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可穿戴式在线步态冻结检测与提示系统

Wearable Online Freezing of Gait Detection and Cueing System.

作者信息

Slemenšek Jan, Geršak Jelka, Bratina Božidar, van Midden Vesna Marija, Pirtošek Zvezdan, Šafarič Riko

机构信息

Faculty of Mechanical Engineering, University of Maribor, 2000 Maribor, Slovenia.

Faculty of Electrical Engineering and Computer Science, University of Maribor, 2000 Maribor, Slovenia.

出版信息

Bioengineering (Basel). 2024 Oct 20;11(10):1048. doi: 10.3390/bioengineering11101048.

DOI:10.3390/bioengineering11101048
PMID:39451423
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11505507/
Abstract

This paper presents a real-time wearable system designed to assist Parkinson's disease patients experiencing freezing of gait episodes. The system utilizes advanced machine learning models, including convolutional and recurrent neural networks, enhanced with past sample data preprocessing to achieve high accuracy, efficiency, and robustness. By continuously monitoring gait patterns, the system provides timely interventions, improving mobility and reducing the impact of freezing episodes. This paper explores the implementation of a CNN+RNN+PS machine learning model on a microcontroller-based device. The device operates at a real-time processing rate of 40 Hz and is deployed in practical settings to provide 'on demand' vibratory stimulation to patients. This paper examines the system's ability to operate with minimal latency, achieving an average detection delay of just 261 milliseconds and a freezing of gait detection accuracy of 95.1%. While patients received on-demand stimulation, the system's effectiveness was assessed by decreasing the average duration of freezing of gait episodes by 45%. These preliminarily results underscore the potential of personalized, real-time feedback systems in enhancing the quality of life and rehabilitation outcomes for patients with movement disorders.

摘要

本文介绍了一种实时可穿戴系统,旨在帮助患有步态冻结发作的帕金森病患者。该系统利用先进的机器学习模型,包括卷积神经网络和循环神经网络,并通过过去样本数据预处理进行增强,以实现高精度、高效率和鲁棒性。通过持续监测步态模式,该系统提供及时干预,改善行动能力并减少冻结发作的影响。本文探讨了在基于微控制器的设备上实现CNN+RNN+PS机器学习模型。该设备以40Hz的实时处理速率运行,并部署在实际环境中,为患者提供“按需”振动刺激。本文研究了该系统以最小延迟运行的能力,平均检测延迟仅为261毫秒,步态冻结检测准确率达到95.1%。在患者接受按需刺激时,通过将步态冻结发作的平均持续时间减少45%来评估该系统的有效性。这些初步结果强调了个性化实时反馈系统在提高运动障碍患者生活质量和康复效果方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9097/11505507/c6f55d999bc4/bioengineering-11-01048-g014.jpg
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本文引用的文献

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Wearable biofeedback device to assess gait features and improve gait pattern in people with parkinson's disease: a case series.穿戴式生物反馈设备评估帕金森病患者的步态特征并改善其步态模式:病例系列研究。
J Neuroeng Rehabil. 2024 Jun 26;21(1):110. doi: 10.1186/s12984-024-01403-z.
2
A wearable system for visual cueing gait rehabilitation in Parkinson's disease: a randomized non-inferiority trial.可穿戴系统用于视觉提示帕金森病步态康复:一项随机非劣效性试验。
Eur J Phys Rehabil Med. 2024 Apr;60(2):245-256. doi: 10.23736/S1973-9087.24.08381-3. Epub 2024 Mar 14.
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Kinematic Analysis of Human Gait in Healthy Young Adults Using IMU Sensors: Exploring Relevant Machine Learning Features for Clinical Applications.
使用惯性测量单元(IMU)传感器对健康年轻成年人的人体步态进行运动学分析:探索临床应用中的相关机器学习特征。
Bioengineering (Basel). 2024 Jan 23;11(2):105. doi: 10.3390/bioengineering11020105.
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The epidemiology of Parkinson's disease.帕金森病的流行病学。
Lancet. 2024 Jan 20;403(10423):283-292. doi: 10.1016/S0140-6736(23)01419-8.
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Detection and prediction of freezing of gait with wearable sensors in Parkinson's disease.使用可穿戴传感器检测和预测帕金森病患者的冻结步态。
Neurol Sci. 2024 Feb;45(2):431-453. doi: 10.1007/s10072-023-07017-y. Epub 2023 Oct 16.
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Gait Analysis in Neurorehabilitation: From Research to Clinical Practice.神经康复中的步态分析:从研究到临床实践
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A Fusion-Assisted Multi-Stream Deep Learning and ESO-Controlled Newton-Raphson-Based Feature Selection Approach for Human Gait Recognition.融合辅助的多流深度学习和基于 ESO 控制的牛顿-拉普森的特征选择方法在人类步态识别中的应用。
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