EEG-Based Gait Classification in Stroke Patients Using Deep Learning

An electroencephalogram (EEG) signals provide vital insights for stroke rehabilitation, yet analyzing these complex, high-dimensional data to detect gait anomalies remains challenging. Artificial intelligence offers a promising solution to precisely identify abnormal movements, assisting physicians in optimizing personalized treatments. This exploratory pilot study aims to evaluate multi-class deep learning frameworks for classifying eight distinct normal and abnormal motor activities in stroke patients using EEG data. EEG signals from eight stroke patients were utilized to train and evaluate a customized Convolutional Neural Network (CNN), DeepConvNet, and EEGNet. Furthermore, channel reduction configurations (32, 22, and 15 channels) were investigated to determine optimal clinical setups. In the Leave-One-Out Cross-Validation (LOOCV) evaluation involving seven patients, EEGNet attained the highest descriptive average F1-score of 0.810. Moreover, when assessed independently on an unseen patient, it achieved an F1-score of 0.915, indicating its potential in accommodating individual differences within this limited cohort. Moreover, EEGNet exhibited a low false positive rate of 0.175, minimizing false alarms. While the 32-channel setup yielded the highest consistency, reduced configurations served as hypothesis-generating for specific tasks. In conclusion, EEGNet demonstrated superior average performance in differentiating complicated gait patterns in this exploratory pilot study, underscoring its promise for real-time, non-invasive monitoring in stroke neurorehabilitation.