Detecting Gait Abnormalities in Foot-Floor Contacts During Walking Through FootstepInduced Structural Vibrations

Gait abnormality detection is critical for the early discovery and progressive tracking of musculoskeletal and neurological disorders, such as Parkinson's and Cerebral Palsy. Especially, analyzing the foot-floor contacts during walking provides important insights into gait patterns, such as contact area, contact force, and contact time, enabling gait abnormality detection through these measurements. Existing studies use various sensing devices to capture such information, including cameras, wearables, and force plates. However, the former two lack force-related information, making it difficult to identify the causes of gait health issues, while the latter has limited coverage of the walking path. In this study, we leverage footstep-induced structural vibrations to infer foot-floor contact profiles and detect gait abnormalities. The main challenge lies in modeling the complex force transfer mechanism between the foot and the floor surfaces, leading to difficulty in reconstructing the force and contact profile during foot-floor interaction using structural vibrations. To overcome the challenge, we first characterize the floor vibration for each contact type (e.g., heel, midfoot, and toe contact) to understand how contact forces and areas affect the induced floor vibration. Then, we leverage the time-frequency response spectrum resulting from those contacts to develop features that are representative of each contact type. Finally, gait abnormalities are detected by comparing the predicted foot-floor contact force and motion with the healthy gait. To evaluate our approach, we conducted a real-world walking experiment with 8 subjects. Our approach achieves 91.6% and 96.7% accuracy in predicting contact type and time, respectively, leading to 91.9% accuracy in detecting various types of gait abnormalities, including asymmetry, dragging, and midfoot/toe contacts.