New Gait Representation Maps for Enhanced Recognition in Clinical Gait Analysis.

Gait analysis is essential in the evaluation of neuromuscular and musculoskeletal disorders; however, traditional approaches based on expert visual observation remain subjective and often lack consistency. Accurate and objective assessment of gait impairments is critical for early diagnosis, monitoring rehabilitation progress, and guiding clinical decision-making. Although Gait Energy Images (GEI) have become widely used in automated, vision-based gait analysis, they are limited in capturing boundary details and time-resolved motion dynamics, both critical for robust clinical interpretation. To overcome these limitations, we introduce four novel gait representation maps: the time-coded gait boundary image (tGBI), color-coded GEI (cGEI), time-coded gait delta image (tGDI), and color-coded boundary-to-image transform (cBIT). These representations are specifically designed to embed spatial, temporal, and boundary-specific features of the gait cycle, and are constructed from binary silhouette sequences through straightforward yet effective transformations that preserve key structural and dynamic information. Experiments on the INIT GAIT dataset demonstrate that the proposed representations consistently outperform the conventional GEI across multiple machine learning models and classification tasks involving different numbers of gait impairment categories (four and six classes). These findings highlight the potential of the proposed approaches to enhance the accuracy and reliability of automated clinical gait analysis.