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<p>Gait problems in patients with spinal sagittal imbalance (SSI) pose significant challenges that often persist even after surgical intervention. Identifying movement disorders preoperatively and addressing them postoperatively is crucial for improving patient outcomes. Despite advances in surgical techniques, many patients continue to experience gait abnormalities, highlighting the need for objective assessment methods. This study had three primary aims: (1) to compare the walking patterns of SSI patients before surgery with those of controls; (2) to compare pre-surgical and post-surgical gait within the same patients; and (3) to determine whether lower-extremity gait variability differs between patients and controls. Our results show that SSI patients exhibit significantly higher stride-to-stride variability than controls, and that this variability persists—though with some improvement—at three months post-surgery. The results demonstrated that the SVM model, with an accuracy above 97%, effectively differentiated pre-surgical and post-surgical gait data, revealing that while some improvements were observed, many patients retained gait abnormalities. These findings suggest the need for targeted rehabilitation focused on limb-specific recovery, emphasizing the importance of using ML-based gait analysis for more effective post-surgical interventions.</p>

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Signal processing and machine learning analysis of IMU-based lower-limb kinematics in spinal sagittal imbalance

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月22日

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  • Sadegh Madadi,
  • Mostafa Rostami,
  • Hadi Farahani,
  • Farshad Nikouee

摘要

Gait problems in patients with spinal sagittal imbalance (SSI) pose significant challenges that often persist even after surgical intervention. Identifying movement disorders preoperatively and addressing them postoperatively is crucial for improving patient outcomes. Despite advances in surgical techniques, many patients continue to experience gait abnormalities, highlighting the need for objective assessment methods. This study had three primary aims: (1) to compare the walking patterns of SSI patients before surgery with those of controls; (2) to compare pre-surgical and post-surgical gait within the same patients; and (3) to determine whether lower-extremity gait variability differs between patients and controls. Our results show that SSI patients exhibit significantly higher stride-to-stride variability than controls, and that this variability persists—though with some improvement—at three months post-surgery. The results demonstrated that the SVM model, with an accuracy above 97%, effectively differentiated pre-surgical and post-surgical gait data, revealing that while some improvements were observed, many patients retained gait abnormalities. These findings suggest the need for targeted rehabilitation focused on limb-specific recovery, emphasizing the importance of using ML-based gait analysis for more effective post-surgical interventions.