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Related Experiment Video

Updated: Apr 9, 2026

Quantified Assessment of Infant's Gross Motor Abilities Using a Multisensor Wearable
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SHAP-based explainable AI framework for autism severity classification using 3D motor biomarkers.

Yelda Fırat1

  • 1Department of Computer Engineering, Mudanya University, Bursa, Türkiye.

Frontiers in Psychiatry
|April 8, 2026
PubMed
Summary

Objective autism spectrum disorder (ASD) severity classification is now possible using 3D motor analysis. This study developed a Random Forest model identifying key motor biomarkers for improved ASD diagnosis and intervention.

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Area of Science:

  • Biomedical Engineering
  • Neuroscience
  • Developmental Psychology

Background:

  • Early diagnosis of autism spectrum disorder (ASD) is crucial for effective intervention.
  • Current diagnostic methods for ASD rely heavily on subjective clinical observations, leading to potential inconsistencies.
  • Motor abnormalities are recognized as core features of ASD, offering a potential avenue for objective assessment.

Purpose of the Study:

  • To develop objective tools for classifying ASD severity using 3D motor movement analysis.
  • To address motor abnormalities as core diagnostic features for improved ASD assessment.
  • To identify critical motor biomarkers indicative of ASD severity.

Main Methods:

  • A Random Forest (RF) model was developed to classify three ASD severity levels.
Keywords:
SHAP analysisautism spectrum disordermotor biomarkersrandom forestviolence level classification

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  • The model utilized 463 motor features derived from 25 Kinect V2 joint points.
  • Data from 109 children were analyzed and validated using 5-fold cross-validation and held-out test sets, with Shapley Additive Explanations (SHAP) for biomarker identification.
  • Main Results:

    • The RF model achieved 84.6±10.9% accuracy via cross-validation and 86.4% accuracy on test sets for typical and moderate ASD.
    • A 100% classification accuracy was observed for severe ASD on synthetic data, serving as a methodological proof-of-concept.
    • SHAP analysis identified wrist movements, knee trajectories, and elbow-to-foot distances as significant motor biomarkers for severity classification.

    Conclusions:

    • The Kinect-based approach using RF and SHAP provides an effective and interpretable method for assessing ASD severity in typical and moderate cases.
    • The study demonstrates promising methodological foundations for severe ASD classification, pending validation with real-world data.
    • Objective motor analysis offers a valuable complementary tool to clinical observations in the diagnosis and severity assessment of ASD.