Explainable Gait Multi-Anchor Space-Aware Temporal Convolutional Networks for Gait Recognition in Neurological, Orthopedic, and Healthy Cohorts

Gait recognition using wearable sensor data is crucial for healthcare, rehabilitation, and monitoring neurological and musculoskeletal disorders. This study proposes a deep learning framework for gait classification using inertial measurements from four body-mounted IMU sensors (head, lower back, and both feet). The data were collected from a publicly available, clinically annotated dataset comprising 1356 gait trials from 260 individuals with diverse pathologies. The framework, G-MASA-TCN (Gait Multi-Anchor, Space-Aware Temporal Convolutional Network), integrates multi-scale temporal fusion, graph-informed spatial modeling, and residual dilated convolutions to extract discriminative gait signatures. To ensure both high performance and interpretability, Integrated Gradients is incorporated as an explainable AI (XAI) method, providing sensor-level and temporal attributes that reveal the features driving model decisions. The framework is evaluated via repeated cross-validation experiments, reporting detailed metrics with cross-run statistical analysis (mean ± standard deviation) to assess robustness. Results show that G-MASA-TCN achieves 98% classification accuracy for neurological, orthopedic, and healthy cohorts, demonstrating superior stability and resilience compared to baseline architectures, including Gated Recurrent Unit (GRU), Transformer neural networks, and standard TCNs, and 98.4% accuracy in identifying individual subjects based on gait. Furthermore, the model offers clinically meaningful insights into which sensors and gait phases contribute most to its predictions. This work presents an accurate, interpretable, and reliable tool for gait pathology recognition, with potential for translation to real-world clinical settings.