Efficient and Robust Skeleton-Based Quality Assessment and Abnormality Detection in Human Action Performance

Elderly people can be provided with safer and more independent living by the early detection of abnormalities in their performing actions and the frequent assessment of the quality of their motion. Low-cost depth sensing is one of the emerging technologies that can be used for unobtrusive and inexpensive motion abnormality detection and quality assessment. In this study, we develop and evaluate vision-based methods to detect and assess neuromusculoskeletal disorders manifested in common daily activities using three-dimensional skeletal data provided by the SDK of a depth camera (e.g., MS Kinect and Asus Xtion PRO). The proposed methods are based on extracting medically -justified features to compose a simple descriptor. Thereafter, a probabilistic normalcy model is trained on normal motion patterns. For abnormality detection, a test sequence is classified as either normal or abnormal based on its likelihood, which is calculated from the trained normalcy model. For motion quality assessment, a linear regression model is built using the proposed descriptor in order to quantitatively assess the motion quality. The proposed methods were evaluated on four common daily actions—sit to stand, stand to sit, flat walk, and gait on stairs—from two datasets, a publicly released dataset and our dataset that was collected in a clinic from 32 patients suffering from different neuromusculoskeletal disorders and 11 healthy individuals. Experimental results demonstrate promising results, which is a step toward having convenient in-home automatic health care services.

[1]  D. D. Vaus,et al.  Demographics of living alone , 2015 .

[2]  J. Jankovic Parkinson’s disease: clinical features and diagnosis , 2008, Journal of Neurology, Neurosurgery, and Psychiatry.

[3]  P. McCullagh Regression Models for Ordinal Data , 1980 .

[4]  Marjorie Skubic,et al.  Fall Detection in Homes of Older Adults Using the Microsoft Kinect , 2015, IEEE Journal of Biomedical and Health Informatics.

[5]  Shyamal Patel,et al.  A review of wearable sensors and systems with application in rehabilitation , 2012, Journal of NeuroEngineering and Rehabilitation.

[6]  Gérard G. Medioni,et al.  Home Monitoring Musculo-skeletal Disorders with a Single 3D Sensor , 2013, 2013 IEEE Conference on Computer Vision and Pattern Recognition Workshops.

[7]  Stephen James Redmond,et al.  Wavelet-Based Sit-To-Stand Detection and Assessment of Fall Risk in Older People Using a Wearable Pendant Device , 2017, IEEE Transactions on Biomedical Engineering.

[8]  James W. Davis,et al.  The representation and recognition of human movement using temporal templates , 1997, Proceedings of IEEE Computer Society Conference on Computer Vision and Pattern Recognition.

[9]  Jeffrey M. Hausdorff,et al.  Is freezing of gait in Parkinson's disease related to asymmetric motor function? , 2005, Annals of neurology.

[10]  E. Gutierrez-Farewik,et al.  Comparison and evaluation of two common methods to measure center of mass displacement in three dimensions during gait. , 2006, Human movement science.

[11]  Chuan-Jun Su,et al.  Personal Rehabilitation Exercise Assistant with Kinect and Dynamic Time Warping , 2013, CIKM 2013.

[12]  Md. Atiqur Rahman Ahad,et al.  Motion history image: its variants and applications , 2012, Machine Vision and Applications.

[13]  Bastiaan R. Bloem,et al.  The clinical approach to movement disorders , 2010, Nature Reviews Neurology.

[14]  Qing Zhang,et al.  A Survey on Human Motion Analysis from Depth Data , 2013, Time-of-Flight and Depth Imaging.

[15]  Marjorie Skubic,et al.  In-home fall risk assessment and detection sensor system. , 2013, Journal of gerontological nursing.

[16]  J C Wall,et al.  Gait asymmetries in residual hemiplegia. , 1986, Archives of physical medicine and rehabilitation.

[17]  Martin Schätz,et al.  Motion tracking and gait feature estimation for recognising Parkinson’s disease using MS Kinect , 2015, BioMedical Engineering OnLine.

[18]  Paola Pierleoni,et al.  A High Reliability Wearable Device for Elderly Fall Detection , 2015, IEEE Sensors Journal.

[19]  João Paulo da Silva Cunha,et al.  Kinect v2 based system for Parkinson's disease assessment , 2015, 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[20]  Majid Mirmehdi,et al.  A comparative study of pose representation and dynamics modelling for online motion quality assessment , 2016, Comput. Vis. Image Underst..

[21]  Yunjian Ge,et al.  HMM-Based Human Fall Detection and Prediction Method Using Tri-Axial Accelerometer , 2013, IEEE Sensors Journal.

[22]  C. Antoniak Mixtures of Dirichlet Processes with Applications to Bayesian Nonparametric Problems , 1974 .

[23]  W. J. Yeung,et al.  Living alone: One-person households in Asia , 2015 .

[24]  Ennio Gambi,et al.  A Depth-Based Fall Detection System Using a Kinect® Sensor , 2014, Sensors.

[25]  R. Barros,et al.  Alteration in the center of mass trajectory of patients after stroke , 2015, Topics in stroke rehabilitation.

[26]  Alex Mihailidis,et al.  3D Human Motion Analysis to Detect Abnormal Events on Stairs , 2012, 2012 Second International Conference on 3D Imaging, Modeling, Processing, Visualization & Transmission.

[27]  Dima Damen,et al.  A general descriptor for detecting abnormal action performance from skeletal data , 2017, 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[28]  B. Silverman Density estimation for statistics and data analysis , 1986 .

[29]  Taeyoung Kim,et al.  Longitudinal high-fidelity gait analysis with wireless inertial body sensors , 2010, Wireless Health.

[30]  C. D. Kemp,et al.  Density Estimation for Statistics and Data Analysis , 1987 .

[31]  D. Rubin,et al.  Maximum likelihood from incomplete data via the EM - algorithm plus discussions on the paper , 1977 .

[32]  Rushil Anirudh,et al.  Riemannian geometric approaches for measuring movement quality , 2016, 2016 IEEE Conference on Computer Vision and Pattern Recognition Workshops (CVPRW).

[33]  R DRILLIS,et al.  BODY SEGMENT PARAMETERS; A SURVEY OF MEASUREMENT TECHNIQUES. , 1964, Artificial limbs.

[34]  Dimitrios Makris,et al.  Fall detection system using Kinect’s infrared sensor , 2014, Journal of Real-Time Image Processing.

[35]  Marjorie Skubic,et al.  Automated health alerts from kinect-based in-home gait measurements , 2014, 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.