Evidence map›Paper›PMID 38601093›Full record

ArticleIEEE transactions on human-machine systems2023

Single-Belt Versus Split-Belt: Intelligent Treadmill Control via Microphase Gait Capture for Poststroke Rehabilitation.

Shengting Cao, Mansoo Ko, Chih-Ying Li, David Brown, Xuefeng Wang, Fei Hu, Yu Gan

Abstract read
In one paragraph

Article in IEEE transactions on human-machine systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shengting CaoElectrical and Computer Engineering, University of Alabama, Tuscaloosa, AL 35487 USA.ORCID 0000-0001-6175-0831
Mansoo KoUniversity of Texas Medical Branch, Mountain Brook, TX 77555-0128 USA.ORCID 0000-0003-4008-7086
Chih-Ying LiUniversity of Texas Medical Branch, Mountain Brook, TX 77555-0128 USA.
David BrownUniversity of Texas Medical Branch, Mountain Brook, TX 77555-0128 USA.ORCID 0000-0002-8694-1121
Xuefeng WangDepartment of Advanced Manufacturing and Robotics, College of Engineering, Peking University, Beijing 100871, China.
Fei HuElectrical and Computer Engineering, University of Alabama, Tuscaloosa, AL 35487 USA.ORCID 0000-0003-4346-9477
Yu GanBiomedical Engineering Department, Stevens Institute of Technology, Hoboken, NJ 07030 USA.ORCID 0000-0003-3409-3412

Funding

Standardized Patient Assessment across Post-Acute Care: Opportunities and ChallengesK01HD101589 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI LI, CHIH-YING · 2020 to 2024
$632k
NICHD NIH HHS K01 HD101589
6 · The paper itself

Abstract

Stroke is the leading long-term disability and causes a significant financial burden associated with rehabilitation. In poststroke rehabilitation, individuals with hemiparesis have a specialized demand for coordinated movement between the paretic and the nonparetic legs. The split-belt treadmill can effectively facilitate the paretic leg by slowing down the belt speed for that leg while the patient is walking on a split-belt treadmill. Although studies have found that split-belt treadmills can produce better gait recovery outcomes than traditional single-belt treadmills, the high cost of split-belt treadmills is a significant barrier to stroke rehabilitation in clinics. In this article, we design an AI-based system for the single-belt treadmill to make it act like a split-belt by adjusting the belt speed instantaneously according to the patient's microgait phases. This system only requires a low-cost RGB camera to capture human gait patterns. A novel microgait classification pipeline model is used to detect gait phases in real time. The pipeline is based on self-supervised learning that can calibrate the anchor video with the real-time video. We then use a ResNet-LSTM module to handle temporal information and increase accuracy. A real-time filtering algorithm is used to smoothen the treadmill control. We have tested the developed system with 34 healthy individuals and four stroke patients. The results show that our system is able to detect the gait microphase accurately and requires less human annotation in training, compared to the ResNet50 classifier. Our system "Splicer" is boosted by AI modules and performs comparably as a split-belt system, in terms of timely varying left/right foot speed, creating a hemiparetic gait in healthy individuals, and promoting paretic side symmetry in force exertion for stroke patients. This innovative design can potentially provide cost-effective rehabilitation treatment for hemiparetic patients.

Indexed as

Deep learninginter- and intragait classificationrehabilitationself-supervised learningsingle-beltsplit-belt treadmills

Identifiers

PMID38601093
PMCPMC11006014

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.