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Peer-reviewedCC BYFrontiers in Bioengineering and Biotechnology

GaitScreen: a ground reaction force-based framework for prescreening gait abnormalities in orthopaedic populations

  1. 1School of Engineering, University of Birmingham, Birmingham, United Kingdom
  2. 2Gait and Motion Analysis Center, Yueyang Hospital of Integrative Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China

Abstract

Ground reaction force (GRF) trajectories capture kinetic alterations in stance-phase loading, propulsion, and mediolateral control. This study presents GaitScreen, a GRF-based framework for post-acquisition prioritisation of already recorded healthy-control and pathological-gait trials. GaitScreen converts vertical, anterior–posterior, and mediolateral stance-phase GRF trajectories into a review-prioritisation score and a threshold-dependent review flag. The framework combines a multiscale temporal backbone, a convolutional neural network component, and a logistic regression component to integrate multiscale force patterns, learned convolutional representations, and raw-waveform linear information. It was evaluated using the GaitRec dataset, comprising healthy controls and individuals with lower-limb orthopaedic conditions. Under a subject-exclusive evaluation protocol, GaitScreen achieved consistent trial-level performance across ten matched runs, with an accuracy of 0.8766±0.0025, a macro-F1 score of 0.8757±0.0024, and an AUROC of 0.9425±0.0015. A high-sensitivity operating mode reduced the false-negative rate from 0.1736 to 0.1073, with an increase in false-positive review flags. The full hybrid model had a serialized size of 1.122 MB and a mean CPU inference latency of 0.626±0.010 ms per sample after GRF preprocessing. The compact model size and low inference latency support computationally scalable post-acquisition processing of standardised GRF trials.

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BibTeX
@article{bian2026gaitscreen,
  title = {{GaitScreen: a ground reaction force-based framework for prescreening gait abnormalities in orthopaedic populations}},
  author = {Qingyao Bian and Qing Zhang and Yang Li and Ziyun Ding},
  journal = {Frontiers in Bioengineering and Biotechnology},
  year = {2026},
  month = oct,
  doi = {10.3389/fbioe.2026.1947887},
  url = {https://doi.org/10.3389/fbioe.2026.1947887},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - GaitScreen: a ground reaction force-based framework for prescreening gait abnormalities in orthopaedic populations
AU  - Qingyao Bian
AU  - Qing Zhang
AU  - Yang Li
AU  - Ziyun Ding
PY  - 2026
DA  - 2026/10/26
JO  - Frontiers in Bioengineering and Biotechnology
DO  - 10.3389/fbioe.2026.1947887
UR  - https://doi.org/10.3389/fbioe.2026.1947887
AB  - Ground reaction force (GRF) trajectories capture kinetic alterations in stance-phase loading, propulsion, and mediolateral control. This study presents GaitScreen, a GRF-based framework for post-acquisition prioritisation of already recorded healthy-control and pathological-gait trials. GaitScreen converts vertical, anterior–posterior, and mediolateral stance-phase GRF trajectories into a review-prioritisation score and a threshold-dependent review flag. The framework combines a multiscale temporal backbone, a convolutional neural network component, and a logistic regression component to integrate multiscale force patterns, learned convolutional representations, and raw-waveform linear information. It was evaluated using the GaitRec dataset, comprising healthy controls and individuals with lower-limb orthopaedic conditions. Under a subject-exclusive evaluation protocol, GaitScreen achieved consistent trial-level performance across ten matched runs, with an accuracy of 0.8766±0.0025, a macro-F1 score of 0.8757±0.0024, and an AUROC of 0.9425±0.0015. A high-sensitivity operating mode reduced the false-negative rate from 0.1736 to 0.1073, with an increase in false-positive review flags. The full hybrid model had a serialized size of 1.122 MB and a mean CPU inference latency of 0.626±0.010 ms per sample after GRF preprocessing. The compact model size and low inference latency support computationally scalable post-acquisition processing of standardised GRF trials.
SN  - 2296-4185
ER  -