Development and Performance Analysis of a Semi-Supervised Gait Recognition Model for Pediatric Abnormalities Using a Hybrid Dataset.

Pediatric gait abnormalities are closely intertwined with musculoskeletal dysfunctions and heightened injury risk, underscoring the urgency of early and accessible screening tools. Here, we develop and validate a video-based semi-supervised Abnormal Gait Recognition Module (AGRM) to address unmet needs in pediatric gait assessment, with a focus on diagnostic performance and clinical interpretability. The AGRM is built on a 3D ResNet backbone, synergistically integrated with a Mean Teacher Module (MTM) to mitigate the limitations of limited labeled clinical data, and a Spatial Hierarchical Pooling Module (SHPM) for robust multiscale spatiotemporal feature extraction-two core innovations tailored to gait dynamics. We trained and validated the model on a hybrid dataset combining self-collected pediatric gait videos and the public CASIA-B dataset, evaluating its performance in binary (normal vs. abnormal) and three-class (normal, genu varum, genu valgum) classification tasks using accuracy, macro-precision, macro-recall, and macro-F1 score. Ablation studies quantified the incremental contributions of MTM and SHPM, while Grad-CAM visualization was employed to enhance model interpretability. In the three-class classification task, the AGRM achieved a 70.5% accuracy, 72.1% macro-precision, 71.5% macro-recall, and a macro-F1 score of 0.718; in the binary task, it yielded a 80.3% precision and 79.2% recall. SHPM significantly augmented spatiotemporal feature aggregation, capturing fine-grained gait dynamics, whereas MTM improved model generalization under constrained labeled data scenarios-findings corroborated by ablation experiments. Grad-CAM visualization confirmed the model's targeted attention to lower extremity regions, particularly the knee joints, aligning with the pathological loci of gait abnormalities. Collectively, our AGRM demonstrates robust performance and generalization in identifying pediatric gait abnormalities, while effectively capturing key pathological gait characteristics. This video-based intelligent approach offers a promising tool for early gait screening in both clinical and community settings, addressing barriers to accessible pediatric musculoskeletal assessment.