Abstract

The early diagnosis of cerebral palsy is an area which has recently seen significant multi-disciplinary research. Diagnostic tools such as the General Movements Assessment (GMA), have produced some very promising results. However, the prospect of automating these processes may improve accessibility of the assessment and also enhance the understanding of movement development of infants. Previous works have established the viability of using pose-based features extracted from RGB video sequences to undertake classification of infant body movements based upon the GMA. In this paper, we propose a series of new and improved features, and a feature fusion pipeline for this classification task. We also introduce the RVI-38 dataset, a series of videos captured as part of routine clinical care. By utilising this challenging dataset we establish the robustness of several motion features for classification, subsequently informing the design of our proposed feature fusion framework based upon the GMA. We evaluate our proposed framework's classification performance using both the RVI-38 dataset and the publicly available MINI-RGBD dataset. We also implement several other methods from the literature for direct comparison using these two independent datasets. Our experimental results and feature analysis show that our proposed pose-based method performs well across both datasets. The proposed features afford us the opportunity to include finer detail than previous methods, and further model GMA specific body movements. These new features also allow us to take advantage of additional body-part specific information as a means of improving the overall classification performance, whilst retaining GMA relevant, interpretable, and shareable features.

Highlights

  • C EREBRAL palsy (CP) is the collective term given to a group lifelong neurological conditions caused by non-progressive damage to the brain [5], occurring before, during, or shortly after birth [49]

  • We propose a feature-extraction, feature-fusion, and classification framework, which extracts several new General Movements Assessment (GMA) relevant features using pose data generated from standard 2D RGB video

  • Ethical approval was obtained from the host organisation (Ref: 9865), the Research Ethics Committee (REC), the Health Research Authority (HRA), and Health and Care Research Wales (HCRW) (Ref: 19/LO/0606, IRAS project ID: 252317)

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Summary

Introduction

C EREBRAL palsy (CP) is the collective term given to a group lifelong neurological conditions caused by non-progressive damage to the brain [5], occurring before, during, or shortly after birth [49]. CP typically affects movement, muscle tone, posture and co-ordination, but can cause difficulties with swallowing, speecharticulation, hearing, vision, and can impact upon an individual’s ability to learn new skills [17]. CP is the most prevalent physical disability found in children, with. 2.11 diagnoses per 1000 live births [41]. There is an increased prevalence of CP in infants born prematurely, with 32.4 diagnoses per 1000 infants born very preterm (28-32 weeks gestation), and. L. Ho and Wai Lok Woo are with the Department of Computer and Information Sciences, Northubria University, Newcastle upon Tyne, UK

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