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针对患有步态冻结症状的帕金森病患者的可穿戴辅助设备。

Wearable assistant for Parkinson's disease patients with the freezing of gait symptom.

作者信息

Bächlin Marc, Plotnik Meir, Roggen Daniel, Maidan Inbal, Hausdorff Jeffrey M, Giladi Nir, Tröster Gerhard

机构信息

Wearable Computing Laboratory, Swiss Federal Institute of Technology Zürich, Zürich CH-8092, Switzerland.

出版信息

IEEE Trans Inf Technol Biomed. 2010 Mar;14(2):436-46. doi: 10.1109/TITB.2009.2036165. Epub 2009 Nov 10.

Abstract

In this paper, we present a wearable assistant for Parkinson's disease (PD) patients with the freezing of gait (FOG) symptom. This wearable system uses on-body acceleration sensors to measure the patients' movements. It automatically detects FOG by analyzing frequency components inherent in these movements. When FOG is detected, the assistant provides a rhythmic auditory signal that stimulates the patient to resume walking. Ten PD patients tested the system while performing several walking tasks in the laboratory. More than 8 h of data were recorded. Eight patients experienced FOG during the study, and 237 FOG events were identified by professional physiotherapists in a post hoc video analysis. Our wearable assistant was able to provide online assistive feedback for PD patients when they experienced FOG. The system detected FOG events online with a sensitivity of 73.1% and a specificity of 81.6%. The majority of patients indicated that the context-aware automatic cueing was beneficial to them. Finally, we characterize the system performance with respect to the walking style, the sensor placement, and the dominant algorithm parameters.

摘要

在本文中,我们展示了一款针对患有步态冻结(FOG)症状的帕金森病(PD)患者的可穿戴辅助设备。该可穿戴系统使用身体上的加速度传感器来测量患者的运动。它通过分析这些运动中固有的频率成分来自动检测FOG。当检测到FOG时,该辅助设备会提供有节奏的听觉信号,刺激患者恢复行走。十名PD患者在实验室中执行多项行走任务时对该系统进行了测试。记录了超过8小时的数据。八名患者在研究过程中经历了FOG,专业物理治疗师在事后视频分析中识别出237次FOG事件。我们的可穿戴辅助设备能够在PD患者经历FOG时提供在线辅助反馈。该系统在线检测FOG事件的灵敏度为73.1%,特异性为81.6%。大多数患者表示情境感知自动提示对他们有益。最后,我们针对行走方式、传感器放置和主要算法参数对系统性能进行了表征。

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