Peripheral artery disease (PAD) manifests from atherosclerosis, which limits blood flow to the legs and causes changes in muscle structure and function, and in gait performance. PAD is underdiagnosed, which delays treatment and worsens clinical outcomes. To overcome this challenge, the purpose of this study is to develop machine learning (ML) models that distinguish individuals with and without PAD. This is the first step to using ML to identify those with PAD risk early. We built ML models based on previously acquired overground walking biomechanics data from patients with PAD and healthy controls. Gait signatures were characterized using ankle, knee, and hip joint angles, torques, and powers, as well as ground reaction forces (GRF). ML was able to classify those with and without PAD using Neural Networks or Random Forest algorithms with 89% accuracy (0.64 Matthew’s Correlation Coefficient) using all laboratory-based gait variables. Moreover, models using only GRF variables provided up to 87% accuracy (0.64 Matthew’s Correlation Coefficient). These results indicate that ML models can classify those with and without PAD using gait signatures with acceptable performance. Results also show that an ML gait signature model that uses GRF features delivers the most informative data for PAD classification.

This work presents an approach to delay-based reservoir computing (RC) at the sensor level without input modulation. It employs a time-multiplexed bias to maintain transience while utilizing either an electrical signal or an environmental signal (such as acceleration) as an unmodulated input signal. The proposed approach enables RC carried out by sufficiently nonlinear sensory elements, as we demonstrate using a single electrostatically actuated microelectromechanical system (MEMS) device. The MEMS sensor can perform colocalized sensing and computing with fewer electronics than traditional RC elements at the RC input (such as analog-to-digital and digital-to-analog converters). The performance of the MEMS RC is evaluated experimentally using a simple classification task, in which the MEMS device differentiates between the profiles of two signal waveforms. The signal waveforms are chosen to be either electrical waveforms or acceleration waveforms. The classification accuracy of the presented MEMS RC scheme is found to be over 99%. Furthermore, the scheme is found to enable flexible virtual node probing rates, allowing for up to 4× slower probing rates, which relaxes the requirements on the system for reservoir signal sampling. Finally, our experiments show a noise-resistance capability for our MEMS RC scheme.

Most cities in the United States lack comprehensive or connected bicycle infrastructure; therefore, inexpensive and easy-to-implement solutions for connecting existing bicycle infrastructure are increasingly being employed. Signage is one of the promising solutions. However, the necessary data for evaluating its effect on cycling ridership is lacking. To overcome this challenge, this study tests the potential of using readily-available crowdsourced data in concert with machine-learning methods to provide insight into signage intervention effectiveness. We do this by assessing a natural experiment to identify the potential effects of adding or replacing signage within existing bicycle infrastructure in 2019 in the city of Omaha, Nebraska. Specifically, we first visually compare cycling traffic changes in 2019 to those from the previous two years (2017–2018) using data extracted from the Strava fitness app. Then, we use a new three-step machine-learning approach to quantify the impact of signage while controlling for weather, demographics, and street characteristics. The steps are as follows: Step 1 (modeling and validation) build and train a model from the available 2017 crowdsourced data (i.e., Strava, Census, and weather) that accurately predicts the cycling traffic data for any street within the study area in 2018; Step 2 (prediction) use the model from Step 1 to predict bicycle traffic in 2019 while assuming new signage was not added; Step 3 (impact evaluation) use the difference in prediction from actual traffic in 2019 as evidence of the likely impact of signage. While our work does not demonstrate causality, it does demonstrate an inexpensive method, using readily-available data, to identify changing trends in bicycling over the same time that new infrastructure investments are being added.

Background: Peripheral artery disease (PAD) is clinically heterogeneous, complicating identification, treatment selection, and prediction of therapeutic benefit. Gait biomechanics provide high-resolution, objective digital biomarkers that can be used in routine care. Methods: We built a computational framework for three tasks: (1) distinguish controls versus PAD; (2) predict clinician-selected treatment (nonoperative vs. revascularization); and (3) forecast post-treatment ground-reaction force (GRF) from baseline GRF features. The dataset included 55 unique patients with PAD and 42 controls. Standard classifiers and regressors were evaluated, and performance was measured by accuracy, balanced accuracy, Matthew’s correlation coefficient (MCC), and mean absolute error. Results: A single GRF feature (propulsive peak) achieved 90.9% accuracy, 86.7% balanced accuracy, and 0.868 MCC for distinguishing PAD from controls and predicting treatment, outperforming patient-reported outcomes and kinematics. For outcome forecasting, a Random Forest model predicted changes in the propulsive peak with 80% accuracy and low error. Conclusions: GRF-based models accurately identify PAD, anticipate this clinical team’s treatment selection, and forecast functional recovery within this single-center cohort; generalization to other practice patterns and settings remains untested. The approach relies on minimal features and modest computation and is readily generalized to other medical conditions that affect gait. Because it is compatible with wearable sensors, it is well suited to real-time, remote assessment and can advance personalized, data-driven decision support in vascular care.