2025

IEEE Transactions on neural systems and rehabilitation engineering

Foot Pressure-Based Abnormal Gait Recognition With Multi-Scale Cross-Attention Fusion

Menghao Yuan, Yan Wang, Xiaohu Zhou, Meijiang Gui, Aihui Wang, Chen Wang, Guotao Li, Hongnian Yu, Lin Meng, Zengguang Hou

School of Automation and Electrical Engineering, Zhongyuan University of Technology, Zhengzhou, China

Keywords

multi-scale convolution, self-attention, cross-attention, foot pressure sensors, gait recognition

Abstract

Abnormal gait recognition plays a critical role in healthcare, particularly for the early diagnosis and continuous monitoring of neurological and musculoskeletal disorders, such as Parkinson's disease and orthopedic injuries. This study proposes MSCAF-Gait, a Multi-Scale Cross-Attention Fusion Network designed specifically for abnormal gait recognition using foot pressure sensors. MSCAF-Gait incorporates multi-scale convolutional modules with channel and spatial attention mechanisms to effectively capture features across temporal, channel, and spatial dimensions. A novel cross-attention fusion module further enhances feature representation, enabling precise recognition of diverse abnormal gait patterns. To facilitate this research, we introduce the Pressure-Insole Abnormal Gait (PIAG) dataset, comprising gait data associated with common neurological and musculoskeletal abnormalities. Extensive experiments on the publicly available Gait in Parkinson's Disease (GaitinPD) dataset and our self-constructed PIAG dataset validate the effectiveness of MSCAF-Gait. Specifically, the model achieves 99.61% accuracy in Parkinsonian gait recognition and 98.88% accuracy in Parkinson's severity classification. On the PIAG dataset, which includes multiple abnormal gait patterns, MSCAF-Gait attains a high accuracy of 99.42%. Notably, these results are obtained with a lightweight architecture characterized by reduced FLOPs and parameter count, demonstrating that MSCAF-Gait offers both high accuracy and computational efficiency, making it well-suited for real-time deployment on wearable platforms.

Moticon's Summary

This study developed a lightweight and highly accurate deep learning model, MSCAF-Gait, to identify various abnormal gait patterns from foot pressure data. For this purpose, the researchers created a new comprehensive benchmark dataset, the Pressure-Insole Abnormal Gait (PIAG) dataset. The Moticon OpenGo smart insole system was used to collect all data for the new PIAG dataset. Each insole, equipped with 16 sensors sampling at 100 Hz, captured detailed plantar pressure data from 12 healthy participants simulating seven clinically relevant abnormal gaits and four normal walking speeds. The high-resolution data from the Moticon insoles was fundamental in training the model, enabling it to achieve an exceptional accuracy of 99.42% on the PIAG dataset. This demonstrates the system's effectiveness in providing the quality data needed to develop and validate advanced clinical tools for real-time gait analysis.

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