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Sarcopenia classification model for musculoskeletal patients using smart insole and artificial intelligence gait
Shinjune Kim1, Hyeon Su Kim1, Jun-Il Yoo2
1Department of Biomedical Research Institute, Inha University Hospital, Incheon, South Korea.
Journal of Cachexia, Sarcopenia and Muscle
|October 26, 2023
Summary
This study introduces AI-powered smart insoles and pose estimation to objectively assess physical function and sarcopenia. These advanced technologies offer a more accurate and reliable method for diagnosing and managing musculoskeletal disorders.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence in Healthcare
- Gerontology
Background:
- Physical function, musculoskeletal disorders, and sarcopenia have a complex relationship.
- Current physical function tests (e.g., gait speed, chair stand) are subjective.
- Smart devices with inertial measurement unit sensors and AI are emerging to overcome these limitations.
Purpose of the Study:
- To develop and evaluate AI-based classification models for sarcopenia detection.
- To compare the efficacy of smart insole and pose estimation technologies.
- To explore the integration of these technologies for improved diagnostic accuracy.
Main Methods:
- Utilized smart insole devices and AI-based pose estimation.
- Employed Random Forest (RF), Support Vector Machine, and Artificial Neural Network models.
- Classified 83 individuals into control and sarcopenia groups using training and testing datasets.
Main Results:
- Pose estimation alone achieved high accuracy (0.92-0.96) and F1-scores (0.94-0.97).
- Key variables identified by RF included 'Hip_dif', 'Ankle_dif', and 'Hipankle_dif'.
- Combining smart insole and pose estimation data further improved accuracy (0.80-1.00) and F1-scores (0.73-1.00).
Conclusions:
- An integrated classification model using smart insole and pose estimation shows significant potential.
- The RF model demonstrated strong performance, especially with 'Hip' and 'Ankle' variables.
- Advanced digital biomarkers and AI integration promise enhanced diagnostics and interventions for conditions like sarcopenia.

