Scoring Performance on the Y-Balance Test Using a Deep Learning Approach

The Y Balance Test (YBT) is a dynamic balance assessment typically used in sports medicine. This work proposes a deep learning approach to automatically score this YBT by estimating the normalized reach distance (NRD) using a wearable sensor to register inertial signals during the movement. This paper evaluates several signal processing techniques to extract relevant information to feed the deep neural network. This evaluation was performed using a state-of-the-art human activity recognition system based on recurrent neural networks (RNNs). This deep neural network includes long short-term memory (LSTM) layers to learn features from time series by modeling temporal patterns and an additional fully connected layer to estimate the NRD (normalized by the leg length). All analyses were carried out using a dataset with YBT assessments from 407 subjects, including young and middle-aged volunteers and athletes from different sports. This dataset allowed developing a global and robust solution for scoring the YBT in a wide range of applications. The experimentation setup considered a 10-fold subject-wise cross-validation using training, validation, and testing subsets. The mean absolute percentage error (MAPE) obtained was 7.88 ± 0.20%. Moreover, this work proposes specific regression systems to estimate the NRD for each direction separately, obtaining an average MAPE of 7.33 ± 0.26%. This deep learning approach was compared to a previous work using dynamic time warping and k-NN algorithms, obtaining a relative MAPE reduction of 10%.