Kinematic Foot Types in Youth with Equinovarus Secondary to Hemiplegia

Background Elevated kinematic variability of the foot and ankle segments exists during gait among individuals with equinovarus secondary to hemiplegic cerebral palsy (CP). Clinicians have previously addressed such variability by developing classification schemes to identify subgroups of individuals based on their kinematics. Objective To identify kinematic subgroups among youth with equinovarus secondary to CP using 3-dimensional multi-segment foot and ankle kinematics during locomotion as inputs for principal component analysis (PCA), and K-means cluster analysis. Methods In a single assessment session, multi-segment foot and ankle kinematics using the Milwaukee Foot Model (MFM) were collected in 24 children/adolescents with equinovarus and 20 typically developing children/adolescents. Results PCA was used as a data reduction technique on 40 variables. K-means cluster analysis was performed on the first six principal components (PCs) which accounted for 92% of the variance of the dataset. The PCs described the location and plane of involvement in the foot and ankle. Five distinct kinematic subgroups were identified using K-means clustering. Participants with equinovarus presented with variable involvement ranging from primary hindfoot or forefoot deviations to deformtiy that included both segments in multiple planes. Conclusion This study provides further evidence of the variability in foot characteristics associated with equinovarus secondary to hemiplegic CP. These findings would not have been detected using a single segment foot model. The identification of multiple kinematic subgroups with unique foot and ankle characteristics has the potential to improve treatment since similar patients within a subgroup are likely to benefit from the same intervention(s)

Full gait cycle analysis of lower limb and trunk kinematics and muscle activations during walking in participants with and without ankle instability

This document is the Accepted Manuscript version of the following article: Lynsey Northeast, Charlotte N. Gautrey, Lindsay Bottoms, Gerwyn Hughes, Andrew C. S. Mitchell, and Andrew Greenhalgh, ‘Full gait cycle analysis of lower limb and trunk kinematics and muscle activations during walking in participants with and without ankle instability’, Gait & Posture, Vol. 64: 114-118, July 2018. Under embargo until 7 June 2019. The final, definitive version is available online at doi: https://doi.org/10.1016/j.gaitpost.2018.06.001Background Chronic ankle instability (CAI) has previously been linked to altered lower limb kinematics and muscle activation characteristics during walking, though little research has been performed analysing the full time-series across the stance and swing phases of gait. Research Question The aim of this study was to compare trunk and lower limb kinematics and muscle activity between those with chronic ankle instability and healthy controls. Methods Kinematics and muscle activity were measured in 18 (14 males, 4 females) healthy controls (age 22.4 ± 3.6 years, height 177.8 ± 7.6 cm, mass 70.4 ± 11.9 kg, UK shoe size 8.4 ± 1.6), and 18 (13 males, 5 females) participants with chronic ankle instability (age 22.0 ± 2.7 years, height 176.8 ± 7.9 cm, mass 74.1 ± 9.6 kg, UK shoe size 8.1 ± 1.9) during barefoot walking trials, using a combined Helen Hayes and Oxford foot model. Surface electromyography (sEMG) was recorded for the tibialis anterior and gluteus medius. Full curve statistical parametric mapping was performed using independent and paired-samples T-tests. Results No significant differences were observed in kinematic or sEMG variables between or within groups for the duration of the swing phase of gait. A significantly increased forefoot-tibia inversion was seen in the CAI affected limb when compared to the CAI unaffected limb at 4–16% stance (p = 0.039). No other significant differences were observed. Significance There appears to be no differences in muscle activation and movement between CAI and healthy control groups. However, participants with CAI exhibited increased inversion patterns during the stance phase of gait in their affected limb compared to their unaffected limb. This may predispose those with CAI to episodes of giving way and further ankle sprains.Peer reviewedFinal Accepted Versio

Towards automated visual surveillance using gait for identity recognition and tracking across multiple non-intersecting cameras

Despite the fact that personal privacy has become a major concern, surveillance technology is now becoming ubiquitous in modern society. This is mainly due to the increasing number of crimes as well as the essential necessity to provide secure and safer environment. Recent research studies have confirmed now the possibility of recognizing people by the way they walk i.e. gait. The aim of this research study is to investigate the use of gait for people detection as well as identification across different cameras. We present a new approach for people tracking and identification between different non-intersecting un-calibrated stationary cameras based on gait analysis. A vision-based markerless extraction method is being deployed for the derivation of gait kinematics as well as anthropometric measurements in order to produce a gait signature. The novelty of our approach is motivated by the recent research in biometrics and forensic analysis using gait. The experimental results affirmed the robustness of our approach to successfully detect walking people as well as its potency to extract gait features for different camera viewpoints achieving an identity recognition rate of 73.6 % processed for 2270 video sequences. Furthermore, experimental results confirmed the potential of the proposed method for identity tracking in real surveillance systems to recognize walking individuals across different views with an average recognition rate of 92.5 % for cross-camera matching for two different non-overlapping views.<br/

Covariate conscious approach for Gait recognition based upon Zernike moment invariants

Gait recognition i.e. identification of an individual from his/her walking pattern is an emerging field. While existing gait recognition techniques perform satisfactorily in normal walking conditions, there performance tend to suffer drastically with variations in clothing and carrying conditions. In this work, we propose a novel covariate cognizant framework to deal with the presence of such covariates. We describe gait motion by forming a single 2D spatio-temporal template from video sequence, called Average Energy Silhouette image (AESI). Zernike moment invariants (ZMIs) are then computed to screen the parts of AESI infected with covariates. Following this, features are extracted from Spatial Distribution of Oriented Gradients (SDOGs) and novel Mean of Directional Pixels (MDPs) methods. The obtained features are fused together to form the final well-endowed feature set. Experimental evaluation of the proposed framework on three publicly available datasets i.e. CASIA dataset B, OU-ISIR Treadmill dataset B and USF Human-ID challenge dataset with recently published gait recognition approaches, prove its superior performance.Comment: 11 page

A data augmentation methodology for training machine/deep learning gait recognition algorithms

There are several confounding factors that can reduce the accuracy of gait recognition systems. These factors can reduce the distinctiveness, or alter the features used to characterise gait; they include variations in clothing, lighting, pose and environment, such as the walking surface. Full invariance to all confounding factors is challenging in the absence of high-quality labelled training data. We introduce a simulation-based methodology and a subject-specific dataset which can be used for generating synthetic video frames and sequences for data augmentation. With this methodology, we generated a multi-modal dataset. In addition, we supply simulation files that provide the ability to simultaneously sample from several confounding variables. The basis of the data is real motion capture data of subjects walking and running on a treadmill at different speeds. Results from gait recognition experiments suggest that information about the identity of subjects is retained within synthetically generated examples. The dataset and methodology allow studies into fully-invariant identity recognition spanning a far greater number of observation conditions than would otherwise be possible

On Using Gait in Forensic Biometrics

Given the continuing advances in gait biometrics, it appears prudent to investigate the translation of these techniques for forensic use. We address the question as to the confidence that might be given between any two such measurements. We use the locations of ankle, knee and hip to derive a measure of the match between walking subjects in image sequences. The Instantaneous Posture Match algorithm, using Harr templates, kinematics and anthropomorphic knowledge is used to determine their location. This is demonstrated using real CCTV recorded at Gatwick Airport, laboratory images from the multi-view CASIA-B dataset and an example of real scene of crime video. To access the measurement confidence we study the mean intra- and inter-match scores as a function of database size. These measures converge to constant and separate values, indicating that the match measure derived from individual comparisons is considerably smaller than the average match measure from a population

New control strategies for neuroprosthetic systems

The availability of techniques to artificially excite paralyzed muscles opens enormous potential for restoring both upper and lower extremity movements with\ud neuroprostheses. Neuroprostheses must stimulate muscle, and control and regulate the artificial movements produced. Control methods to accomplish these tasks include feedforward (open-loop), feedback, and adaptive control. Feedforward control requires a great deal of information about the biomechanical behavior of the limb. For the upper extremity, an artificial motor program was developed to provide such movement program input to a neuroprosthesis. In lower extremity control, one group achieved their best results by attempting to meet naturally perceived gait objectives rather than to follow an exact joint angle trajectory. Adaptive feedforward control, as implemented in the cycleto-cycle controller, gave good compensation for the gradual decrease in performance observed with open-loop control. A neural network controller was able to control its system to customize stimulation parameters in order to generate a desired output trajectory in a given individual and to maintain tracking performance in the presence of muscle fatigue. The authors believe that practical FNS control systems must\ud exhibit many of these features of neurophysiological systems