
Research lacks an integrated approach that incorporates body composition, postural asymmetries, plantar pressure distribution, and sex comparisons to comprehensively understand the complex relationship between these variables and pain levels.
The study employed an observational cross-sectional design. The study sample comprised 52 participants of both sexes. The average age of participants was 57.35 years for males and 64.69 years for females. Pain levels were assessed using the numeric pain rating scale. Group comparisons (t-test) and machine learning algorithms were employed for analysis.
The results indicated sex differences in height, weight, lean mass percentage, basal metabolism, shoe size, left foot area, podal axis, and distance between foot and body center of pressure (COPs). Significant differences between sexes were also observed in shoulder angles (p = 0.002). Machine learning analysis revealed that neck left deviation and left knee angle were predictive of participants' pain levels.
In conclusion, this study highlights differences in baropodometry and anthropometrics between sexes, with neck deviation and left knee angle identified as predictors of pain levels.
Citation: Svitlana Dikhtyarenko, Samuel Encarnação, Dulce Esteves, Pedro Forte. The role of postural and plantar pressure asymmetries predicting pain in aging adults[J]. AIMS Biophysics, 2025, 12(2): 144-163. doi: 10.3934/biophy.2025009
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Research lacks an integrated approach that incorporates body composition, postural asymmetries, plantar pressure distribution, and sex comparisons to comprehensively understand the complex relationship between these variables and pain levels.
The study employed an observational cross-sectional design. The study sample comprised 52 participants of both sexes. The average age of participants was 57.35 years for males and 64.69 years for females. Pain levels were assessed using the numeric pain rating scale. Group comparisons (t-test) and machine learning algorithms were employed for analysis.
The results indicated sex differences in height, weight, lean mass percentage, basal metabolism, shoe size, left foot area, podal axis, and distance between foot and body center of pressure (COPs). Significant differences between sexes were also observed in shoulder angles (p = 0.002). Machine learning analysis revealed that neck left deviation and left knee angle were predictive of participants' pain levels.
In conclusion, this study highlights differences in baropodometry and anthropometrics between sexes, with neck deviation and left knee angle identified as predictors of pain levels.
Printed script letter classification has a tremendous commercial and pedagogical importance for book publishers, online Optical Character Recognition (OCR) tools, bank officers, postal officers, video makers, and so on [1,2,3]. Postal mail sorting according to zip code, the verification of signatures, and check processing are usually done with the application of grapheme classification [4,5,6]. Some sample images of its application are shown in Figure 1.
Statistically, the importance of printed script letter classification is enormous when a large population uses a specific language. For example, with nearly 230 million native speakers, Bengali (also called Bangla) ranks as the fifth most spoken language in the world [7]. It is the official language of Bangladesh and the second most spoken language in India [8] after Hindi.
Handwritten character classification or recognition is particularly challenging for the Bengali language, as it has 49 letters and 18 potential diacritics (or accents). Moreover, this language supports complex letter structures created from its basic letters and diacritics. In total, the Bangla letter variations are estimated to be around 13, 000, which is 52 times more than the English letter variations [9]. Although several language grapheme classifications have received much attention [10,11,12], Bangla is still a relatively unexplored field, with most works done in the detection of vowels and consonants. The limited progress in exploring the Bengali language has motivated us to classify the Bengali handwritten letters into three constituent elements: root, vowel, and constant.
Previously, several machine learning models have been used for different language grapheme recognition [13]. Several research using the deep convolutional neural network has been successful in the detection of handwritten characters in Latin, Chinese, and English language [14,15]. In other words, successful feature extraction became possible using different types of layers in neural networks. The convolutional neural network with the augmentation of the images of handwriting can generate a better model through training in deep learning [16,17]. Previous research in this area faced fewer challenges regarding variations, massive data usage, and model creation that deep learning needs most regarding the high number of label classification [19,20].
This paper proposes a deep convolutional neural network with an encoder-decoder to facilitate the accurate classification of Bangla handwritten letters from images. We use 200, 840 handwritten images to train and test the proposed deep learning model. We train in 4 steps with four subsets of images containing 50, 210 images each. In doing so, we create three different labels (roots, vowels, and consonants) from each handwritten image. The result shows that the proposed model can classify handwritten Bangla letters as follows: roots-93%, vowels-96%, and consonants-97%, which is much better than previous works done on Bangla grapheme variations and dataset size.
The paper is organized as follows: Section 2 discusses the brief background of existing research on this research area. Section 3 is devoted to present Bangla handwritten letter dataset details. This section discusses the dataset structure and format and augments the dataset to create many variations. Section 4 discusses the architecture of the models for Bangla handwritten grapheme classification, and in section 5, we discuss the experimental process, tools, and used programming language. Section 6 shows the detailed results of the training process and validation. Finally, section 7 concludes the research work by discussing the contributions and applicability in the classification of Bangla handwritten letters.
Optical Character Recognition is one of the favorite research topics in computer graphics and linguistic research. This section briefly discusses two areas first, how deep learning is used in character recognition, second, how deep learning is used in Bangla handwritten digit and letter classification.
In optical character recognition, many research works have been proposed. Théodore et al. showed that learning features with CNN is much better for handwritten word recognition [21]. However, the model needs a longer processing time when classifying a word compared to a letter. Zhuravlev et al. mentioned this issue in their research and experimented with a differential classification technique on grapheme images using multiple neural networks [22,23]. However, the model works better with that small dataset and will fail to detect when augmented images will be provided. Jiayue et al. discussed this issue and proved that proper augmentation before feeding into CNN could be more efficient in grapheme classification [24].
Regarding Bangla character and digit recognition, there are few kinds of research available. A study by Shopon et al. presented unsupervised learning using an auto-encoder with deep ConvNet to recognize Bangla digits [25]. A similar study by Akhand et al. proposed a simple CNN for Bangla handwritten numeral recognition [26,27]. These methods achieved 99% accuracy in detecting Bangla digits and faced fewer challenges in classifying only ten labels than more character recognition labels.
A study on Bangla character recognition by Rabby et al. used CMATERdb and BanglaLekha as datasets and CNN to recognize handwritten characters. The resulted accuracy of CNN was 98%, and 95.71% for each dataset [28]. Another study by Alif et al. showed ResNet-18 architecture is giving similar accuracy on CMATERdb3, which is a relatively large dataset than previous [29,30]. The limitation of these two research is their image variations and dataset size.
This paper addresses the limitations of previous research in image augmentation, dataset size, proper model creation, and a high number of label classification.
This section describes raw data and data augmentation to ensure better data preparation for our proposed model.
This study uses the dataset from the Bengali.AI community that works as an open-source dataset for research. The dataset was prepared from handwritten Bangla letters by a group of participants. The images of these letters are provided in parquet format. Each image is
The Bengali language has 49 letters with 11 vowels, 38 consonants, and 18 potential diacritics. The handwritten Bengali characters consist of three components: grapheme-root, vowel-diacritic, and consonant-diacritic. To simplify the data for ML, we organize 168 grapheme-root, 10 vowel-diacritic, and 6 consonant-diacritic as unique labels. All the labels are then introduced as a unique integer. Table 1 summarizes the metadata information of the training dataset.
Features | Description |
image_id | Sample ID number for each handwritten image |
grapheme_root | Unique number of vowels, consonants, or conjuncts |
vowel_diacritic | Nasalization of vowels, and suppression of the inherent vowels |
consonant_diacritic | Nasalization of consonants, and suppression of the inherent consonants |
grapheme | Target variable |
The raw training dataset has a total of 200, 840 observations with almost 10, 000 possible handwritten image variations. The raw testing dataset is created separately to distinguish it from the training dataset. Table 2 summarizes the metadata information of the test data.
Features | Description |
image_id | An unique image ID for each testing image |
row_id | Test id of grapheme root, consonant diacritic, vowel diacritic |
component | Grapheme root, consonant diacritic, vowel diacritic |
The raw dataset is a set of images in the parquet format, as discussed in the previous section. The images are generally created from a possible set of grapheme writing, but it does not cover all the aspects of writing variations. To create more variations (more than 10, 000), dataset augmentation becomes a necessary step. In reality, it has around 13, 000 possible letter variations that make the problem harder than any other language grapheme classification. Therefore, a pre-processing of the dataset is done to increase the more number of grapheme variations.
We apply the following data augmentation techniques: (1) shifting, (2) rotating, (3) changing brightness, and (4) applying zoom. In all cases, some precautions are taken so that augmented handwritten images are well generated. For example, too much shifting or too much brightness can lose the image pixels [31]. Applying random values to those operations is also prohibited during our pre-processing of the dataset.
In terms of shifting, we apply the following image augmentation: width shift, and height shift on our images. In rotation, an image was rotated to (1) 8 degree, (2) 16 degree, and (3) 24 degree in both positive and negative direction. In case of zoom, we apply (1) 0.15%, and (2) 0.3% zoom in. Some sample output of Bangla handwritten letter's augmentation is shown in Figure 3.
The augmenting was minimized to only four options due to minimizing the risk of false image creation. As our dataset is related to characters, we need to verify that augmentation may add false image augmentation. For example, there is a horizontal flip option for image augmentation. If we apply that to our dataset, some non-Bangla handwritten images and the proposed model may learn wrongly to classify the handwritten letters.
This section describes the architecture of the models that we build for Bangla grapheme image classification. We also discuss the neural networks and their necessary layers useful for fitting data into the model.
A neural network is a series of algorithms that process the data through several layers that mimic how the human brain operates. A neural network for any input
(4.1) |
where,
(4.2) |
To obtain the final output with higher accuracy, multiple hidden layers are used. The final output can be obtained as:
(4.3) |
For image processing, we flat the image and feed it through neural networks. A vital characteristic of the images is that images have high dimensional vectors and take many parameters to characterize the network. To solve this issue, convolutional neural networks were used to reduce the number of parameters and adapt the network architecture specifically to vision tasks. CNN's are usually composed of a set of layers that can be grouped by their functionalities.
In this study, we implemented the CNN architecture with an encoder-decoder system. The encoder-decoder classifier works at the pixel level to extract the features. A recent work by Jong et al. shows that how encode-decoder networks using convolutional neural networks work as an optimizer for complex image data sets [33]. The encoder and decoder are developed using convolution, activation, batch normalization, and pooling layers. The detailed picture of these layers is described in the following section and shown in Figure 4.
The convolution layer extracts feature maps from the input or previous layer. Each output layer is connected to some nodes from the previous layer [34,35] and valuable in the classification process. The convolutional layer is used to the sliding window through the image and convolves to create several sub-image, increasing the volume in terms of depth. The implementation view of the convolutional layer exists in both encoder and decoder, shown in Figure 4.
This section describes the activation function used in neural networks for proposed model training. We include the rectified Linear Unit (ReLU) function to add the non-linearity in the proposed network. The function is defined as
(4.4) |
where it returns 0 for negative input and
There is some other nonlinearity function named as
(4.5) |
which maps a real number x to a value between [0, 1]. Another nonlinear function
As the Bangla grapheme list contains more labels to detect than other language graphemes, we implement several non-linear layers as an encoder and a corresponding set of decoders to improve the recognition performance. However, we use ReLu due to its linear form, and this function improves the performance of classification compared to
In our model, we introduce such ReLu functionality after each non-pooling layer in the encoder to map the value of each neuron to an actual number. However, in some cases, such function can die during training. To solve this issue, leaky Relu has been added so that if there is any negative value, it will add a slight negative slope [38].
The batch normalization layer normalizes each input channel across a mini-batch [39,40]. Our study adjusts and scales the previously filtered sub-images and normalizes the output by subtracting the batch mean and diving by the standard deviation of the batch. Then, it shifts the image input by a learnable offset. Generally, using such a layer after a convolution layer and before non-linear layers is useful in speeding up the training and reducing sensitivity to network initialization [39].
We also implement a dropout layer during the final classification step. We use this layer to reduce the labels by setting zero, which has less probability in classification [41,42].
The pooling layer is mainly used to reduce the resolution of the feature maps. To be specific, this layer downsamples the volume along the image dimensions to reduce the size of representation and number of parameters to prevent overfitting. Our model uses a max-pooling layer in each encoder block, which downsamples the volume by taking max from each block.
The proposed model is trained with a configuration of the epoch, loss function, and batch size in the experiment. Also, the model contains trainable and non-trainable parameters. The trainable parameter size for the proposed model is 136, 048, 154, whereas the non-trainable parameter size is 448. There are thirteen convolution layers, three pooling layers, three normalization layers, and four dropout layers are used in our model. The experiment is implemented using the Python programming language with Keras [43], and Theano [44] library.
In terms of configuration, the proposed model uses 25 epochs with a batch training size of 128. To calculate the loss function, we use categorical cross-entropy for root, vowel, and constant classification. Mean Squared Error (MSE) is another metric to calculate loss function but categorical cross-entropy performance is better in classification tasks [45].
After developing the model in Python, we run it on an Intel (R) Core (TM) i7-7500U CPU @ 2.70 GHz machine with 16GB RAM. For both validation and training, the same batch size and epochs were used. The experimental results performance is calculated using accuracy and model performance evaluation metric. We also use a loss function to evaluate how well our deep learning model trains the given data. Both of these metrics are popular in classification tasks using deep learning [46,47,48].
In this section, we present the outcome of the model in terms of evaluation metrics. The proposed CNN method is applied in four different phases on four subsets of the grapheme dataset and produces the results. This way, we test how more Bangla handwritten letter images are helpful to produce better deep neural network models. However, conducting this research with more subsets of images will have computational and complexity challenges. In evaluation, the accuracy and loss of each epoch of training and validation are used.
In the first phase, a subset of 50, 210 images is sent to training with 30 epoch. The results show that accuracy in detecting the root is less than the vowel and constant in both training and validation. The training and validation root accuracy are 85% and 88% respectively, where vowel accuracy is 92% and 95%, constant accuracy is 95% and 96%. This is because many root characters are needed to identify than the number of vowels, and constants are needed to identify. Figures 5 and 6 show the train and validation accuracy and cross-entropy loss over epochs. The results show that the model seems to have good converged behavior. It implies the model is well configured and no sign of over or underfitting.
We also test how a CNN model with an encoder-decoder is compared to a traditional CNN that does not have an encoder and decoder concept. There are six convolution layers, three pooling layers, five normalization layers, and four dropout layers are used in the traditional CNN model. Figures 7 and 8 visualize the accuracy and loss of the simple CNN model for 30 epochs. The results we see from the figure that the loss and accuracy are fluctuating. The reason behind this, the simple CNN model is sensitive to noise and produces random classification results. This problem is also known as overfitting. The results show a better performance with an encoder and decoder concept than a traditional one.
After getting a training accuracy of 85% in the first phase, we train another subset of images with the existing model. The hypothesis is that the more variations of images are trained, the more the model is learning when we have many root variations. We take a different 50, 210 images and train with the existing model with 30 epochs in this phase. Figures 9 and 10 visualize the accuracy and loss of the model in phase 2 respectively.
At the beginning of the training stage, we observe that train root accuracy drops from 85% to 80%. Not only train root accuracy, but all other categories' accuracy also drops after adding a new subset of images. The opposite behavior is observed in terms of the loss function. In epoch 0, loss functions of every category are increased. However, the final result of training 2 ends up with better train root, vowel, and constant accuracy of 92%, 95%, and 96%, respectively. In terms of the loss function, we observe the decrements over epochs in every case. These results imply that the model is appropriately converged and trained well due to more subset images used in the training process.
As a good result is maintained in our previous phases, we introduce another set of images with more variations in learning by our model. However, this time we observe little changes happen after the training. Figures 11 and 12 show the accuracy and loss of the model in phase 3. After another 30 epochs, training root, vowel, and constant accuracy are 94%, 96%, and 97%. The model root accuracy is increased by 2% and vowel, and constant accuracy are increased by 1%. The same behavior is found on the validation data also. It implies the model has converged very well and can be finalized by another training.
This final phase verifies the converge of accuracy and loss function by just doing another final training. Another set of 50, 210 images of Bangla handwritten letters are introduced. Figures 13 and 14 show the accuracy and loss function of the model in the final phase. The results show that root accuracy drops from 94% to 93% in the training stage, and the accuracy drops from 98% to 97% in the validation stage. Nevertheless, in all other cases, it seems improvement or no change. Also, the results start to create bumpy behavior in the accuracy metric, and loss functions are also converged. All the validation loss functions are 3% or below. These all results imply, our final model is converged and ready to report the final accuracy and loss.
Despite the advances in the classification of grapheme images in computer vision, Bengali grapheme classification has mainly remained unsolved due to confusing characters and many variations. Moreover, Bangla is one of the most spoken languages in Asia, and its grapheme classification has not been made, as there is no application as yet. However, many industries like banks, post offices, book publishers, and many more industries need the Bangla handwritten letters recognition.
In this paper, we implement a CNN architecture with encoder-decoder, classifying 168 grapheme roots, 11 vowel diacritics (or accents), and 7 consonant diacritics from handwritten Bangla letters. One of the challenges is to deal with 13, 000 grapheme variations, which are way more than English or Arabic grapheme variations. The performance results show that the proposed model achieves root accuracy of 93%, vowel accuracy of 96%, and consonant accuracy of 97%, which are significantly better in Bangla grapheme classification than in previous research. Finally, we report the detailed loss and accuracy in 4 phases of training and validation to show how our proposed model learns over time.
To illustrate the model performance, we compared our model with a traditional CNN applied to the same dataset. The results show that the accuracy and loss function fluctuate over time in the traditional CNN model, which means an over-fitted model. In comparison, we see that the proposed CNN model with encoder-decoder does much better in classifying Bangla handwritten grapheme images.
[1] | Hrysomallis C, Goodman C (2001) A review of resistance exercise and posture realignment. J Strength Cond Res 15: 385-390. |
[2] | Bell AC, Richards J, Zakrzewski-Fruer JK, et al. (2022) Sedentary behaviour—A target for the prevention and management of cardiovascular disease. Int J Env Res Pub He 20: 532. https://doi.org/10.3390/ijerph20010532 |
[3] | Bertolazzi A, Quaglia V, Bongelli R (2024) Barriers and facilitators to health technology adoption by older adults with chronic diseases: an integrative systematic review. BMC Public Health 24: 506. https://doi.org/10.1186/s12889-024-18036-5 |
[4] | Santos CI, Cunha AB, Braga VP, et al. (2009) Ocorrência de desvios posturais em escolares do ensino público fundamental de Jaguariúna, São Paulo. Revista Paulista de Pediatria 27: 74-80. https://doi.org/10.1590/S0103-05822009000100012 |
[5] | Wojtkow M, Szkoda-Poliszuk K, Szotek S (2018) Influence of body posture on foot load distribution in young school-age children. Acta Bioeng Biomech 20: 101-107. https://doi.org/10.5277/ABB-01079-2018-01 |
[6] | Kuriyan R (2018) Body composition techniques. Indian J Med Res 148: 648-658. https://doi.org/10.4103/ijmr.ijmr\_1777\_18 |
[7] | Azevedo N, Ribeiro JC, Machado L (2022) Balance and posture in children and adolescents: a cross-sectional study. Sensors 22: 4973. https://doi.org/10.3390/s22134973 |
[8] |
Menz HB, Dufour AB, Riskowski JL, et al. (2013) Foot posture, foot function and low back pain: The Framingham Foot Study. Rheumatology (Oxford, England) 52: 2275-2282. https://doi.org/10.1093/rheumatology/ket298 ![]() |
[9] |
Eriksson O, Jauhiainen A, Maad Sasane S, et al. (2019) Uncertainty quantification, propagation and characterization by Bayesian analysis combined with global sensitivity analysis applied to dynamical intracellular pathway models. Bioinformatics 35: 284-292. https://doi.org/10.1093/bioinformatics/bty607 ![]() |
[10] | Gutiérrez-Vilahú L, Guerra-Balic M (2021) Footprint measurement methods for the assessment and classification of foot types in subjects with Down syndrome: a systematic review. J Orthop Surg Res 16: 537. https://doi.org/10.1186/S13018-021-02667-0/TABLES/2 |
[11] |
Wong WY, Wong MS, Lo KH (2007) Clinical applications of sensors for human posture and movement analysis: a review. Prosthet Orthot Int 31: 62-75. https://doi.org/10.1080/03093640600983949 ![]() |
[12] |
Cramer H, Mehling WE, Saha FJ, et al. (2018) Postural awareness and its relation to pain: Validation of an innovative instrument measuring awareness of body posture in patients with chronic pain. BMC Musculoskel Dis 19: 1-10. https://doi.org/10.1186/S12891-018-2031-9/TABLES/7 ![]() |
[13] |
Alves R, Borel WP, Rossi BP, et al. (2018) Test-retest reliability of baropodometry in young asyntomatic individuals during semi static and dynamic analysis. Fisioterapia em Movimento 31: e003114. https://doi.org/10.1590/1980-5918.031.AO14 ![]() |
[14] |
Baumfeld D, Baumfeld T, da Rocha RL, et al. (2017) Reliability of baropodometry on the evaluation of plantar load distribution: a transversal study. BioMed Res Int 2017: 5925137. https://doi.org/10.1155/2017/5925137 ![]() |
[15] |
Fortin C, Ehrmann Feldman D, et al. (2011) Clinical methods for quantifying body segment posture: a literature review. Disabil Rehabil 33: 367-383. https://doi.org/10.3109/09638288.2010.492066 ![]() |
[16] |
Gouveia JP, Forte P, Ribeiro J, et al. (2021) Study of the association between postural misalignments in school students. Symmetry 13: 1959. https://doi.org/10.3390/sym13101959 ![]() |
[17] |
Singla D, Veqar Z (2017) Association between forward head, rounded shoulders, and increased thoracic kyphosis: a review of the literature. J Chiropr Med 16: 220-229. https://doi.org/10.1016/j.jcm.2017.03.004 ![]() |
[18] |
Luo J, Wang Z, Xu L, et al. (2019) Flexible and durable wood-based triboelectric nanogenerators for self-powered sensing in athletic big data analytics. Nat Commun 10: 5147. https://doi.org/10.1038/s41467-019-13166-6 ![]() |
[19] |
Biamonte J, Wittek P, Pancotti N, et al. (2017) Quantum machine learning. Nature 549: 195-202. https://doi.org/10.1038/nature23474 ![]() |
[20] |
Silva AM, Siqueira GR, Silva GA (2013) Repercussões do uso do calçado de salto alto na postura corporal de adolescentes. Revista Paulista de Pediatria 31: 265-271. https://doi.org/10.1590/S0103-05822013000200020 ![]() |
[21] |
Eickemberg M, Oliveira CC, Roriz AK, et al. (2011) Bioimpedância elétrica e sua aplicação em avaliação nutricional. Rev Nutr 24: 883-893. https://doi.org/10.1590/S1415-52732011000600009 ![]() |
[22] |
Palmieri RM, Ingersoll CD, Stone MB, et al. (2002) Center-of-pressure parameters used in the assessment of postural control. J Sport Rehabil 11: 51-66. https://doi.org/10.1123/JSR.11.1.51 ![]() |
[23] |
Castelo LD, Saad M, Tamaoki MJ, et al. (2022) Correlation between baropodometric parameters and functional evaluation in patients with surgically treated congenital idiopathic clubfoot. J Pediatr Orthop Part B 31: 391-396. https://doi.org/10.1097/BPB.0000000000000937 ![]() |
[24] | Choi S, Ashdown SP 3D body scan analysis of dimensional change in lower body measurements for active body positions (2010)81: 81-93. https://doi.org/10.1177/0040517510377822 |
[25] |
Duarte M, Freitas SM (2010) Revision of posturography based on force plate for balance evaluation. Braz J Phys Ther 14: 183-192. https://doi.org/10.1590/S1413-35552010000300003 ![]() |
[26] | Mochizuki L, Amadio AC (2003) Aspectos biomecânicos da postura ereta: a relação entre o centro de massa e o centro de pressão. Rev Port Cien Desp 3: 77-83. |
[27] |
Bonfim TR, Grossi DB, Paccola CA, et al. (2009) Efeito de informação sensorial adicional na propriocepção e equilíbrio de indivíduos com lesão do LCA. Acta Ortop Bras 17: 291-296. https://doi.org/10.1590/S1413-78522009000500008 ![]() |
[28] |
Mutalimov RK, Kravtsova KV, Bairamkulova AM, et al. (2021) Diseases of the musculoskeletal system and rheumatic diseases: prevention and rehabilitation in modern conditions. J Pharm Res Int 33: 419-424. https://doi.org/10.9734/jpri/2021/v33i46B32956 ![]() |
[29] |
Al Kuwaiti A, Nazer K, Al-Reedy A, et al. (2023) A review of the role of artificial intelligence in healthcare. J Pers Med 13: 951. https://doi.org/10.3390/jpm13060951 ![]() |
[30] | Naveed MA (2023) Transforming healthcare through artificial intelligence and machine learning. Pak J Health Sci 4: 1. https://doi.org/10.54393/pjhs.v4i05.844 |
[31] |
Nichols E, Steinmetz JD, Vollset SE, et al. (2022) Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019. Lancet Public Health 7: e105-e125. https://doi.org/10.1016/S2468-2667(21)00249-8 ![]() |
[32] |
Unpingco J (2016) Python for Probability, Statistics, and Machine Learning.Springer. ![]() |
[33] |
Brunelli C, Zecca E, Martini C, et al. (2010) Comparison of numerical and verbal rating scales to measure pain exacerbations in patients with chronic cancer pain. Health Qual Life Out 8: 1-8. https://doi.org/10.1186/1477-7525-8-42/TABLES/4 ![]() |
[34] |
Li L, Liu X, Herr K (2007) Postoperative pain intensity assessment: a comparison of four scales in Chinese adults. Pain Med 8: 223-234. https://doi.org/10.1111/J.1526-4637.2007.00296.X/2/PME_296_F4.JPEG ![]() |
[35] |
Michener LA, Snyder AR, Leggin BG (2011) Responsiveness of the numeric pain rating scale in patients with shoulder pain and the effect of surgical status. J Sport Rehabil 20: 115-128. https://doi.org/10.1123/JSR.20.1.115 ![]() |
[36] |
Moisset X, Attal N, de Andrade DC (2022) An emoji-based visual analog scale compared with a numeric rating scale for pain assessment. JAMA 328: 1980-1980. https://doi.org/10.1001/JAMA.2022.16940 ![]() |
[37] |
Miró J, Castarlenas E, Huguet A (2009) Evidence for the use of a numerical rating scale to assess the intensity of pediatric pain. Eur J Pain 13: 1089-1095. https://doi.org/10.1016/J.EJPAIN.2009.07.002 ![]() |
[38] |
Pagé MG, Katz J, Stinson J, et al. (2012) Validation of the numerical rating scale for pain intensity and unpleasantness in pediatric acute postoperative pain: sensitivity to change over time. J Pain 13: 359-369. https://doi.org/10.1016/j.jpain.2011.12.010 ![]() |
[39] |
Kim JM, Kim MW, Do HJ (2016) Influence of hyperlipidemia on the treatment of supraspinatus tendinopathy with or without tear. Ann Rehabil Med 40: 463-469. https://doi.org/10.5535/ARM.2016.40.3.463 ![]() |
[40] |
Hjermstad MJ, Fayers PM, Haugen DF, et al. (2011) Studies comparing numerical rating scales, verbal rating scales, and visual analogue scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manag 41: 1073-1093. https://doi.org/10.1016/j.jpainsymman.2010.08.016 ![]() |
[41] |
Pieh C, Neumeier S, Loew T, et al. (2014) Effectiveness of a multimodal treatment program for somatoform pain disorder. Pain Pract 14: E146-E151. https://doi.org/10.1111/PAPR.12144 ![]() |
[42] |
Cohen J (2013) Statistical Power Analysis for the Behavioral Sciences.Routledge. https://doi.org/10.4324/9780203771587 ![]() |
[43] |
Cai J, Luo J, Wang S, et al. (2018) Feature selection in machine learning: a new perspective. Neurocomputing 300: 70-79. https://doi.org/10.1016/j.neucom.2017.11.077 ![]() |
[44] | Python, março 8, Welcome to Python.org, Python, 2023. Available from: https://www.python.org |
[45] |
Singh D, Singh B (2020) Investigating the impact of data normalization on classification performance. Appl Soft Comput 97: 105524. https://doi.org/10.1016/j.asoc.2019.105524 ![]() |
[46] |
Hicks SA, Strümke I, Thambawita V, et al. (2022) On evaluation metrics for medical applications of artificial intelligence. Sci Rep-UK 12: 5979. https://doi.org/10.1038/s41598-022-09954-8 ![]() |
[47] |
Chai T, Draxler RR (2014) Root mean square error (RMSE) or mean absolute error (MAE)?—Arguments against avoiding RMSE in the literature. Geosci Model Dev 7: 1247-1250. https://doi.org/10.5194/gmd-7-1247-2014 ![]() |
[48] | Xgboost: XGBoost Python Package (Versão 2.1.4) [Python; OS Independent], 2024. Available from: https://pypi.org/project/xgboost/ |
[49] | BayesianRidge, Scikit-Learn, 2007. Available from: https://scikit-learn.org/stable/modules/generated/sklearn.linear_model.BayesianRidge.html |
[50] | LinearRegression, Scikit-Learn, 2007. Available from: https://scikit-learn.org/stable/modules/generated/sklearn.linear_model.LinearRegression.html |
[51] | Scikit-learn, RandomForestRegressor, Scikit-Learn, 2007. Available from: https://scikit-learn.org/stable/modules/generated/sklearn.ensemble.RandomForestRegressor.html |
[52] | DecisionTreeRegressor, Scikit-Learn, 2007. Available from: https://scikit-learn.org/stable/modules/generated/sklearn.tree.DecisionTreeRegressor.html |
[53] | SVR, Scikit-Learn, 2007. Available from: https://scikit-learn.org/stable/modules/generated/sklearn.svm.SVR.html |
[54] |
Chicco D, Warrens MJ, Jurman G (2021) The coefficient of determination R-squared is more informative than SMAPE, MAE, MAPE, MSE and RMSE in regression analysis evaluation. PeerJ Comput Sci 7: e623. https://doi.org/10.7717/peerj-cs.623 ![]() |
[55] |
Bradshaw TJ, Huemann Z, Hu J, et al. (2023) A guide to cross-validation for artificial intelligence in medical imaging. Radiol Artif Intell 5: 220232. https://doi.org/10.1148/ryai.220232 ![]() |
[56] |
Hooker SA, Oswald LB, Reid KJ, et al. (2020) Do physical activity, caloric intake, and sleep vary together day to day? Exploration of intraindividual variability in 3 key health behaviors. J Phys Act Health 17: 45-51. https://doi.org/10.1123/jpah.2019-0207 ![]() |
[57] |
Caselli A, Pham H, Giurini JM, et al. (2002) The forefoot-to-rearfoot plantar pressure ratio is increased in severe diabetic neuropathy and can predict foot ulceration. Diabetes Care 25: 1066-1071. https://doi.org/10.2337/diacare.25.6.1066 ![]() |
[58] |
Henriksson H, Henriksson P, Tynelius P, et al. (2020) Cardiorespiratory fitness, muscular strength, and obesity in adolescence and later chronic disability due to cardiovascular disease: a cohort study of 1 million men. Eur Heart J 41: 1503-1510. https://doi.org/10.1093/eurheartj/ehz774 ![]() |
[59] |
Cheung JT, Zhang M, Leung AK, et al. (2005) Three-dimensional finite element analysis of the foot during standing—A material sensitivity study. J Biomech 38: 1045-1054. https://doi.org/10.1016/j.jbiomech.2004.05.035 ![]() |
[60] |
Koes BW, Van Tulder M, Lin CW, et al. (2010) An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J 19: 2075-2094. https://doi.org/10.1007/s00586-010-1502-y ![]() |
[61] |
Field S, Treleaven J, Jull G (2008) Standing balance: a comparison between idiopathic and whiplash-induced neck pain. Manual Ther 13: 183-191. https://doi.org/10.1016/j.math.2006.12.005 ![]() |
[62] | Storsveen M (2013) Observational pain scales in critically Ill adults. Crit Care Nurse 33: 68-78. https://doi.org/10.4037/ccn2013804 |
[63] |
Roué JM, Rioualen S, Gendras J, et al. (2018) Multi-modal pain assessment: are near-infrared spectroscopy, skin conductance, salivary cortisol, physiologic parameters, and Neonatal Facial Coding System interrelated during venepuncture in healthy, term neonates?. J Pain Res 11: 2257-2267. https://doi.org/10.2147/JPR.S165810 ![]() |
[64] |
Yücel MA, Aasted CM, Petkov MP, et al. (2015) Specificity of hemodynamic brain responses to painful stimuli: a functional near-infrared spectroscopy study. Sci Rep 5: 9469. https://doi.org/10.1038/srep09469 ![]() |
[65] | Tu Y, Tan A, Bai Y, et al. (2016) Decoding subjective intensity of nociceptive pain from pre-stimulus and post-stimulus brain activities. Front Comput Neurosc 10: 32. https://doi.org/10.3389/fncom.2016.00032 |
[66] |
Bak N, Rostrup E, Larsson HB, et al. (2013) Concurrent functional magnetic resonance imaging and electroencephalography assessment of sensory gating in schizophrenia. Hum Brain Mapp 35: 3578-3587. https://doi.org/10.1002/hbm.22422 ![]() |
[67] |
Ocay DD, Teel EF, Luo OD, et al. (2022) Electroencephalographic characteristics of children and adolescents with chronic musculoskeletal pain. Pain Rep 7: e1054. https://doi.org/10.1097/PR9.0000000000001054 ![]() |
[68] |
Gibson RM, Fernández-Espejo D, Gonzalez-Lara LE, et al. (2014) Multiple tasks and neuroimaging modalities increase the likelihood of detecting covert awareness in patients with disorders of consciousness. Front Hum Neurosci 8: 950. https://doi.org/10.3389/fnhum.2014.00950 ![]() |
[69] |
Vijayakumar V, Case M, Shirinpour S, et al. (2017) Quantifying and characterizing tonic thermal pain across subjects from EEG data using random forest models. IEEE T Bio-Med Eng 64: 2988-2996. https://doi.org/10.1109/TBME.2017.2756870 ![]() |
[70] |
Ruhe A, Fejer R, Walker B (2011) Center of pressure excursion as a measure of balance performance in patients with non-specific low back pain compared to healthy controls: a systematic review of the literature. Eur Spine J 20: 358-368. https://doi.org/10.1007/s00586-010-1543-2 ![]() |
[71] |
Kirchengast S (2010) Gender differences in body composition from childhood to old age: an evolutionary point of view. J Life Sc 2: 1-10. https://doi.org/10.1080/09751270.2010.11885146 ![]() |
[72] |
Capodaglio P, Cimolin V, Tacchini E, et al. (2012) Balance control and balance recovery in obesity. Curr Obes Rep 1: 166-173. https://doi.org/10.1007/s13679-012-0018-7 ![]() |
[73] | Lövdal SS, Den Hartigh RJ, Azzopardi G (2021) Injury prediction in competitive runners with machine learning. Int J Sport Physiol 16: 1522-1531. https://doi.org/10.1123/ijspp.2020-0518 |
[74] |
Fillingim RB, King CD, Ribeiro-Dasilva MC (2009) Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain 10: 447-485. https://doi.org/10.1016/j.jpain.2008.12.001 ![]() |
[75] |
Balthillaya GM, Parsekar SS, Gangavelli R, et al. (2022) Effectiveness of posture-correction interventions for mechanical neck pain and posture among people with forward head posture: protocol for a systematic review. BMJ Open 12: e054691. https://doi.org/10.1136/bmjopen-2021-054691 ![]() |
[76] |
Mahmoud NF, Hassan KA, Abdelmajeed SF, et al. (2019) The relationship between forward head posture and neck pain: a systematic review and meta-analysis. Curr Rev Musculoske 12: 562-577. https://doi.org/10.1007/s12178-019-09594-y ![]() |
Features | Description |
image_id | Sample ID number for each handwritten image |
grapheme_root | Unique number of vowels, consonants, or conjuncts |
vowel_diacritic | Nasalization of vowels, and suppression of the inherent vowels |
consonant_diacritic | Nasalization of consonants, and suppression of the inherent consonants |
grapheme | Target variable |
Features | Description |
image_id | An unique image ID for each testing image |
row_id | Test id of grapheme root, consonant diacritic, vowel diacritic |
component | Grapheme root, consonant diacritic, vowel diacritic |
Features | Description |
image_id | Sample ID number for each handwritten image |
grapheme_root | Unique number of vowels, consonants, or conjuncts |
vowel_diacritic | Nasalization of vowels, and suppression of the inherent vowels |
consonant_diacritic | Nasalization of consonants, and suppression of the inherent consonants |
grapheme | Target variable |
Features | Description |
image_id | An unique image ID for each testing image |
row_id | Test id of grapheme root, consonant diacritic, vowel diacritic |
component | Grapheme root, consonant diacritic, vowel diacritic |