Evidence map›Paper›PMID 30382920›Full record

ArticleBiomedical engineering online2018

Modeling and classification of gait patterns between anterior cruciate ligament deficient and intact knees based on phase space reconstruction, Euclidean distance and neural networks.

Wenbao Wu, Wei Zeng, Limin Ma, Chengzhi Yuan, Yu Zhang

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Article in Biomedical engineering online, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 authors.

Wenbao WuDepartment of Acupuncture, Longyan First Hospital, Longyan, 364000, China.
Wei ZengSchool of Physics and Mechanical & Electrical Engineering, Longyan University, Longyan, 364012, China. zengwei@lyun.edu.cn.ORCID http://orcid.org/0000-0002-8353-8265
Limin MaDepartment of Orthopaedic Surgery, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, 510010, China.
Chengzhi YuanDepartment of Mechanical, Industrial and Systems Engineering, University of Rhode Island, Kingston, RI, 02881, USA.
Yu ZhangDepartment of Orthopedics, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.

Funding

National Natural Science Foundation of China 31700880National Natural Science Foundation of China 61304084National Natural Science Foundation of China 61773194Natural Science Foundation of Fujian Province 2018J01542Science and Technology Planning Project of Guangzhou city 201803010106Science and Technology Project of Longyan City 2017LY85
6 · The paper itself

Abstract

backgroundThe anterior cruciate ligament (ACL) plays an important role in stabilizing translation and rotation of the tibia relative to the femur. ACL injury alters knee kinematics and usually links to the alternation of gait patterns. The aim of this study is to develop a new method to distinguish between gait patterns of patients with anterior cruciate ligament deficient (ACL-D) knees and healthy controls with ACL-intact (ACL-I) knees based on nonlinear features and neural networks. Therefore ACL injury will be automatically and objectively detected.

methodsFirst knee rotation and translation parameters are extracted and phase space reconstruction (PSR) is employed. The properties associated with the gait system dynamics are preserved in the reconstructed phase space. For the purpose of classification of ACL-D and ACL-I knee gait patterns, three-dimensional (3D) PSR together with Euclidean distance computation has been used. These measured parameters show significant difference in gait dynamics between the two groups and have been utilized to form a feature set. Neural networks are then constructed to identify gait dynamics and are utilized as the classifier to distinguish between ACL-D and ACL-I knee gait patterns based on the difference of gait dynamics between the two groups.

resultsExperiments are carried out on a database containing 18 patients with ACL injury and 28 healthy controls to assess the effectiveness of the proposed method. By using the twofold and leave-one-subject-out cross-validation styles, the correct classification rates for ACL-D and ACL-I knees are reported to be 91.3[Formula: see text] and 95.65[Formula: see text], respectively.

conclusionCompared with other state-of-the-art methods, the results demonstrate that gait alterations in the presence of ACL deficiency can be detected with superior performance. The proposed method is a potential candidate for the automatic and non-invasive classification between patients with ACL deficiency and healthy subjects.

Indexed as

Anterior Cruciate Ligament InjuriesNerve NetAdultAnterior Cruciate LigamentBiomechanical PhenomenaCase-Control StudiesFemaleGaitHealthy VolunteersHumansImaging, Three-DimensionalJoint InstabilityKneeKnee JointMaleMiddle AgedAnterior cruciate ligamentEuclidean distance (ED)Gait analysisMovement disordersNeural networksPhase space reconstruction (PSR)

Identifiers

PMID30382920
PMCPMC6211421

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