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.
Another body of research work utilized for modeling and evaluation of rehabilitation movements. Studies based on hidden Markov models @cite_14 , @cite_37 and mixtures of Gaussian distributions @cite_39 typically perform a quality assessment based on the likelihood that the individual sequences are being drawn from a trained model. Whereas the probabilistic models are advantageous in handling the variability due to the stochastic character of human movements, models with abilities for a hierarchical data representation can produce more reliable outcomes for movement quality assessment, and better generalize to new exercises.
@cite_37 @cite_14 @cite_39
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Abstract In this paper, a Hidden Semi-Markov Model (HSMM) based approach is proposed to evaluate and monitor body motion during a rehabilitation training program. The approach extracts clinically relevant motion features from skeleton joint trajectories, acquired by the RGB-D camera, and provides a score for the subject’s performance. The approach combines different aspects of rule and template based methods. The features have been defined by clinicians as exercise descriptors and are then assessed by a HSMM, trained upon an exemplar motion sequence. The reliability of the proposed approach is studied by evaluating its correlation with both a clinical assessment and a Dynamic Time Warping (DTW) algorithm, while healthy and neurological disabled people performed physical exercises. With respect to the discrimination between healthy and pathological conditions, the HSMM based method correlates better with the physician’s score than DTW. The study supports the use of HSMMs to assess motor performance providing a quantitative feedback to physiotherapist and patients. This result is particularly appropriate and useful for a remote assessment in the home. We introduce a novel training principle for probabilistic models that is an alternative to maximum likelihood. The proposed Generative Stochastic Networks (GSN) framework is based on learning the transition operator of a Markov chain whose stationary distribution estimates the data distribution. The transition distribution of the Markov chain is conditional on the previous state, generally involving a small move, so this conditional distribution has fewer dominant modes, being unimodal in the limit of small moves. Thus, it is easier to learn because it is easier to approximate its partition function, more like learning to perform supervised function approximation, with gradients that can be obtained by backprop. We provide theorems that generalize recent work on the probabilistic interpretation of denoising autoencoders and obtain along the way an interesting justification for dependency networks and generalized pseudolikelihood, along with a definition of an appropriate joint distribution and sampling mechanism even when the conditionals are not consistent. GSNs can be used with missing inputs and can be used to sample subsets of variables given the rest. We validate these theoretical results with experiments on two image datasets using an architecture that mimics the Deep Boltzmann Machine Gibbs sampler but allows training to proceed with simple backprop, without the need for layerwise pretraining. We present algorithms for recognizing human motion in monocular video sequences, based on discriminative conditional random field (CRF) and maximum entropy Markov models (MEMM). Existing approaches to this problem typically use generative (joint) structures like the hidden Markov model (HMM). Therefore they have to make simplifying, often unrealistic assumptions on the conditional independence of observations given the motion class labels and cannot accommodate overlapping features or long term contextual dependencies in the observation sequence. In contrast, conditional models like the CRFs seamlessly represent contextual dependencies, support efficient, exact inference using dynamic programming, and their parameters can be trained using convex optimization. We introduce conditional graphical models as complementary tools for human motion recognition and present an extensive set of experiments that show how these typically outperform HMMs in classifying not only diverse human activities like walking, jumping. running, picking or dancing, but also for discriminating among subtle motion styles like normal walk and wander walk In part of speech tagging by Hidden Markov Model, a statistical model is used to assign grammatical categories to words in a text. Early work in the field relied on a corpus which had been tagged by a human annotator to train the model. More recently, (1992) suggest that training can be achieved with a minimal lexicon and a limited amount of a priori information about probabilities, by using an Baum-Welch re-estimation to automatically refine the model. In this paper, I report two experiments designed to determine how much manual training information is needed. The first experiment suggests that initial biasing of either lexical or transition probabilities is essential to achieve a good accuracy. The second experiment reveals that there are three distinct patterns of Baum-Welch reestimation. In two of the patterns, the re-estimation ultimately reduces the accuracy of the tagging rather than improving it. The pattern which is applicable can be predicted from the quality of the initial model and the similarity between the tagged training corpus (if any) and the corpus to be tagged. Heuristics for deciding how to use re-estimation in an effective manner are given. The conclusions are broadly in agreement with those of Merialdo (1994), but give greater detail about the contributions of different parts of the model.