Deep-Learning Algorithms for Prescribing Insoles to Patients with Foot Pain

Foot pain is a common musculoskeletal disorder. Orthotic insoles are widely used in patients with foot pain. Inexperienced clinicians have difficulty prescribing orthotic insoles appropriately by considering various factors associated with the alteration of foot alignment. We attempted to develop de...

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Main Authors: Jeoung Kun Kim, Yoo Jin Choo, In Sik Park, Jin-Woo Choi, Donghwi Park, Min Cheol Chang
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/4/2208
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author Jeoung Kun Kim
Yoo Jin Choo
In Sik Park
Jin-Woo Choi
Donghwi Park
Min Cheol Chang
author_facet Jeoung Kun Kim
Yoo Jin Choo
In Sik Park
Jin-Woo Choi
Donghwi Park
Min Cheol Chang
author_sort Jeoung Kun Kim
collection DOAJ
description Foot pain is a common musculoskeletal disorder. Orthotic insoles are widely used in patients with foot pain. Inexperienced clinicians have difficulty prescribing orthotic insoles appropriately by considering various factors associated with the alteration of foot alignment. We attempted to develop deep-learning algorithms that can automatically prescribe orthotic insoles to patients with foot pain and assess their accuracy. In total, 838 patients were included in this study; 70% (n = 586) and 30% (n = 252) were used as the training and validation sets, respectively. The resting calcaneal stance position and data related to pelvic elevation, pelvic tilt, and pelvic rotation were used as input data for developing the deep-learning algorithms for insole prescription. The target data were the foot posture index for the modified root technique and the necessity of heel lift, entire lift, and lateral wedge, medial wedge, and calcaneocuboid arch supports. In the results, regarding the foot posture index for the modified root technique, for the left foot, the mean absolute error (MAE) and root mean square error (RMSE) of the validation dataset for the developed model were 1.408 and 3.365, respectively. For the right foot, the MAE and RMSE of the validation dataset for the developed model were 1.601 and 3.549, respectively. The accuracies for heel lift, entire lift, and lateral wedge, medial wedge, and calcaneocuboid arch supports were 89.7%, 94.8%, 72.2%, 98.4%, and 79.8%, respectively. The micro-average area under the receiver operating characteristic curves for heel lift, entire lift, and lateral wedge, medial wedge, and calcaneocuboid arch supports were 0.949, 0.941, 0.826, 0.792, and 0.827, respectively. In conclusion, our deep-learning models automatically prescribed orthotic insoles in patients with foot pain and showed outstanding to acceptable accuracy.
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spelling doaj.art-267c69e2f1574d42a4328139fb95573d2023-11-16T18:52:26ZengMDPI AGApplied Sciences2076-34172023-02-01134220810.3390/app13042208Deep-Learning Algorithms for Prescribing Insoles to Patients with Foot PainJeoung Kun Kim0Yoo Jin Choo1In Sik Park2Jin-Woo Choi3Donghwi Park4Min Cheol Chang5Department of Business Administration, School of Business, Yeungnam University, Gyeongsan-si 38541, Republic of KoreaDepartment of Physical Medicine and Rehabilitation, Yeungnam University Medical Center, College of Medicine, Yeungnam University, 317-1 Daemyungdong, Namku, Daegu 41415, Republic of KoreaKorean Podiatry and Pedorthics Institute, Goyang 10442, Republic of KoreaDepartment of Physical Medicine and Rehabilitation, University of Ulsan College of Medicine, Ulsan University Hospital, 877 Bangeojin Sunhwando-ro, Dong-gu, Ulsan 44033, Republic of KoreaDepartment of Physical Medicine and Rehabilitation, University of Ulsan College of Medicine, Ulsan University Hospital, 877 Bangeojin Sunhwando-ro, Dong-gu, Ulsan 44033, Republic of KoreaDepartment of Physical Medicine and Rehabilitation, Yeungnam University Medical Center, College of Medicine, Yeungnam University, 317-1 Daemyungdong, Namku, Daegu 41415, Republic of KoreaFoot pain is a common musculoskeletal disorder. Orthotic insoles are widely used in patients with foot pain. Inexperienced clinicians have difficulty prescribing orthotic insoles appropriately by considering various factors associated with the alteration of foot alignment. We attempted to develop deep-learning algorithms that can automatically prescribe orthotic insoles to patients with foot pain and assess their accuracy. In total, 838 patients were included in this study; 70% (n = 586) and 30% (n = 252) were used as the training and validation sets, respectively. The resting calcaneal stance position and data related to pelvic elevation, pelvic tilt, and pelvic rotation were used as input data for developing the deep-learning algorithms for insole prescription. The target data were the foot posture index for the modified root technique and the necessity of heel lift, entire lift, and lateral wedge, medial wedge, and calcaneocuboid arch supports. In the results, regarding the foot posture index for the modified root technique, for the left foot, the mean absolute error (MAE) and root mean square error (RMSE) of the validation dataset for the developed model were 1.408 and 3.365, respectively. For the right foot, the MAE and RMSE of the validation dataset for the developed model were 1.601 and 3.549, respectively. The accuracies for heel lift, entire lift, and lateral wedge, medial wedge, and calcaneocuboid arch supports were 89.7%, 94.8%, 72.2%, 98.4%, and 79.8%, respectively. The micro-average area under the receiver operating characteristic curves for heel lift, entire lift, and lateral wedge, medial wedge, and calcaneocuboid arch supports were 0.949, 0.941, 0.826, 0.792, and 0.827, respectively. In conclusion, our deep-learning models automatically prescribed orthotic insoles in patients with foot pain and showed outstanding to acceptable accuracy.https://www.mdpi.com/2076-3417/13/4/2208insolefoot paindeep learningprescription
spellingShingle Jeoung Kun Kim
Yoo Jin Choo
In Sik Park
Jin-Woo Choi
Donghwi Park
Min Cheol Chang
Deep-Learning Algorithms for Prescribing Insoles to Patients with Foot Pain
Applied Sciences
insole
foot pain
deep learning
prescription
title Deep-Learning Algorithms for Prescribing Insoles to Patients with Foot Pain
title_full Deep-Learning Algorithms for Prescribing Insoles to Patients with Foot Pain
title_fullStr Deep-Learning Algorithms for Prescribing Insoles to Patients with Foot Pain
title_full_unstemmed Deep-Learning Algorithms for Prescribing Insoles to Patients with Foot Pain
title_short Deep-Learning Algorithms for Prescribing Insoles to Patients with Foot Pain
title_sort deep learning algorithms for prescribing insoles to patients with foot pain
topic insole
foot pain
deep learning
prescription
url https://www.mdpi.com/2076-3417/13/4/2208
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