DS-MS-TCN: Otago Exercises Recognition with a Dual-Scale Multi-Stage Temporal Convolutional Network

The Otago Exercise Program (OEP) represents a crucial rehabilitation initiative tailored for older adults, aimed at enhancing balance and strength. Despite previous efforts utilizing wearable sensors for OEP recognition, existing studies have exhibited limitations in terms of accuracy and robustness. This study addresses these limitations by employing a single waist-mounted Inertial Measurement Unit (IMU) to recognize OEP exercises among community-dwelling older adults in their daily lives. A cohort of 36 older adults participated in laboratory settings, supplemented by an additional 7 older adults recruited for at-home assessments. The study proposes a Dual-Scale Multi-Stage Temporal Convolutional Network (DS-MS-TCN) designed for two-level sequence-to-sequence classification, incorporating them in one loss function. In the first stage, the model focuses on recognizing each repetition of the exercises (micro labels). Subsequent stages extend the recognition to encompass the complete range of exercises (macro labels). The DS-MS-TCN model surpasses existing state-of-the-art deep learning models, achieving f1-scores exceeding 80% and Intersection over Union (IoU) f1-scores surpassing 60% for all four exercises evaluated. Notably, the model outperforms the prior study utilizing the sliding window technique, eliminating the need for post-processing stages and window size tuning. To our knowledge, we are the first to present a novel perspective on enhancing Human Activity Recognition (HAR) systems through the recognition of each repetition of activities.

A Multi-Stage Temporal Convolutional Network for Volleyball Jumps Classification Using a Waist-Mounted IMU

Monitoring the number of jumps for volleyball players during training or a match can be crucial to prevent injuries, yet the measurement requires considerable workload and cost using traditional methods such as video analysis. Also, existing methods do not provide accurate differentiation between different types of jumps. In this study, an unobtrusive system with a single inertial measurement unit (IMU) on the waist was proposed to recognize the types of volleyball jumps. A Multi-Layer Temporal Convolutional Network (MS-TCN) was applied for sample-wise classification. The model was evaluated on ten volleyball players and twenty-six volleyball players, during a lab session with a fixed protocol of jumping and landing tasks, and during four volleyball training sessions, respectively. The MS-TCN model achieved better performance than a state-of-the-art deep learning model but with lower computational cost. In the lab sessions, most jump counts showed small differences between the predicted jumps and video-annotated jumps, with an overall count showing a Limit of Agreement (LoA) of 0.1+-3.40 (r=0.884). For comparison, the proposed algorithm showed slightly worse results than VERT (a commercial jumping assessment device) with a LoA of 0.1+-2.08 (r=0.955) but the differences were still within a comparable range. In the training sessions, the recognition of three types of jumps exhibited a mean difference from observation of less than 10 jumps: block, smash, and overhead serve. These results showed the potential of using a single IMU to recognize the types of volleyball jumps. The sample-wise architecture provided high resolution of recognition and the MS-TCN required fewer parameters to train compared with state-of-the-art models.

Otago Exercises Monitoring for Older Adults by a Single IMU and Hierarchical Machine Learning Models

Otago Exercise Program (OEP) is a rehabilitation program for older adults to improve frailty, sarcopenia, and balance. Accurate monitoring of patient involvement in OEP is challenging, as self-reports (diaries) are often unreliable. With the development of wearable sensors, Human Activity Recognition (HAR) systems using wearable sensors have revolutionized healthcare. However, their usage for OEP still shows limited performance. The objective of this study is to build an unobtrusive and accurate system to monitor OEP for older adults. Data was collected from older adults wearing a single waist-mounted Inertial Measurement Unit (IMU). Two datasets were collected, one in a laboratory setting, and one at the homes of the patients. A hierarchical system is proposed with two stages: 1) using a deep learning model to recognize whether the patients are performing OEP or activities of daily life (ADLs) using a 10-minute sliding window; 2) based on stage 1, using a 6-second sliding window to recognize the OEP sub-classes performed. The results showed that in stage 1, OEP could be recognized with window-wise f1-scores over 0.95 and Intersection-over-Union (IoU) f1-scores over 0.85 for both datasets. In stage 2, for the home scenario, four activities could be recognized with f1-scores over 0.8: ankle plantarflexors, abdominal muscles, knee bends, and sit-to-stand. The results showed the potential of monitoring the compliance of OEP using a single IMU in daily life. Also, some OEP sub-classes are possible to be recognized for further analysis.

Eat-Radar: Continuous Fine-Grained Eating Gesture Detection Using FMCW Radar and 3D Temporal Convolutional Network

Unhealthy dietary habits are considered as the primary cause of multiple chronic diseases such as obesity and diabetes. The automatic food intake monitoring system has the potential to improve the quality of life (QoF) of people with dietary related diseases through dietary assessment. In this work, we propose a novel contact-less radar-based food intake monitoring approach. Specifically, a Frequency Modulated Continuous Wave (FMCW) radar sensor is employed to recognize fine-grained eating and drinking gestures. The fine-grained eating/drinking gesture contains a series of movement from raising the hand to the mouth until putting away the hand from the mouth. A 3D temporal convolutional network (3D-TCN) is developed to detect and segment eating and drinking gestures in meal sessions by processing the Range-Doppler Cube (RD Cube). Unlike previous radar-based research, this work collects data in continuous meal sessions. We create a public dataset that contains 48 meal sessions (3121 eating gestures and 608 drinking gestures) from 48 participants with a total duration of 783 minutes. Four eating styles (fork & knife, chopsticks, spoon, hand) are included in this dataset. To validate the performance of the proposed approach, 8-fold cross validation method is applied. Experimental results show that our proposed 3D-TCN outperforms the model that combines a convolutional neural network and a long-short-term-memory network (CNN-LSTM), and also the CNN-Bidirectional LSTM model (CNN-BiLSTM) in eating and drinking gesture detection. The 3D-TCN model achieves a segmental F1-score of 0.887 and 0.844 for eating and drinking gestures, respectively. The results of the proposed approach indicate the feasibility of using radar for fine-grained eating and drinking gesture detection and segmentation in meal sessions.

Skeleton-Based Action Segmentation with Multi-Stage Spatial-Temporal Graph Convolutional Neural Networks

The ability to identify and temporally segment fine-grained actions in motion capture sequences is crucial for applications in human movement analysis. Motion capture is typically performed with optical or inertial measurement systems, which encode human movement as a time series of human joint locations and orientations or their higher-order representations. State-of-the-art action segmentation approaches use multiple stages of temporal convolutions. The main idea is to generate an initial prediction with several layers of temporal convolutions and refine these predictions over multiple stages, also with temporal convolutions. Although these approaches capture long-term temporal patterns, the initial predictions do not adequately consider the spatial hierarchy among the human joints. To address this limitation, we present multi-stage spatial-temporal graph convolutional neural networks (MS-GCN). Our framework decouples the architecture of the initial prediction generation stage from the refinement stages. Specifically, we replace the initial stage of temporal convolutions with spatial-temporal graph convolutions, which better exploit the spatial configuration of the joints and their temporal dynamics. Our framework was compared to four strong baselines on five tasks. Experimental results demonstrate that our framework achieves state-of-the-art performance.

Automated freezing of gait assessment with marker-based motion capture and multi-stage graph convolutional neural networks approaches expert-level detection

Freezing of gait (FOG) is a common and debilitating gait impairment in Parkinson's disease. Further insight in this phenomenon is hampered by the difficulty to objectively assess FOG. To meet this clinical need, this paper proposes a motion capture-based FOG assessment method driven by a novel deep neural network. The proposed network, termed multi-stage graph convolutional network (MS-GCN), combines the spatial-temporal graph convolutional network (ST-GCN) and the multi-stage temporal convolutional network (MS-TCN). The ST-GCN captures the hierarchical motion among the optical markers inherent to motion capture, while the multi-stage component reduces over-segmentation errors by refining the predictions over multiple stages. The proposed model was validated on a dataset of fourteen freezers, fourteen non-freezers, and fourteen healthy control subjects. The experiments indicate that the proposed model outperforms state-of-the-art baselines. An in-depth quantitative and qualitative analysis demonstrates that the proposed model is able to achieve clinician-like FOG assessment. The proposed MS-GCN can provide an automated and objective alternative to labor-intensive clinician-based FOG assessment.