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Next-generation explainable AI integrating EMG and kinematics to identify muscle drivers of stiff-knee gait in Hereditary Spastic Paraparesis.

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From EMG to Insight — xAI on Stiff-Knee Gait in HSP

Clean envelopes ➜ whole-cycle nonparametric SPM ➜ tv-VAR IRFs (EMG↔KIN) ➜ Proximal vs Distal EMG directionality
High accuracy + full interpretability: from black-box AI to muscle–phase therapeutic maps.

📄 Paper Submission:

This repository supports the upcoming manuscript “From EMG to Insight: Explainable Deep Learning Identifies Muscle Drivers of Stiff-Knee Gait in Hereditary Spastic Paraparesis”, which will be submitted shortly to a peer-reviewed journal.


Background

Large surface-EMG datasets in neurological gait disorders hold untapped clinical information — but which muscle, when, and how much?
We developed a fully explainable deep learning pipeline to map muscle×phase determinants of stiff-knee gait in Hereditary Spastic Paraparesis (HSP).

  • Subjects: 43 total (26 HSP, 17 HS)
  • Clinical subgroups: HSP1 (severe), HSP2 (moderate), HSP3 (mild)
  • sEMG: 16 bilateral muscles (32 channels @1000 Hz)
  • 3D Kinematics: 100 Hz
  • Gait cycles: 3 valid cycles per subject
  • Normalization: 0–100% gait cycle; 7 gait sub-phases

Pipeline Overview

Cohort & Data Acquisition


Quick Start

# 1. Install dependencies
pip install numpy pandas matplotlib scipy statsmodels scikit-learn spm1d joblib openpyxl xlsxwriter

# 2. Place your raw CSV (Italian field names supported)
#    sEMG data HSP/Timeseries completo.csv

# 3. Run the script (Jupyter or CLI)
python EMG_HSP_Explainability.py

Outputs appear automatically in the `outputs/` folder:

- `Parameters4.xlsx` — preprocessing features  
- `spm_clusters_corrected.xlsx` — SPM clusters (Holm/FDR)  
- `results_irf.xlsx` — EMG↔KIN (XCorr/HAC/Granger/FDR + IRFs)  
- `emg2emg_DI_heatmap.png` + per-phase bar charts

🏗️ Architecture

Section Goal Key Outputs
1. Pre-processing Clean envelopes, normalize EMG, resample 0–100% gait cycle Parameters4.xlsx, overview plots
2. Whole-cycle SPM (nonparam) Compare full time-series between groups (Holm+FDR) spm_clusters_corrected.xlsx, SPM plots with q annotations
3. EMG↔Kinematics tv-VAR IRFs, Granger causality, HAC OLS results_irf.xlsx, controller flowmaps
4. Proximal↔Distal EMG Directionality Index (DI), phase-specific drivers emg2emg_DI_heatmap.png, per-phase bar charts

🎯 Model Performance

Task Accuracy AUC / F1
Binary (HS vs HSP) 91.2% AUC 0.95, F1 0.94
Multiclass (HS, HSP1–3) 91.4% F1 ≥0.86 in all 28 cells

💡 Explainability Highlights

  • Quadriceps dominance: RF, VL, VM emerge as main drivers across phases.
  • MER metric: High MER → stereotyped activation; Low MER → adaptive complexity.
  • Proximal–distal interactions: Controls show alternation; HSP1 shows monochromatic blocks (loss of alternation).
  • Clinical bridge: From deep learning to interpretable, muscle–phase therapeutic maps.

🖼 Deep Learning Architecture & Outputs

Network Diagram

Explainable Deep Learning Architecture

MER Barplots per Phase

SHAP to MER

EMG ↔ Kinematics Directionality

EMG-Kinematics

Proximal vs Distal Directionality

Proximal-Distal

SPM Nonparametric Plots

![Physiological Evidence](docs/Physiological Evidence.png)


📜 Citation

If you use this code or dataset, please cite:

Trabassi D. et al. From EMG to Insight: Explainable Deep Learning Identifies Muscle Drivers of Stiff-Knee Gait in Hereditary Spastic Paraparesis. SIAMOC 2025.


🧩 Repository Structure

├── EMG_HSP_Explainability.py # Main pipeline ├── outputs/ # Generated figures and tables ├── docs/ # Images (pipeline, figures) ├── data/ # (Optional) input CSVs (add to .gitignore) └── README.md


⚠️ Data Privacy

This repository does not contain raw patient data.
Placeholders / synthetic examples are provided for reproducibility.
Please respect privacy regulations (GDPR) when using your own data.


👨‍💻 Code Authors

  • Dante Trabassi — main pipeline, preprocessing, complementary code modules
  • Stefano Filippo Castiglia — explainability pipeline, analyses

🙌 Acknowledgments

  • Prof. Mariano Serrao (supervision)
  • Ing. Alberto Ranavolo
  • Ing. Irene Gennarelli
  • Ing. Tiwana Varrecchia

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Next-generation explainable AI integrating EMG and kinematics to identify muscle drivers of stiff-knee gait in Hereditary Spastic Paraparesis.

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