Post-Stroke Gait Classification Based on Feature Space Transformation and Data Labeling

Abstract

Despite scientific and clinical advances, stroke is still considered one of the main causes of disability, including gait disorders. The search for more effective methods of gait re-education in post-stroke patients is one of the most important issues in contemporary neurorehabilitation. In this paper, we propose a transformation of the feature space and definition of class labels in the post-stroke gait problem to more efficiently study related phenomena and assess gait faster. Clustering is used to define two class labels (improvement and recurrence) in the data labeling process. The proposed approach was tested on a real-world dataset consisting of 50 patients (male and female, aged 49–82 years) after ischemic stroke who participated in a gait rehabilitation program. Gait in the study was described using speed, cadence, and stride length and their normalized values. Ten treatment sessions (10 therapy days) were conducted over two weeks (10 working days). The same specialist took measurements, and hence inter-rater reliability can be neglected. Machine learning methods, support vector machine and quadratic discriminant analysis were used to classify post-stroke gait for three cases with different class labels. The proposed novel approach, characterized by its speed of execution and accuracy of classification, may be helpful for screening, better targeting, and rehabilitation monitoring. The proposed approach minimizes clinical testing and supports the work of physicians, physiotherapists, and diagnosticians.