Inertial-based dual-task gait normalcy index at turns: a potential novel gait biomarker for early-stage Parkinson’s disease DOI Creative Commons
Lin Meng, Xiaofei Zhang, Yu Shi

и другие.

IEEE Transactions on Neural Systems and Rehabilitation Engineering, Год журнала: 2025, Номер 33, С. 687 - 695

Опубликована: Янв. 1, 2025

As one of the main motor indicators Parkinson's disease (PD), postural instability and gait disorder (PIGD) might manifest in various but subtle symptoms at early stage resulting relatively high misdiagnosis rate. Quantitative assessment under dual task or complex (i.e., turning) may contribute to better understanding PIGD provide a diagnostic indicator early-stage PD. However, few studies have explored deviation evaluation algorithms that reflect specificity. In this work, we proposed novel inertial-based normalcy index (GNI) based on quantitative model characterize overall performance during both straight walking turning with without serial-3 subtraction task. The factor group GNI variable was investigated feasibility improve PD validated. experimental results showed paradigm is significant where dual-task turn had best discriminating ability between HC (AUC = 0.992) significantly correlated UPDRS III (r 0.81), MMSE(r 0.57) Mini-BEST(r 0.65). We also observed turning-based has larger effect size compared clinical scales, demonstrating can changes functional mobility rehabilitation for Our work offers an innovative potential biomarker diagnostics provides new perspective into its application

Язык: Английский

Simplification of Mobility Tests and Data Processing to Increase Applicability of Wearable Sensors as Diagnostic Tools for Parkinson’s Disease DOI Creative Commons

Rana M. Khalil,

Lisa Shulman, Ann L. Gruber‐Baldini

и другие.

Sensors, Год журнала: 2024, Номер 24(15), С. 4983 - 4983

Опубликована: Авг. 1, 2024

Quantitative mobility analysis using wearable sensors, while promising as a diagnostic tool for Parkinson's disease (PD), is not commonly applied in clinical settings. Major obstacles include uncertainty regarding the best protocol instrumented testing and subsequent data processing, well added workload complexity of this multi-step process. To simplify sensor-based diagnosing PD, we analyzed from 262 PD participants 50 controls performing several motor tasks wearing sensor on their lower back containing triaxial accelerometer gyroscope. Using ensembles heterogeneous machine learning models incorporating range classifiers trained set features, show that our effectively differentiate between with controls, both mixed-stage (92.6% accuracy) group selected mild only (89.4% accuracy). Omitting algorithmic segmentation complex decreased accuracy models, did inclusion kinesiological features. Feature importance revealed Timed Up Go (TUG) to contribute highest-yield predictive minor decreases based cognitive TUG single task. Our approach facilitates major simplification without compromising performance.

Язык: Английский

Процитировано

4

Inertial-based dual-task gait normalcy index at turns: a potential novel gait biomarker for early-stage Parkinson’s disease DOI Creative Commons
Lin Meng, Xiaofei Zhang, Yu Shi

и другие.

IEEE Transactions on Neural Systems and Rehabilitation Engineering, Год журнала: 2025, Номер 33, С. 687 - 695

Опубликована: Янв. 1, 2025

As one of the main motor indicators Parkinson's disease (PD), postural instability and gait disorder (PIGD) might manifest in various but subtle symptoms at early stage resulting relatively high misdiagnosis rate. Quantitative assessment under dual task or complex (i.e., turning) may contribute to better understanding PIGD provide a diagnostic indicator early-stage PD. However, few studies have explored deviation evaluation algorithms that reflect specificity. In this work, we proposed novel inertial-based normalcy index (GNI) based on quantitative model characterize overall performance during both straight walking turning with without serial-3 subtraction task. The factor group GNI variable was investigated feasibility improve PD validated. experimental results showed paradigm is significant where dual-task turn had best discriminating ability between HC (AUC = 0.992) significantly correlated UPDRS III (r 0.81), MMSE(r 0.57) Mini-BEST(r 0.65). We also observed turning-based has larger effect size compared clinical scales, demonstrating can changes functional mobility rehabilitation for Our work offers an innovative potential biomarker diagnostics provides new perspective into its application

Язык: Английский

Процитировано

0