Individualised Responsible Artificial Intelligence for Home-Based Rehabilitation

Sensors (Basel). 2020 Dec 22;21(1):2. doi: 10.3390/s21010002.

Abstract

Socioeconomic reasons post-COVID-19 demand unsupervised home-based rehabilitation and, specifically, artificial ambient intelligence with individualisation to support engagement and motivation. Artificial intelligence must also comply with accountability, responsibility, and transparency (ART) requirements for wider acceptability. This paper presents such a patient-centric individualised home-based rehabilitation support system. To this end, the Timed Up and Go (TUG) and Five Time Sit To Stand (FTSTS) tests evaluate daily living activity performance in the presence or development of comorbidities. We present a method for generating synthetic datasets complementing experimental observations and mitigating bias. We present an incremental hybrid machine learning algorithm combining ensemble learning and hybrid stacking using extreme gradient boosted decision trees and k-nearest neighbours to meet individualisation, interpretability, and ART design requirements while maintaining low computation footprint. The model reaches up to 100% accuracy for both FTSTS and TUG in predicting associated patient medical condition, and 100% or 83.13%, respectively, in predicting area of difficulty in the segments of the test. Our results show an improvement of 5% and 15% for FTSTS and TUG tests, respectively, over previous approaches that use intrusive means of monitoring such as cameras.

Keywords: accountable artificial intelligence; automated five time sit to stand test; automated timed up and go test; home-based rehabilitation; hybrid ensemble learning; patient-centric individualised rehabilitation; responsible artificial intelligence; transparent artificial intelligence.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Algorithms
  • Artificial Intelligence*
  • COVID-19 / rehabilitation*
  • Female
  • Humans
  • Machine Learning
  • Male
  • Middle Aged
  • Physical Therapy Modalities
  • Young Adult

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