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Learning Frame-Level Classifiers for Video-Based Real-Time Assessment of Stroke Rehabilitation Exercises From Weakly

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    This study introduces a new framework for real-time assessment of stroke rehabilitation exercises using weakly annotated videos. The approach simplifies virtual coach customization for new patients and exercises with minimal data annotation.

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    Area of Science:

    • Rehabilitation Engineering
    • Computer Vision
    • Machine Learning

    Background:

    • Virtual coaches require real-time feedback for effective stroke rehabilitation.
    • Collecting fully annotated datasets for exercise assessment is costly and time-consuming.
    • Current methods face challenges in evaluating real-time compensatory motion assessment.

    Purpose of the Study:

    • To develop a novel framework for real-time assessment of compensatory motions in stroke rehabilitation exercises.
    • To enable frame-level classification using weakly annotated videos by generating pseudo-labels.
    • To generalize to new exercises and patients with limited labeled data.

    Main Methods:

    • A baseline approach using a source dataset for frame-level classifier training.
    • A transfer learning approach utilizing target video-level labels and source dataset parameters.
    • A semi-supervised approach leveraging target video-level labels and a small set of frame-level labels.
    • Pseudo-label generation for frame-level classification.

    Main Results:

    • The baseline approach showed limited generalization to a new dataset (SERE) with an F1-score of 72.87%.
    • Transfer learning and semi-supervised approaches achieved higher F1-scores of 80.47% and 78.93%, respectively.
    • Pseudo-label generation improved frame-level classification accuracy for the target dataset compared to the baseline.

    Conclusions:

    • The proposed framework effectively assesses compensatory motions in stroke rehabilitation exercises using weakly annotated videos.
    • Transfer learning and semi-supervised methods significantly improve generalization to new datasets, exercises, and patients.
    • This approach reduces data annotation effort, simplifying the customization of virtual rehabilitation coaches.