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A Multi-Modal Analysis of the Freezing of Gait Phenomenon in Parkinson's Disease

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机构: [1]Politecn Torino, Dept Elect & Telecommun, Corso Duca Abruzzi 24, I-10129 Turin, Italy [2]Azienda Osped Univ Sassari, Neurol Unit, Viale San Pietro 10, I-07100 Sassari, Italy [3]Politecn Torino, Dept Control & Comp Engn, Corso Duca Abruzzi 24, I-10129 Turin, Italy [4]Capital Med Univ, Beijing Inst Geriatr, Dept Neurol Neurobiol & Geriatr, Xuanwu Hosp, Beijing 100053, Peoples R China [5]Xuzhou Med Univ, Dept Neurol, Affiliated Hosp, Xuzhou 221006, Jiangsu, Peoples R China [6]Beihang Univ, Sch Automat Sci & Elect Engn, Beijing 100191, Peoples R China
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关键词: Parkinson's disease Freezing of Gait multi-modal analysis inertial sensors electroencephalogram (EEG) skin conductance (SC) machine learning support vector machine (SVM) k-nearest neighbor (kNN)

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Background: Freezing of Gait (FOG) is one of the most disabling motor complications of Parkinson's disease, and consists of an episodic inability to move forward, despite the intention to walk. FOG increases the risk of falls and reduces the quality of life of patients and their caregivers. The phenomenon is difficult to appreciate during outpatients visits; hence, its automatic recognition is of great clinical importance. Many types of sensors and different locations on the body have been proposed. However, the advantages of a multi-sensor configuration with respect to a single-sensor one are not clear, whereas this latter would be advisable for use in a non-supervised environment. Methods: In this study, we used a multi-modal dataset and machine learning algorithms to perform different classifications between FOG and non-FOG periods. Moreover, we explored the relevance of features in the time and frequency domains extracted from inertial sensors, electroencephalogram and skin conductance. We developed both a subject-independent and a subject-dependent algorithm, considering different sensor subsets. Results: The subject-independent and subject-dependent algorithms yielded accuracies of 85% and 88% in the leave-one-subject-out and leave-one-task-out test, respectively. Results suggest that the inertial sensors positioned on the lower limb are generally the most significant in recognizing FOG. Moreover, the performance impairment experienced when using a single tibial accelerometer instead of the optimal multi-modal configuration is limited to 2-3%. Conclusions: The achieved results disclose the possibility of getting a good FOG recognition using a minimally invasive set-up made of a single inertial sensor. This is very significant in the perspective of implementing a long-term monitoring of patients in their homes, during activities of daily living.

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出版当年[2021]版:
大类 | 3 区 工程技术
小类 | 3 区 分析化学 3 区 工程:电子与电气 3 区 仪器仪表
最新[2025]版:
大类 | 3 区 综合性期刊
小类 | 3 区 分析化学 3 区 工程:电子与电气 3 区 仪器仪表
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出版当年[2020]版:
Q1 INSTRUMENTS & INSTRUMENTATION Q2 ENGINEERING, ELECTRICAL & ELECTRONIC Q2 CHEMISTRY, ANALYTICAL
最新[2023]版:
Q2 CHEMISTRY, ANALYTICAL Q2 ENGINEERING, ELECTRICAL & ELECTRONIC Q2 INSTRUMENTS & INSTRUMENTATION

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第一作者机构: [1]Politecn Torino, Dept Elect & Telecommun, Corso Duca Abruzzi 24, I-10129 Turin, Italy
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