Quantitative Gait Feature Assessment on Two-Dimensional Body Axis Projection Planes Converted from Three-Dimensional Coordinates Estimated with a Deep Learning Smartphone App
Shigeki Yamada,
Yukihiko Aoyagi,
Chifumi Iseki,
Toshiyuki Kondo,
Yoshiyuki Kobayashi,
Shigeo Ueda,
Keisuke Mori,
Tadanori Fukami,
Motoki Tanikawa,
Mitsuhito Mase,
Minoru Hoshimaru,
Masatsune Ishikawa,
Yasuyuki Ohta
Affiliations
Shigeki Yamada
Department of Neurosurgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, Japan
Yukihiko Aoyagi
Digital Standard Co., Ltd., Osaka 536-0013, Japan
Chifumi Iseki
Division of Neurology and Clinical Neuroscience, Department of Internal Medicine III, Yamagata University School of Medicine, Yamagata 990-9585, Japan
Toshiyuki Kondo
Division of Neurology and Clinical Neuroscience, Department of Internal Medicine III, Yamagata University School of Medicine, Yamagata 990-9585, Japan
Yoshiyuki Kobayashi
Human Augmentation Research Center, National Institute of Advanced Industrial Science and Technology (AIST), Kashiwa II Campus, University of Tokyo, Kashiwa 277-0882, Japan
Shigeo Ueda
Shin-Aikai Spine Center, Katano Hospital, Katano 576-0043, Japan
Keisuke Mori
School of Medicine, Shiga University of Medical Science, Otsu 520-2192, Japan
Tadanori Fukami
Department of Informatics, Faculty of Engineering, Yamagata University, Yamagata 992-8510, Japan
Motoki Tanikawa
Department of Neurosurgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, Japan
Mitsuhito Mase
Department of Neurosurgery, Nagoya City University Graduate School of Medical Science, Nagoya 467-8601, Japan
Minoru Hoshimaru
Shin-Aikai Spine Center, Katano Hospital, Katano 576-0043, Japan
Masatsune Ishikawa
Normal Pressure Hydrocephalus Center, Rakuwakai Otowa Hospital, Kyoto 607-8062, Japan
Yasuyuki Ohta
Division of Neurology and Clinical Neuroscience, Department of Internal Medicine III, Yamagata University School of Medicine, Yamagata 990-9585, Japan
To assess pathological gaits quantitatively, three-dimensional coordinates estimated with a deep learning model were converted into body axis plane projections. First, 15 healthy volunteers performed four gait patterns; that is, normal, shuffling, short-stepped, and wide-based gaits, with the Three-Dimensional Pose Tracker for Gait Test (TDPT-GT) application. Second, gaits of 47 patients with idiopathic normal pressure hydrocephalus (iNPH) and 92 healthy elderly individuals in the Takahata cohort were assessed with the TDPT-GT. Two-dimensional relative coordinates were calculated from the three-dimensional coordinates by projecting the sagittal, coronal, and axial planes. Indices of the two-dimensional relative coordinates associated with a pathological gait were comprehensively explored. The candidate indices for the shuffling gait were the angle range of the hip joint 0.1 on the axial projection plane. In conclusion, the two-dimensional coordinates on the body axis projection planes calculated from the 3D relative coordinates estimated by the TDPT-GT application enabled the quantification of pathological gait features.