Automatic gait EVENT detection in older adults during perturbed walking

Abstract Accurate detection of gait events in older adults, particularly during perturbed walking, is essential for evaluating balance control and fall risk. Traditional force plate-based methods often face limitations in perturbed walking scenarios due to the difficulty in landing cleanly on the fo...

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Main Authors: Shuaijie Wang, Kazi Shahrukh Omar, Fabio Miranda, Tanvi Bhatt
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Journal of NeuroEngineering and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s12984-025-01560-9
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author Shuaijie Wang
Kazi Shahrukh Omar
Fabio Miranda
Tanvi Bhatt
author_facet Shuaijie Wang
Kazi Shahrukh Omar
Fabio Miranda
Tanvi Bhatt
author_sort Shuaijie Wang
collection DOAJ
description Abstract Accurate detection of gait events in older adults, particularly during perturbed walking, is essential for evaluating balance control and fall risk. Traditional force plate-based methods often face limitations in perturbed walking scenarios due to the difficulty in landing cleanly on the force plates. Subsequently, previous studies have not addressed gait event automatic detection methods for perturbed walking. This study introduces an automated gait event detection method using a bidirectional gated recurrent unit (Bi-GRU) model, leveraging ground reaction force, joint angles, and marker data, for both regular and perturbed walking scenarios from 307 healthy older adults. Our marker-based model achieved over 97% accuracy with a mean error of less than 14 ms in detecting touchdown (TD) and liftoff (LO) events for both walking scenarios. The results highlight the efficacy of kinematic approaches, demonstrating their potential in gait event detection for clinical settings. When integrated with wearable sensors or computer vision techniques, these methods enable real-time, precise monitoring of gait patterns, which is helpful for applying personalized programs for fall prevention. This work takes a significant step forward in automated gait analysis for perturbed walking, offering a reliable method for evaluating gait patterns, balance control, and fall risk in clinical settings.
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spelling doaj-art-ff74fd80fc9a421980db27b5bc4e30db2025-08-20T02:16:54ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032025-02-0122111010.1186/s12984-025-01560-9Automatic gait EVENT detection in older adults during perturbed walkingShuaijie Wang0Kazi Shahrukh Omar1Fabio Miranda2Tanvi Bhatt3Department of Physical Therapy, University of Illinois ChicagoDepartment of Computer Science, University of Illinois ChicagoDepartment of Computer Science, University of Illinois ChicagoDepartment of Physical Therapy, University of Illinois ChicagoAbstract Accurate detection of gait events in older adults, particularly during perturbed walking, is essential for evaluating balance control and fall risk. Traditional force plate-based methods often face limitations in perturbed walking scenarios due to the difficulty in landing cleanly on the force plates. Subsequently, previous studies have not addressed gait event automatic detection methods for perturbed walking. This study introduces an automated gait event detection method using a bidirectional gated recurrent unit (Bi-GRU) model, leveraging ground reaction force, joint angles, and marker data, for both regular and perturbed walking scenarios from 307 healthy older adults. Our marker-based model achieved over 97% accuracy with a mean error of less than 14 ms in detecting touchdown (TD) and liftoff (LO) events for both walking scenarios. The results highlight the efficacy of kinematic approaches, demonstrating their potential in gait event detection for clinical settings. When integrated with wearable sensors or computer vision techniques, these methods enable real-time, precise monitoring of gait patterns, which is helpful for applying personalized programs for fall prevention. This work takes a significant step forward in automated gait analysis for perturbed walking, offering a reliable method for evaluating gait patterns, balance control, and fall risk in clinical settings.https://doi.org/10.1186/s12984-025-01560-9SlipTripDeep learningGait detectionBi-GRU model
spellingShingle Shuaijie Wang
Kazi Shahrukh Omar
Fabio Miranda
Tanvi Bhatt
Automatic gait EVENT detection in older adults during perturbed walking
Journal of NeuroEngineering and Rehabilitation
Slip
Trip
Deep learning
Gait detection
Bi-GRU model
title Automatic gait EVENT detection in older adults during perturbed walking
title_full Automatic gait EVENT detection in older adults during perturbed walking
title_fullStr Automatic gait EVENT detection in older adults during perturbed walking
title_full_unstemmed Automatic gait EVENT detection in older adults during perturbed walking
title_short Automatic gait EVENT detection in older adults during perturbed walking
title_sort automatic gait event detection in older adults during perturbed walking
topic Slip
Trip
Deep learning
Gait detection
Bi-GRU model
url https://doi.org/10.1186/s12984-025-01560-9
work_keys_str_mv AT shuaijiewang automaticgaiteventdetectioninolderadultsduringperturbedwalking
AT kazishahrukhomar automaticgaiteventdetectioninolderadultsduringperturbedwalking
AT fabiomiranda automaticgaiteventdetectioninolderadultsduringperturbedwalking
AT tanvibhatt automaticgaiteventdetectioninolderadultsduringperturbedwalking