Lower back pain affects more than 500 million people worldwide and is the leading cause of disability, above reported data of cancers and heart diseases. But receiving a back pain diagnosis can take time, with patients often facing barriers that may delay the process.Brock University Master of Science in Kinesiology student Carl Alano is determined to help patients receive their diagnosis faster — all with the help of artificial intelligence.Through his research, “Automated Movement Screen: Developing a data-driven scoring tool to assess spine motor dysfunction,” Alano is working to develop a telehealth screening tool for clinicians.
Using AI software called MediaPipe, Alano inputs images and videos of common tasks requiring movement of the lower back into software for analysis. The data are aligned with patient-reported outcomes to understand the relationship between how someone moves and how they reportedly feel. To accomplish this, research participants aged 18 to 65 years complete an online survey and are asked to submit video of themselves performing three different movement tasks: picking up a pen or pencil, completing a single body weight squatting motion and doing a maximum spine flexion, which is when an individual rounds their spine as much as they can comfortably. The data derived from the survey then allows the team to build an algorithm that scores someone’s movement using a web camera or smartphone and predicts levels of disability.
The idea for this research emerged during Alano’s fourth-year undergraduate thesis, which looked at back pain in rowers. Even though COVID-19 restrictions were easing, athletes were hesitant to come to campus or had scheduling conflicts, which made it difficult to recruit participants. Growing up in the Philippines, Alano observed the hardships faced by individuals with socio-economic challenges as well as those who had to travel long distances for medical care. This experience motivated him to make a difference by pursuing a career in the medical field.
Alano’s study is still recruiting participants. Adults 18 to 65 years of age interested in participating in the study are invited to learn more online or contact Alano at ca18ei@brocku.ca
A video demonstrating the assessment process is available on YouTube.

