AI-ASSISTED GAIT ANALYSIS IN PHYSICAL THERAPY: A SYSTEMATIC REVIEW OF TOOLS AND REHABILITATION OUTCOMES
DOI:
https://doi.org/10.71000/jmvwk182Keywords:
Artificial Intelligence, Gait Analysis, Physical Therapy, Rehabilitation, , Machine Learning, , Systematic ReviewAbstract
Background: Artificial intelligence (AI) is increasingly being integrated into rehabilitation medicine, particularly in gait analysis for individuals with mobility impairments. Conventional gait assessments often rely on subjective evaluation or limited sensor technologies, which may lack precision and adaptability. Although various AI-based tools have emerged, the clinical relevance and effectiveness of these technologies in improving rehabilitation outcomes remain inadequately consolidated in existing literature.
Objective: This systematic review aims to evaluate the effectiveness of AI-assisted gait analysis tools in physical therapy, focusing on their impact on treatment planning, functional recovery, and overall rehabilitation outcomes.
Methods: A systematic review was conducted according to PRISMA guidelines. Four electronic databases—PubMed, Scopus, Web of Science, and Cochrane Library—were searched for studies published between 2020 and 2024. Eligible studies included randomized controlled trials, cohort studies, and observational designs involving patients undergoing physical therapy for gait dysfunction, utilizing AI-based gait analysis tools. Data extraction and risk of bias assessment were performed independently by two reviewers using standardized forms and validated tools such as the Cochrane Risk of Bias Tool and Newcastle-Ottawa Scale.
Results: Eight studies met inclusion criteria, encompassing 644 participants with conditions including stroke, Parkinson’s disease, and orthopedic impairments. AI technologies included wearable sensors, robotic trainers, and vision-based tracking systems. Most studies reported significant improvements in gait parameters such as cadence, stride length, and walking distance (p < 0.05), as well as better adherence and therapy personalization. Risk of bias was generally low to moderate, with some concerns related to performance blinding.
Conclusion: AI-assisted gait analysis tools show promising clinical value in enhancing rehabilitation outcomes and supporting individualized therapy planning. While current evidence is encouraging, further large-scale and methodologically rigorous studies are needed to validate these findings and guide broader implementation.
References
Edwards DJ, Forrest G, Cortes M, Weightman MM, Sadowsky C, Chang SH, et al. Walking improvement in chronic incomplete spinal cord injury with exoskeleton robotic training (WISE): a randomized controlled trial. Spinal Cord. 2022;60(6):522-32.
Fu WS, Song YC, Wu BA, Qu CH, Zhao JF. Virtual reality combined with robot-assisted gait training to improve walking ability of children with cerebral palsy: A randomized controlled trial. Technol Health Care. 2022;30(6):1525-33.
Moll F, Kessel A, Bonetto A, Stresow J, Herten M, Dudda M, et al. Use of Robot-Assisted Gait Training in Pediatric Patients with Cerebral Palsy in an Inpatient Setting-A Randomized Controlled Trial. Sensors (Basel). 2022;22(24).
Rodríguez-Fernández A, Lobo-Prat J, Font-Llagunes JM. Systematic review on wearable lower-limb exoskeletons for gait training in neuromuscular impairments. J Neuroeng Rehabil. 2021;18(1):22.
Calabrò RS, Sorrentino G, Cassio A, Mazzoli D, Andrenelli E, Bizzarini E, et al. Robotic-assisted gait rehabilitation following stroke: a systematic review of current guidelines and practical clinical recommendations. Eur J Phys Rehabil Med. 2021;57(3):460-71.
Kim H, Kim E, Yun SJ, Kang MG, Shin HI, Oh BM, et al. Robot-assisted gait training with auditory and visual cues in Parkinson's disease: A randomized controlled trial. Ann Phys Rehabil Med. 2022;65(3):101620.
Jadhwani PL, Harjpal P. A Review of Artificial Intelligence-Based Gait Evaluation and Rehabilitation in Parkinson's Disease. Cureus. 2023;15(10):e47118.
Choi JY, Kim SK, Hong J, Park H, Yang SS, Park D, et al. Overground Gait Training With a Wearable Robot in Children With Cerebral Palsy: A Randomized Clinical Trial. JAMA Netw Open. 2024;7(7):e2422625.
Pool D, Valentine J, Taylor NF, Bear N, Elliott C. Locomotor and robotic assistive gait training for children with cerebral palsy. Dev Med Child Neurol. 2021;63(3):328-35.
Chatwin KE, Abbott CA, Rajbhandari SM, Reddy PN, Bowling FL, Boulton AJM, et al. An intelligent insole system with personalised digital feedback reduces foot pressures during daily life: An 18-month randomised controlled trial. Diabetes Res Clin Pract. 2021;181:109091.
Lin YN, Huang SW, Kuan YC, Chen HC, Jian WS, Lin LF. Hybrid robot-assisted gait training for motor function in subacute stroke: a single-blind randomized controlled trial. J Neuroeng Rehabil. 2022;19(1):99.
Chen S, Zhang W, Wang D, Chen Z. How robot-assisted gait training affects gait ability, balance and kinematic parameters after stroke: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2024;60(3):400-11.
Miyagawa D, Matsushima A, Maruyama Y, Mizukami N, Tetsuya M, Hashimoto M, et al. Gait training with a wearable powered robot during stroke rehabilitation: a randomized parallel-group trial. J Neuroeng Rehabil. 2023;20(1):54.
Kawasaki S, Ohata K, Yoshida T, Yokoyama A, Yamada S. Gait improvements by assisting hip movements with the robot in children with cerebral palsy: a pilot randomized controlled trial. J Neuroeng Rehabil. 2020;17(1):87.
Tao W, Liu T, Zheng R, Feng H. Gait analysis using wearable sensors. Sensors (Basel). 2012;12(2):2255-83.
Lee J, Kim DY, Lee SH, Kim JH, Kim DY, Lim KB, et al. End-effector lower limb robot-assisted gait training effects in subacute stroke patients: A randomized controlled pilot trial. Medicine (Baltimore). 2023;102(42):e35568.
Mehrholz J, Thomas S, Kugler J, Pohl M, Elsner B. Electromechanical-assisted training for walking after stroke. Cochrane Database Syst Rev. 2020;10(10):Cd006185.
Cortés-Pérez I, González-González N, Peinado-Rubia AB, Nieto-Escamez FA, Obrero-Gaitán E, García-López H. Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis. Sensors (Basel). 2022;22(24).
Zhang B, Wong KP, Kang R, Fu S, Qin J, Xiao Q. Efficacy of Robot-Assisted and Virtual Reality Interventions on Balance, Gait, and Daily Function in Patients With Stroke: A Systematic Review and Network Meta-analysis. Arch Phys Med Rehabil. 2023;104(10):1711-9.
Kayabinar B, Alemdaroğlu-Gürbüz İ, Yilmaz Ö. The effects of virtual reality augmented robot-assisted gait training on dual-task performance and functional measures in chronic stroke: a randomized controlled single-blind trial. Eur J Phys Rehabil Med. 2021;57(2):227-37.
Moucheboeuf G, Griffier R, Gasq D, Glize B, Bouyer L, Dehail P, et al. Effects of robotic gait training after stroke: A meta-analysis. Ann Phys Rehabil Med. 2020;63(6):518-34.
Akıncı M, Burak M, Yaşar E, Kılıç RT. The effects of Robot-assisted gait training and virtual reality on balance and gait in stroke survivors: A randomized controlled trial. Gait Posture. 2023;103:215-22.
Facciorusso S, Malfitano C, Giordano M, Del Furia MJ, Mosconi B, Arienti C, et al. Effectiveness of robotic rehabilitation for gait and balance in people with multiple sclerosis: a systematic review. J Neurol. 2024;271(11):7141-55.
Li A, Li C. Detecting Parkinson's Disease through Gait Measures Using Machine Learning. Diagnostics (Basel). 2022;12(10).
Park YH, Lee DH, Lee JH. A Comprehensive Review: Robot-Assisted Treatments for Gait Rehabilitation in Stroke Patients. Medicina (Kaunas). 2024;60(4).
Guo L, Chang R, Wang J, Narayanan A, Qian P, Leong MC, et al. Artificial intelligence-enhanced 3D gait analysis with a single consumer-grade camera. J Biomech. 2025;187:112738.
Lim ACY, Natarajan P, Fonseka RD, Maharaj M, Mobbs RJ. The application of artificial intelligence and custom algorithms with inertial wearable devices for gait analysis and detection of gait-altering pathologies in adults: A scoping review of literature. Digit Health. 2022;8:20552076221074128.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Saniya, Hamza Shabbir, Talha Nouman, Filza Shoukat, Ali Abbas, Abdul Aziz (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.