AI-Based Stroke Rehabilitation Domiciliary Assessment System with ST_GCN Attention

Abstract: Effective stroke recovery requires continuous rehabilitation integrated with daily living. To support this need, we propose a home-based rehabilitation exercise and feedback system. The system consists of (1) hardware setup with RGB-D camera and wearable sensors to capture Stroke movements, (2) a mobile application for exercise guidance, and (3) an AI server for assessment and feedback. When Stroke user exercises following the application guidance, the system records skeleton sequences, which are then Assessed by the deep learning model, RAST-G@. The model employs a spatio-temporal graph convolutional network (ST-GCN) to extract skeletal features and integrates transformer-based temporal attention to figure out action quality. For system implementation, we constructed the NRC dataset, include 10 upper-limb activities of daily living (ADL) and 5 range-of-motion (ROM) collected from stroke and non-disabled participants, with Score annotations provided by licensed physiotherapists. Results on the KIMORE and NRC datasets show that RAST-G@ improves over baseline in terms of MAD, RMSE, and MAPE. Furthermore, the system provides user feedback that combines patient-centered assessment and monitoring. The results demonstrate that the proposed system offers a scalable approach for quantitative and consistent domiciliary rehabilitation assessment.