visualization for Analysis of Missing Values

This article contributes a novel visualization method, Missingness Glyph, for analysis and exploration of missing values in data. Missing values are a common challenge in most data generating domains and may cause a range of analysis issues. Missingness in data may indicate potential problems in data collection and pre-processing, or highlight important data characteristics. While the development and improvement of statistical methods for dealing with missing data is a research area in its own right, mainly focussing on replacing missing values with estimated values, considerably less focus has been put on visualization of missing values. Nonetheless, visualization and explorative analysis has great potential to support understanding of missingness in data, and to enable gaining of novel insights into patterns of missingness in a way that statistical methods are unable to. The Missingness Glyph supports identification of relevant missingness patterns in data, and is evaluated and compared to two other visualization methods in context of the missingness patterns. The results are promising and confirms that the Missingness Glyph in several cases perform better than the alternative visualization methods.