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Updated: Jan 30, 2026

Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder
Published on: March 4, 2018
Design, development, and evaluation of a local sensor-based gait phase recognition system using a logistic model
Johnny D Farah1, Natalie Baddour2, Edward D Lemaire3,4
1The Ottawa Hospital Research Institute, Ottawa-Carleton Institute of Biomedical Engineering, Ottawa, ON, K1N 6N5, Canada. johnnyfarah7@gmail.com.
Machine learning accurately identifies gait phases using local thigh and knee sensors for microprocessor-controlled knee-ankle-foot orthoses (M-SCKAFO). This approach enhances control and enables more flexible orthosis designs.
Area of Science:
- Biomedical Engineering
- Rehabilitation Technology
- Machine Learning in Healthcare
Background:
- Microprocessor-controlled stance-control knee-ankle-foot orthoses (M-SCKAFO) rely on control systems for functionality.
- Accurate gait phase recognition (GPR) is crucial for M-SCKAFO to prevent knee-collapse and falls.
- Localizing sensors to the thigh and knee can enable more flexible orthosis designs.
Purpose of the Study:
- To investigate the effectiveness of machine learning using local thigh and knee sensor signals for gait phase recognition.
- To determine if gait phase transition criteria improve GPR performance across various walking conditions.
- To test the hypothesis that local sensor data can effectively distinguish gait phases.
Main Methods:
- A logistic model decision tree (LMT) classifier was trained on gait data (knee flexion angle, angular velocity, acceleration).
- Features were extracted from sliding windows for participants walking on diverse surfaces and speeds.
- A Transition Sequence Verification and Correction (TSVC) algorithm was applied to refine GPR accuracy.
Main Results:
- The LMT-based GPR model achieved high accuracy (98.38% training, 90.60% validation).
- Applying the TSVC algorithm improved validation accuracy to 98.61%.
- Performance metrics indicate strong feasibility for real-time orthosis control.
Conclusions:
- A novel machine learning GPR model using local sensors is viable for M-SCKAFO control.
- The GPR model, enhanced by TSVC, demonstrates high accuracy and generalizability.
- This approach simplifies sensor systems, allowing for customizable and modular orthosis designs.
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