The article proposes a new framework for assessment of physical rehabilitation exercises based on a deep learning approach. The objective of the framework is automated quantification of patient performance in completing prescribed rehabilitation exercises, based on captured whole-body joint trajectories. The main components of the framework are metrics for measuring movement performance, scoring functions for mapping the performance metrics into numerical scores of movement quality, and deep neural network models for regressing quality scores of input movements via supervised learning. Furthermore, an overview of the existing methods for modeling and evaluation of rehabilitation movements is presented, encompassing various distance functions, dimensionality-reduction techniques, and movement models employed for this problem in prior studies. To the best of our knowledge, this is the first work that implements deep neural network for assessment of rehabilitation performance. Multiple deep network architectures are repurposed for the task in hand and are validated on a dataset of rehabilitation exercises.
Several studies in the literature on exercise evaluation employed machine learning methods to classify the individual repetitions into of movements. Methods used for this purpose include Adaboost classifier @cite_18 , @math -nearest neighbors @cite_30 , Bayesian classifier @cite_26 , and an ensemble of multi-layer perceptron NNs @cite_32 . The outputs in these approaches are discrete class values of @math or @math (i.e., incorrect or correct repetition). However, these methods do not provide the capacity to detect varying levels of movement quality or identify incremental changes in patient performance over the program duration.
@cite_30 @cite_18 @cite_26 @cite_32
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In classification, when the distribution of the training data among classes is uneven, the learning algorithm is generally dominated by the feature of the majority classes. The features in the minority classes are normally difficult to be fully recognized. In this paper, a method is proposed to enhance the classification accuracy for the minority classes. The proposed method combines Synthetic Minority Over-sampling Technique (SMOTE) and Complementary Neural Network (CMTNN) to handle the problem of classifying imbalanced data. In order to demonstrate that the proposed technique can assist classification of imbalanced data, several classification algorithms have been used. They are Artificial Neural Network (ANN), k-Nearest Neighbor (k-NN) and Support Vector Machine (SVM). The benchmark data sets with various ratios between the minority class and the majority class are obtained from the University of California Irvine (UCI) machine learning repository. The results show that the proposed combination techniques can improve the performance for the class imbalance problem. Machine learning often relies on costly labeled data, and this impedes its application to new classification and information extraction problems. This has motivated the development of methods for leveraging abundant prior knowledge about these problems, including methods for lightly supervised learning using model expectation constraints. Building on this work, we envision an interactive training paradigm in which practitioners perform evaluation, analyze errors, and provide and refine expectation constraints in a closed loop. In this paper, we focus on several key subproblems in this paradigm that can be cast as selecting a representative sample of the unlabeled data for the practitioner to inspect. To address these problems, we propose stratified sampling methods that use model expectations as a proxy for latent output variables. In classification and sequence labeling experiments, these sampling strategies reduce accuracy evaluation effort by as much as 53 , provide more reliable estimates of @math for rare labels, and aid in the specification and refinement of constraints. Summary Background—Most machine learning approaches only provide a classification for binary responses. However, probabilities are required for risk estimation using individual patient characteristics. It has been shown recently that every statistical learning machine known to be consistent for a nonparametric regression problem is a probability machine that is provably consistent for this estimation problem. Objectives—The aim of this paper is to show how random forests and nearest neighbors can be used for consistent estimation of individual probabilities. Methods—Two random forest algorithms and two nearest neighbor algorithms are described in detail for estimation of individual probabilities. We discuss the consistency of random forests, nearest neighbors and other learning machines in detail. We conduct a simulation study to illustrate the validity of the methods. We exemplify the algorithms by analyzing two well-known data sets on the diagnosis of appendicitis and the diagnosis of diabetes in Pima Indians. Results—Simulations demonstrate the validity of the method. With the real data application, we show the accuracy and practicality of this approach. We provide sample code from R packages in which the probability estimation is already available. This means that all calculations can be performed using existing software. Conclusions—Random forest algorithms as well as nearest neighbor approaches are valid machine learning methods for estimating individual probabilities for binary responses. Freely available implementations are available in R and may be used for applications. Neural network algorithms such as multilayer perceptrons (MLPs) and radial basis function networks (RBFNets) have been used to construct learners which exhibit strong predictive performance. Two data related issues that can have a detrimental impact on supervised learning initiatives are class imbalance and labeling errors (or class noise). Imbalanced data can make it more difficult for the neural network learning algorithms to distinguish between examples of the various classes, and class noise can lead to the formulation of incorrect hypotheses. Both class imbalance and labeling errors are pervasive problems encountered in a wide variety of application domains. Many studies have been performed to investigate these problems in isolation, but few have focused on their combined effects. This study presents a comprehensive empirical investigation using neural network algorithms to learn from imbalanced data with labeling errors. In particular, the first component of our study investigates the impact of class noise and class imbalance on two common neural network learning algorithms, while the second component considers the ability of data sampling (which is commonly used to address the issue of class imbalance) to improve their performances. Our results, for which over two million models were trained and evaluated, show that conclusions drawn using the more commonly studied C4.5 classifier may not apply when using neural networks.