MR-STGN: Multi-Residual Spatio Temporal Graph Network Using Attention Fusion for Patient Action Assessment
Abstract: Accurate assessment of patient actions plays a crucial role in healthcare as it contributes significantly to disease progression monitoring and treatment effectiveness. However, traditional approaches to assess patient actions often rely on manual observation and scoring, which are subjective and time-consuming. In this paper, we propose an automated approach for patient action assessment using a Multi-Residual Spatio Temporal Graph Network (MR-STGN) that incorporates both angular and positional 3D skeletons. The MR-STGN is specifically designed to capture the spatio-temporal dynamics of patient actions. It achieves this by integrating information from multiple residual layers, with each layer extracting features at distinct levels of abstraction. Furthermore, we integrate an attention fusion mechanism into the network, which facilitates the adaptive weighting of various features. This empowers the model to concentrate on the most pertinent aspects of the patient's movements, offering precise instructions regarding specific body parts or movements that require attention. Ablation studies are conducted to analyze the impact of individual components within the proposed model. We evaluate our model on the UI-PRMD dataset demonstrating its performance in accurately predicting real-time patient action scores, surpassing state-of-the-art methods.
- M. H. Jang, M.-J. Shin, and Y. B. Shin, “Pulmonary and physical rehabilitation in critically ill patients,” Acute and critical care, vol. 34, no. 1, pp. 1–13, 2019.
- D. W. Kitzman, D. J. Whellan, P. Duncan, A. M. Pastva, R. J. Mentz, G. R. Reeves, M. B. Nelson, H. Chen, B. Upadhya, S. D. Reed et al., “Physical rehabilitation for older patients hospitalized for heart failure,” New England Journal of Medicine, vol. 385, no. 3, pp. 203–216, 2021.
- C. Du, S. Graham, C. Depp, and T. Nguyen, “Assessing physical rehabilitation exercises using graph convolutional network with self-supervised regularization,” in 2021 43rd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC). IEEE, 2021, pp. 281–285.
- D. M. Burns, N. Leung, M. Hardisty, C. M. Whyne, P. Henry, and S. McLachlin, “Shoulder physiotherapy exercise recognition: machine learning the inertial signals from a smartwatch,” Physiological measurement, vol. 39, no. 7, p. 075007, 2018.
- M. Panwar, D. Biswas, H. Bajaj, M. Jöbges, R. Turk, K. Maharatna, and A. Acharyya, “Rehab-net: Deep learning framework for arm movement classification using wearable sensors for stroke rehabilitation,” IEEE Transactions on Biomedical Engineering, vol. 66, no. 11, pp. 3026–3037, 2019.
- W. Zhang, C. Su, and C. He, “Rehabilitation exercise recognition and evaluation based on smart sensors with deep learning framework,” IEEE Access, vol. 8, pp. 77 561–77 571, 2020.
- Y. Liao, A. Vakanski, and M. Xian, “A deep learning framework for assessing physical rehabilitation exercises,” IEEE Transactions on Neural Systems and Rehabilitation Engineering, vol. 28, no. 2, pp. 468–477, 2020.
- D. J. Gladstone, C. J. Danells, and S. E. Black, “The fugl-meyer assessment of motor recovery after stroke: a critical review of its measurement properties,” Neurorehabilitation and neural repair, vol. 16, no. 3, pp. 232–240, 2002.
- J. Abreu, S. Rebelo, H. Paredes, J. Barroso, P. Martins, A. Reis, E. V. Amorim, and V. Filipe, “Assessment of microsoft kinect in the monitoring and rehabilitation of stroke patients,” in Recent Advances in Information Systems and Technologies: Volume 2 5. Springer, 2017, pp. 167–174.
- J. H. Van Der Lee, H. Beckerman, G. J. Lankhorst, L. M. Bouter et al., “The responsiveness of the action research arm test and the fugl-meyer assessment scale in chronic stroke patients,” Journal of rehabilitation medicine, vol. 33, no. 3, pp. 110–113, 2001.
- B. Bilney, M. Morris, and K. Webster, “Concurrent related validity of the gaitrite® walkway system for quantification of the spatial and temporal parameters of gait,” Gait & posture, vol. 17, no. 1, pp. 68–74, 2003.
- A. Henderson, N. Korner-Bitensky, and M. Levin, “Virtual reality in stroke rehabilitation: a systematic review of its effectiveness for upper limb motor recovery,” Topics in stroke rehabilitation, vol. 14, no. 2, pp. 52–61, 2007.
- H. B. Menz, M. D. Latt, A. Tiedemann, M. M. San Kwan, and S. R. Lord, “Reliability of the gaitrite® walkway system for the quantification of temporo-spatial parameters of gait in young and older people,” Gait & posture, vol. 20, no. 1, pp. 20–25, 2004.
- S. K. Subramanian, C. B. Lourenço, G. Chilingaryan, H. Sveistrup, and M. F. Levin, “Arm motor recovery using a virtual reality intervention in chronic stroke: randomized control trial,” Neurorehabilitation and neural repair, vol. 27, no. 1, pp. 13–23, 2013.
- V. Anand Thoutam, A. Srivastava, T. Badal, V. Kumar Mishra, G. Sinha, A. Sakalle, H. Bhardwaj, and M. Raj, “Yoga pose estimation and feedback generation using deep learning,” Computational Intelligence and Neuroscience, vol. 2022, 2022.
- Z. Wu, J. Zhang, K. Chen, and C. Fu, “Yoga posture recognition and quantitative evaluation with wearable sensors based on two-stage classifier and prior bayesian network,” Sensors, vol. 19, no. 23, p. 5129, 2019.
- H. Song, C. E. Montenegro-Marin, and S. krishnamoorthy, “Secure prediction and assessment of sports injuries using deep learning based convolutional neural network,” Journal of Ambient Intelligence and Humanized Computing, vol. 12, pp. 3399–3410, 2021.
- R. Guo, X. Shao, C. Zhang, and X. Qian, “Sparse adaptive graph convolutional network for leg agility assessment in parkinson’s disease,” IEEE Transactions on Neural Systems and Rehabilitation Engineering, vol. 28, no. 12, pp. 2837–2848, 2020.
- S. Deb, M. F. Islam, S. Rahman, and S. Rahman, “Graph convolutional networks for assessment of physical rehabilitation exercises,” IEEE Transactions on Neural Systems and Rehabilitation Engineering, vol. 30, pp. 410–419, 2022.
- A. Vakanski, H.-p. Jun, D. Paul, and R. Baker, “A data set of human body movements for physical rehabilitation exercises,” Data, vol. 3, no. 1, p. 2, 2018.
- C. Li, Q. Zhong, D. Xie, and S. Pu, “Co-occurrence feature learning from skeleton data for action recognition and detection with hierarchical aggregation,” arXiv preprint arXiv:1804.06055, 2018.
- A. Shahroudy, J. Liu, T.-T. Ng, and G. Wang, “Ntu rgb+ d: A large scale dataset for 3d human activity analysis,” in Proceedings of the IEEE conference on computer vision and pattern recognition, 2016, pp. 1010–1019.
- K. Simonyan and A. Zisserman, “Two-stream convolutional networks for action recognition in videos,” Advances in neural information processing systems, vol. 27, 2014.
Paper Prompts
Sign up for free to create and run prompts on this paper using GPT-5.
Top Community Prompts
Collections
Sign up for free to add this paper to one or more collections.