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author:

Shi, Wuxiang (Shi, Wuxiang.) [1] | Li, Yurong (Li, Yurong.) [2] (Scholars:李玉榕) | Xu, Dujian (Xu, Dujian.) [3] | Lin, Chen (Lin, Chen.) [4] | Lan, Junlin (Lan, Junlin.) [5] | Zhou, Yuanbo (Zhou, Yuanbo.) [6] | Zhang, Qian (Zhang, Qian.) [7] | Xiong, Baoping (Xiong, Baoping.) [8] | Du, Min (Du, Min.) [9]

Indexed by:

SSCI SCIE

Abstract:

Early accurate diagnosis of patellofemoral pain syndrome (PFPS) is important to prevent the further development of the disease. However, traditional diagnostic methods for PFPS mostly rely on the subjective experience of doctors and subjective feelings of the patient, which do not have an accurate-unified standard, and the clinical accuracy is not high. With the development of artificial intelligence technology, artificial neural networks are increasingly applied in medical treatment to assist doctors in diagnosis, but selecting a suitable neural network model must be considered. In this paper, an intelligent diagnostic method for PFPS was proposed on the basis of a one-dimensional convolutional neural network (1D CNN), which used surface electromyography (sEMG) signals and lower limb joint angles as inputs, and discussed the model from three aspects, namely, accuracy, interpretability, and practicability. This article utilized the running and walking data of 41 subjects at their selected speed, including 26 PFPS patients (16 females and 10 males) and 16 painless controls (8 females and 7 males). In the proposed method, the knee flexion angle, hip flexion angle, ankle dorsiflexion angle, and sEMG signals of the seven muscles around the knee of three different data sets (walking data set, running data set, and walking and running mixed data set) were used as input of the 1D CNN. Focal loss function was introduced to the network to solve the problem of imbalance between positive and negative samples in the data set and make the network focus on learning the difficult-to-predict samples. Meanwhile, the attention mechanism was added to the network to observe the dimension feature that the network pays more attention to, thereby increasing the interpretability of the model. Finally, the depth features extracted by 1D CNN were combined with the traditional gender features to improve the accuracy of the model. After verification, the 1D CNN had the best performance on the running data set (accuracy = 92.4%, sensitivity = 97%, specificity = 84%). Compared with other methods, this method could provide new ideas for the development of models that assisted doctors in diagnosing PFPS without using complex biomechanical modeling and with high objective accuracy.

Keyword:

attention mechanism focal loss joint angles one-dimensional convolutional neural network patellofemoral pain syndrome surface electromyography

Community:

  • [ 1 ] [Shi, Wuxiang]Fuzhou Univ, Coll Phys & Informat Engn, Fuzhou, Peoples R China
  • [ 2 ] [Lin, Chen]Fuzhou Univ, Coll Phys & Informat Engn, Fuzhou, Peoples R China
  • [ 3 ] [Lan, Junlin]Fuzhou Univ, Coll Phys & Informat Engn, Fuzhou, Peoples R China
  • [ 4 ] [Zhou, Yuanbo]Fuzhou Univ, Coll Phys & Informat Engn, Fuzhou, Peoples R China
  • [ 5 ] [Zhang, Qian]Fuzhou Univ, Coll Phys & Informat Engn, Fuzhou, Peoples R China
  • [ 6 ] [Xiong, Baoping]Fuzhou Univ, Coll Phys & Informat Engn, Fuzhou, Peoples R China
  • [ 7 ] [Du, Min]Fuzhou Univ, Coll Phys & Informat Engn, Fuzhou, Peoples R China
  • [ 8 ] [Shi, Wuxiang]Fuzhou Univ, Fujian Key Lab Med Instrumentat & Pharmaceut Tech, Fuzhou, Peoples R China
  • [ 9 ] [Li, Yurong]Fuzhou Univ, Fujian Key Lab Med Instrumentat & Pharmaceut Tech, Fuzhou, Peoples R China
  • [ 10 ] [Lin, Chen]Fuzhou Univ, Fujian Key Lab Med Instrumentat & Pharmaceut Tech, Fuzhou, Peoples R China
  • [ 11 ] [Lan, Junlin]Fuzhou Univ, Fujian Key Lab Med Instrumentat & Pharmaceut Tech, Fuzhou, Peoples R China
  • [ 12 ] [Zhou, Yuanbo]Fuzhou Univ, Fujian Key Lab Med Instrumentat & Pharmaceut Tech, Fuzhou, Peoples R China
  • [ 13 ] [Zhang, Qian]Fuzhou Univ, Fujian Key Lab Med Instrumentat & Pharmaceut Tech, Fuzhou, Peoples R China
  • [ 14 ] [Xu, Dujian]Yida Equ Investment Fund Management Co Ltd, Nanjing, Peoples R China
  • [ 15 ] [Xiong, Baoping]Fujian Univ Technol, Dept Math & Phys, Fuzhou, Peoples R China
  • [ 16 ] [Du, Min]Wuyi Univ, Fujian Prov Key Lab Ecoind Green Technol, Wuyishan, Peoples R China

Reprint 's Address:

  • 熊保平 杜民

    [Xiong, Baoping]Fuzhou Univ, Coll Phys & Informat Engn, Fuzhou, Peoples R China;;[Du, Min]Fuzhou Univ, Coll Phys & Informat Engn, Fuzhou, Peoples R China;;[Xiong, Baoping]Fujian Univ Technol, Dept Math & Phys, Fuzhou, Peoples R China;;[Du, Min]Wuyi Univ, Fujian Prov Key Lab Ecoind Green Technol, Wuyishan, Peoples R China

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Source :

FRONTIERS IN PUBLIC HEALTH

ISSN: 2296-2565

Year: 2021

Volume: 9

6 . 4 6 1

JCR@2021

3 . 0 0 0

JCR@2023

ESI Discipline: SOCIAL SCIENCES, GENERAL;

ESI HC Threshold:65

JCR Journal Grade:1

CAS Journal Grade:3

Cited Count:

WoS CC Cited Count: 3

SCOPUS Cited Count: 3

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 6

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