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A new method of diagnosing athlete's anterior cruciate ligament health status using surface electromyography and deep convolutional neural network

Hatamzadeh Mehran, Hassannejad Reza, Sharifnezhad Ali

Biocybernetics and Biomedical Engineering

2020

Vol. 40, no. 1

65--76

Anterior cruciate ligament (ACL) injury is one of the most common injuries in high-demand sports. Due to long-term treatment of this injury, diagnosing recovery of ACL becomes important, particularly six months postoperatively. The purpose of this research is to provide a cost-effective and intelligent method to diagnose ACL's health status. For this purpose, 11 healthy and 27 ACL-injured subjects have been selected. In the proposed method, the athlete performs a single-leg landing protocol and surface electromyographic signals (EMG) are taken from eight lower limb muscles. Then, time–frequency distributions of EMG signals in each landing are calculated as an image, using pseudo Wigner–Ville distribution (PWVD), which are the inputs of a deep convolutional neural network (DCNN). By time–frequency analysis, it has been made clear that any change in ACL's health status causes changes in the extent of energy spread in PWVD, distribution volume, frequency content, damping rate and the peak value of EMG signals. In this research, a new relationship between ACL's health status and lower limb muscles activity is introduced through monitoring of PWVD images. The result indicates that the designed expert system is able to diagnose ACL's health status with 95.8% accuracy. In this non-invasive method, PWVD images of EMG signals are chosen as the inputs of DCNN, instead of MRI images, which, in addition to their high accuracy in diagnosing, are safer and much cheaper. The presented method can play an important role in assessing the recovery process, six months postoperatively and after that.