Outlier Detection in Plantar Pressure: Human-Centered Comparison of Statistical Parametric Mapping and Explainable Machine Learning

Plantar pressure mapping is essential in clinical diagnostics and sports science, yet large heterogeneous datasets often contain outliers from technical errors or procedural inconsistencies. Statistical Parametric Mapping (SPM) provides interpretable analyses but is sensitive to alignment and its capacity for robust outlier detection remains unclear. This study compares an SPM approach with an explainable machine learning (ML) approach to establish transparent quality-control pipelines for plantar pressure datasets. Data from multiple centers were annotated by expert consensus and enriched with synthetic anomalies resulting in 798 valid samples and 2000 outliers. We evaluated (i) a non-parametric, registration-dependent SPM approach and (ii) a convolutional neural network (CNN), explained using SHapley Additive exPlanations (SHAP). Performance was assessed via nested cross-validation; explanation quality via a semantic differential survey with domain experts. The ML model reached high accuracy and outperformed SPM, which misclassified clinically meaningful variations and missed true outliers. Experts perceived both SPM and SHAP explanations as clear, useful, and trustworthy, though SPM was assessed less complex. These findings highlight the complementary potential of SPM and explainable ML as approaches for automated outlier detection in plantar pressure data, and underscore the importance of explainability in translating complex model outputs into interpretable insights that can effectively inform decision-making.

Machine Learning in Biomechanics: Key Applications and Limitations in Walking, Running, and Sports Movements

This chapter provides an overview of recent and promising Machine Learning applications, i.e. pose estimation, feature estimation, event detection, data exploration & clustering, and automated classification, in gait (walking and running) and sports biomechanics. It explores the potential of Machine Learning methods to address challenges in biomechanical workflows, highlights central limitations, i.e. data and annotation availability and explainability, that need to be addressed, and emphasises the importance of interdisciplinary approaches for fully harnessing the potential of Machine Learning in gait and sports biomechanics.