Enhancing postural balance assessment through neural network-based lower-limb muscle strength evaluation with reduced markers.

Aiming to simplify the data acquisition process for balance diagnosis and focused on muscle, a direct factor affecting balance, to assess and judge postural stability. Utilizing a publicly available kinematic dataset, the research retained 3D coordinates and mechanical data for 8 markers on the lower limbs. By integrating this data with the musculoskeletal model in OpenSim, inverse kinematic calculations were performed to derive muscle forces. These forces, alongside the coordinates, were split into an 8:2 training and test set ratio. A neural network was then developed to predict muscle forces using normalized coordinate data from the training set as input, with corresponding muscle force data as training labels. The model's accuracy was confirmed on the test set, achieving coefficients of determination ($R^2$) above 0.99 for 276 muscle forces. Furthermore, the Force Maximum Percentage Difference (FMPD) was introduced as a novel criterion to evaluate and visualize lower limb balance, revealing significant discrepancies between the patient and control groups. This study successfully demonstrates that the neural network model can precisely predict lower limb muscle forces using reduced markers and introduces FMPD as an effective tool for assessing limb balance, providing a robust framework for future diagnostic and rehabilitative applications.