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Evaluating generalization of arm movement identification using machine learning: From structured to semi-structured
Sahel Akbari1, Herwin L D Horemans2, Johannes B J Bussmann2
1Dept. Rehabilitation Medicine, Erasmus MC University Medical Center, The Netherlands; Dept. Cognitive Robotics, Faculty of Mechanical Engineering, Delft University of Technology, The Netherlands.
Computers in Biology and Medicine
|October 12, 2025
Summary
Machine learning models for arm movement identification show strong generalization from lab to home settings. This advance supports developing effective wearable technology for stroke rehabilitation at home.
Area of Science:
- Biomedical Engineering
- Rehabilitation Technology
- Machine Learning in Healthcare
Background:
- Home-based rehabilitation is crucial for stroke survivors' motor recovery and daily activities.
- Wearable technology and machine learning offer potential for advanced home-based arm rehabilitation.
- Current machine learning models often lack testing across diverse environments, limiting real-world application.
Purpose of the Study:
- To evaluate the generalization ability of machine learning models for arm movement identification.
- To compare model performance across structured (lab) and semi-structured (kitchen) environments.
- To assess the impact of sensor configuration (multi-IMU vs. single wrist IMU) on generalization.
Main Methods:
- Investigated two machine learning models: Random Forest and a hybrid deep learning model.
- Trained models in a structured lab environment and tested in a semi-structured kitchen environment.
- Compared performance using four arm-mounted IMUs versus a single wrist-mounted IMU.
Main Results:
- Both models demonstrated good generalization from lab to kitchen environments.
- The four-IMU configuration yielded higher accuracy than the single wrist IMU.
- The Random Forest model showed a smaller accuracy decrease with the single wrist IMU compared to the hybrid model.
Conclusions:
- Arm movement identification algorithms generalize well across different environments, even with minimal sensors.
- These findings support the potential of wearable technology for practical home-based stroke rehabilitation.
- Further development can leverage these algorithms for more accessible and effective remote rehabilitation solutions.

