Institute of Digital Anti-Aging Healthcare, Inje University, Gimhae, Republic of Korea.
Department of Electronics and Communication Engineering, IIT, Roorkee, India.
J Healthc Eng. 2020 Feb 18;2020:1823268. doi: 10.1155/2020/1823268. eCollection 2020.
In the last few years, the importance of measuring gait characteristics has increased tenfold due to their direct relationship with various neurological diseases. As patients suffering from Parkinson's disease (PD) are more prone to a movement disorder, the quantification of gait characteristics helps in personalizing the treatment. The wearable sensors make the measurement process more convenient as well as feasible in a practical environment. However, the question remains to be answered about the validation of the wearable sensor-based measurement system in a real-world scenario. This paper proposes a study that includes an algorithmic approach based on collected data from the wearable accelerometers for the estimation of the gait characteristics and its validation using the Tinetti mobility test and 3D motion capture system. It also proposes a machine learning-based approach to classify the PD patients from the healthy older group (HOG) based on the estimated gait characteristics. The results show a good correlation between the proposed approach, the Tinetti mobility test, and the 3D motion capture system. It was found that decision tree classifiers outperformed other classifiers with a classification accuracy of 88.46%. The obtained results showed enough evidence about the proposed approach that could be suitable for assessing PD in a home-based free-living real-time environment.
在过去的几年中,由于步态特征与各种神经疾病有着直接的关系,因此测量步态特征的重要性增加了十倍。由于帕金森病(PD)患者更容易出现运动障碍,因此量化步态特征有助于实现个性化治疗。可穿戴传感器使测量过程更加方便,并且在实际环境中也更加可行。但是,关于在真实场景中验证基于可穿戴传感器的测量系统,仍有一些问题需要解答。本文提出了一项研究,该研究包括一种基于可穿戴加速度计收集数据的算法方法,用于估计步态特征,并使用 Tinetti 移动测试和 3D 运动捕捉系统对其进行验证。它还提出了一种基于机器学习的方法,可根据估计的步态特征将 PD 患者与健康老年人组(HOG)进行分类。结果表明,所提出的方法与 Tinetti 移动测试和 3D 运动捕捉系统之间具有良好的相关性。结果发现,决策树分类器的分类准确性为 88.46%,优于其他分类器。所得结果表明,该方法具有足够的证据,可以适合在基于家庭的自由生活实时环境中评估 PD。