Systematic data management for effective AI-driven decision support systems in robotic rehabilitation.

Journal: Scientific reports
Published Date:

Abstract

Robotic rehabilitation is becoming a standard in post-stroke physical rehabilitation, and these setups, often coupled with virtual exercises, collect a large and finely grained amount of data about patients' motor performance, in terms of kinematics and force interactions. Given the high resolution of data throughout the rehabilitation treatment, invaluable information is concealed, especially if oriented towards predictive systems and decision support systems. Nevertheless, a comprehensive understanding of how manipulating these datasets with machine-learning to produce such outputs is still missing. This study leverages comprehensive robotic-assisted rehabilitation data to systematically investigate clinical outcome predictions (FMA, ARAT and MI) and robot parameters suggestions based solely on kinematic and demographic data. Our method significantly outperforms conventional approaches on both tasks demonstrating the potential of systematic data handling in advancing rehabilitation practices. Moreover, under the explainable-AI policies, a focus on prediction power of variables and a clinical knowledge base of predicted outcome are provided.

Authors

  • Anastasios Tzepkenlis
    Istituto di Intelligenza Meccanica, Scuola Superiore Sant'Anna, Via L. Alammanni 13b, 56010, Pisa, Italy. anastasios.tzepkenlis@santannapisa.it.
  • Cristian Camardella
  • Marco Germanotta
    Don Carlo Gnocchi Onlus Foundation, Piazzale Morandi 6, 20121, Milan, Italy. mgermanotta@dongnocchi.it.
  • Irene Giovanna Aprile
    IRCCS Fondazione Don Carlo Gnocchi, Via di Scandicci, 269, 50143, Florence, FI, Italy.
  • Maria Cristina Mauro
    IRCCS Fondazione Don Carlo Gnocchi, Via di Scandicci, 269, 50143, Florence, FI, Italy.
  • Daniele Leonardis
  • Antonio Frisoli