步态冻结检测与治疗实时探测器(FoG-Finder)
FoG-Finder: Real-time Freezing of Gait Detection and Treatment.
作者信息
Koltermann Kenneth, Jung Woosub, Blackwell GinaMari, Pinney Abbott, Chen Matthew, Cloud Leslie, Pretzer-Aboff Ingrid, Zhou Gang
机构信息
Department of Computer Science, William & Mary.
School of Nursing, Virginia Commonwealth University.
出版信息
IEEE Int Conf Connect Health Appl Syst Eng Technol. 2023 Jun;2023:22-33. Epub 2023 Jul 21.
Freezing of gait is a serious symptom of Parkinson's disease that increases the risk of injury through falling, and reduces quality of life. Current clinical freezing of gait treatments fail to adequately address the fall risk posed by freezing of gait symptoms, and current real-time treatment systems have high false positive rates. To address this problem, we designed a closed-loop, non-intrusive, and real-time freezing of gait detection and treatment system, FoG-Finder, that automatically detects and treats freezing of gait. To evaluate FoG-Finder, we first collected 716 freezing of gait events from 11 patients. We then compared FoG-Finder against other real-time systems with our dataset. Our system was able to achieve a 13.4% higher F1 score and a 10.7% higher overall accuracy while achieving a reduction of 85.8% in the false positive treatment rate compared with other validated real-time freezing of gait detection and treatment systems. Additionally, FoG-Finder achieved an average treatment latency of 427ms and 615ms for subject-dependent and leave-one-subject-out settings, respectively, making it a viable system to treat freezing of gait in the real-world.
冻结步态是帕金森病的一种严重症状,会因跌倒而增加受伤风险,并降低生活质量。目前针对冻结步态的临床治疗未能充分解决由冻结步态症状带来的跌倒风险,且当前的实时治疗系统误报率很高。为解决这一问题,我们设计了一种闭环、非侵入式的实时冻结步态检测与治疗系统FoG-Finder,该系统可自动检测并治疗冻结步态。为评估FoG-Finder,我们首先从11名患者身上收集了716次冻结步态事件。然后,我们将FoG-Finder与其他实时系统在我们的数据集中进行比较。与其他经过验证的实时冻结步态检测与治疗系统相比,我们的系统能够实现F1分数提高13.4%,总体准确率提高10.7%,同时误报治疗率降低85.8%。此外,对于依赖受试者设置和留一受试者出设置,FoG-Finder的平均治疗延迟分别为427毫秒和615毫秒,这使其成为在现实世界中治疗冻结步态的可行系统。
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