Smart Total Knee Replacement: Recognition of Activities of Daily Living Using Embedded IMU Sensors and a Novel AI Model in a Cadaveric Proof-of-Concept Study
Bibliographic record
Abstract
Total knee replacement (TKR) is a reliable treatment for end-stage degenerative conditions of the knee. Patient-reported outcome measures (PROMs) are central to assessing TKR outcomes, but they have limitations. Activities of daily living (ADLs) in the early post-operative period complement PROMs for holistic patient assessment. This study presents a method for capturing ADL parameters from data generated by inertial measurement unit (IMU) devices embedded in TKR prosthesis. A conventional posterior stabilized TKR was modified to create chambers in the femoral and tibial components. The prosthesis was implanted into a cadaver knee and movement was simulated using a hydraulic actuated knee simulator (AMTI, VIVO, MA, USA). A powered IMU device was placed in each of the chambers. The simulator was activated for various ADLs and the generated data was collected wirelessly. The pre-processed data was fed into a novel multimodal deep learning artificial intelligence model created to recognize specific ADL (trained on 70% of the data, with 30% reserved for validation and testing). The model achieved 95.68% overall accuracy, with 100% for sitting, standing, stance, and knee bending. Walking, stair navigation, and jogging showed F1 scores of 0.98, 0.92, 0.91, and 0.89, respectively. This technology enables seamless knee activity recognition and reporting with positive implications for patient-specific rehabilitation protocols.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".