Sensor-Based Evaluation of Physical Therapy Exercises*

Physical therapy is important for the treatment and prevention of musculoskeletal injuries, as well as recovery from surgery. In this paper, we explore techniques for automatically determining whether an exercise was performed correctly or not, based on camera images and wearable sensors. Classifiers were tested on data collected from 30 patients during normally-scheduled physical therapy appointments. We considered two lower limb exercises, and asked how well classifiers could generalize to the assessment of individuals for whom no prior data were available. We found that our classifiers performed well relative to several metrics (mean accuracy: 0.76, specificity: 0.90), but often returned low sensitivity (mean: 0.34). For one of the two exercises considered, these classifiers compared favorably with human performance.

[1]  Konrad P. Kording,et al.  The need to approximate the use-case in clinical machine learning , 2017, GigaScience.

[2]  Brian Caulfield,et al.  Classification of lunge biomechanics with multiple and individual inertial measurement units , 2017, Sports biomechanics.

[3]  H. Kehlet,et al.  Rehabilitation strategies for optimisation of functional recovery after major joint replacement , 2018, Journal of Experimental Orthopaedics.

[4]  Darragh F Whelan,et al.  Technology in Strength and Conditioning: Assessing Bodyweight Squat Technique With Wearable Sensors. , 2017, Journal of strength and conditioning research.

[5]  Eamonn Delahunt,et al.  Classification of deadlift biomechanics with wearable inertial measurement units. , 2017, Journal of biomechanics.

[6]  Yanxin Zhang,et al.  Automated classification of movement quality using the Microsoft Kinect V2 sensor , 2020, Comput. Biol. Medicine.

[7]  William Johnston,et al.  Wearable Inertial Sensor Systems for Lower Limb Exercise Detection and Evaluation: A Systematic Review , 2018, Sports Medicine.

[8]  Darragh F Whelan,et al.  Technology in Rehabilitation: Evaluating the Single Leg Squat Exercise with Wearable Inertial Measurement Units. , 2016, Methods of information in medicine.

[9]  Takeo Kanade,et al.  Classifying human motion quality for knee osteoarthritis using accelerometers , 2010, 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology.

[10]  J. Rizzo,et al.  Use of Outpatient Physical Therapy Services by People With Musculoskeletal Conditions , 2007, Physical Therapy.

[11]  Darragh F Whelan,et al.  Determining Interrater and Intrarater Levels of Agreement in Students and Clinicians When Visually Evaluating Movement Proficiency During Screening Assessments , 2019, Physical therapy.

[12]  William W Yu,et al.  Determinants of Utilization and Expenditures for Episodes of Ambulatory Physical Therapy Among Adults , 2011, Physical Therapy.

[13]  Brian Caulfield,et al.  Technology in Rehabilitation: Comparing Personalised and Global Classification Methodologies in Evaluating the Squat Exercise with Wearable IMUs. , 2017, Methods of information in medicine.

[14]  Takeo Kanade,et al.  Multi-label classification for the analysis of human motion quality , 2012, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.