9.4ROMay 15
Detecting Heel Strike and toe off Events Using Kinematic Methods and LSTM ModelsLongbin Zhang, Zhizhang Li, Xinyi Fu et al.
Accurate gait event detection is crucial for gait analysis, rehabilitation, and assistive technology, particularly in exoskeleton control, where precise identification of stance and swing phases is essential. This study evaluated the performance of seven kinematics-based methods and a Long Short-Term Memory (LSTM) model for detecting heel strike and toe-off events across 4363 gait cycles from 588 able-bodied subjects. The results indicated that while the Zeni et al. method achieved the highest accuracy among kinematics-based approaches, other methods exhibited systematic biases or required dataset-specific tuning. The LSTM model performed comparably to Zeni et al., providing a data-driven alternative without systematic bias. These findings highlight the potential of deep learning-based approaches for gait event detection while emphasizing the need for further validation in clinical populations and across diverse gait conditions. Future research will explore the generalizability of these methods in pathological populations, such as individuals with post-stroke conditions and knee osteoarthritis, as well as their robustness across varied gait conditions and data collection settings to enhance their applicability in rehabilitation and exoskeleton control.
11.9ROJun 12
Estimation of Ground Reaction Forces from Kinematic Data during LocomotionGautami Golani, Dong Anh Khoa To, Ananda Sidarta et al.
Ground reaction forces (GRFs) provide fundamental insight into human gait mechanics and are widely used to assess joint loading, limb symmetry, balance control, and motor function. Despite their clinical relevance, the use of GRF remains underutilised in clinical workflows due to the practical limitations of force plate systems. In this work, we present a force-plate-free approach for estimating GRFs using only marker-based motion capture data. This kinematics only method to estimate and decompose GRF makes it well suited for widespread clinical depolyment. By using kinematics from sixteen body segments, we estimate the centre of mass (CoM) and compute GRFs, which are subsequently decomposed into individual components through a minimization-based approach. Through this framework, we can identify gait stance phases and provide access to clinically meaningful kinetic measures without a dedicated force plate system. Experimental results demonstrate the viability of CoM and GRF estimation based solely on kinematic data, supporting force-plate-free gait analysis.
7.9HCApr 7
OGA-AID: Clinician-in-the-loop AI Report Drafting Assistant for Multimodal Observational Gait Analysis in Post-Stroke RehabilitationKhoi T. N. Nguyen, Nghia D. Nguyen, Hui Yu Koh et al.
Gait analysis is essential in post-stroke rehabilitation but remains time-intensive and cognitively demanding, especially when clinicians must integrate gait videos and motion-capture data into structured reports. We present OGA-AID, a clinician-in-the-loop multi-agent large language model system for multimodal report drafting. The system coordinates 3 specialized agents to synthesize patient movement recordings, kinematic trajectories, and clinical profiles into structured assessments. Evaluated with expert physiotherapists on real patient data, OGA-AID consistently outperforms single-pass multimodal baselines with low error. In clinician-in-the-loop settings, brief expert preliminary notes further reduce error compared to reference assessments. Our findings demonstrate the feasibility of multimodal agentic systems for structured clinical gait assessment and highlight the complementary relationship between AI-assisted analysis and human clinical judgment in rehabilitation workflows.