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用于帕金森病步态冻结检测的足底压力可穿戴传感器。

Foot Pressure Wearable Sensors for Freezing of Gait Detection in Parkinson's Disease.

机构信息

UOC Recupero e Riabilitazione Funzionale, Ospedale di Lonigo, Azienda ULSS 8 Berica, 36045 Lonigo, Italy.

Department of Neuroscience, University of Padova, 35128 Padova, Italy.

出版信息

Sensors (Basel). 2020 Dec 28;21(1):128. doi: 10.3390/s21010128.

Abstract

Freezing of Gait (FoG) is a common symptom in Parkinson's Disease (PD) occurring with significant variability and severity and is associated with increased risk of falls. FoG detection in everyday life is not trivial, particularly in patients manifesting the symptom only in specific conditions. Various wearable devices have been proposed to detect PD symptoms, primarily based on inertial sensors. We here report the results of the validation of a novel system based on a pair of pressure insoles equipped with a 3D accelerometer to detect FoG episodes. Twenty PD patients attended a motor assessment protocol organized into eight multiple video recorded sessions, both in clinical and ecological settings and both in the ON and OFF state. We compared the FoG episodes detected using the processed data gathered from the insoles with those tagged by a clinician on video recordings. The algorithm correctly detected 90% of the episodes. The false positive rate was 6% and the false negative rate 4%. The algorithm reliably detects freezing of gait in clinical settings while performing ecological tasks. This result is promising for freezing of gait detection in everyday life via wearable instrumented insoles that can be integrated into a more complex system for comprehensive motor symptom monitoring in PD.

摘要

冻结步态(Freezing of Gait,FoG)是帕金森病(Parkinson's Disease,PD)的一种常见症状,其具有显著的变异性和严重程度,并与跌倒风险增加相关。在日常生活中,冻结步态的检测并不简单,特别是对于仅在特定情况下出现该症状的患者。已经提出了各种可穿戴设备来检测 PD 症状,这些设备主要基于惯性传感器。我们在此报告了一种新型系统的验证结果,该系统基于配备 3D 加速度计的一对压力鞋垫,用于检测 FoG 发作。二十名 PD 患者参加了一项运动评估方案,该方案分为八个多次录像的会话,包括临床和生态环境,以及开和关状态。我们将从鞋垫上收集的处理后数据中检测到的 FoG 发作与临床医生在视频记录中标记的发作进行了比较。该算法正确地检测到了 90%的发作。假阳性率为 6%,假阴性率为 4%。该算法在进行生态任务的临床环境中可靠地检测到了冻结步态。这一结果为通过可穿戴式鞋垫在日常生活中检测冻结步态提供了希望,这种鞋垫可以集成到更复杂的系统中,用于 PD 患者的全面运动症状监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ce3/7794778/a4344c94efce/sensors-21-00128-g001.jpg

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