A heterogeneous sensing suite for multisymptom quantification of Parkinson’s disease
File(s)Vaidyanathan_TNSRE_10pp_2020.pdf (638.16 KB)
Accepted version
OA Location
Author(s)
Type
Journal Article
Abstract
Parkinson’s disease (PD) is the second most common neurodegenerative disease affecting millions worldwide. Bespoke subject-specific treatment (medication or deep brain stimulation (DBS)) is critical for management, yet depends on precise assessment cardinal PD symptoms - bradykinesia, rigidity and tremor. Clinician diagnosis is the basis of treatment, yet it allows only a cross-sectional assessment of symptoms which can vary on an hourly basis and is liable to inter- and intra-rater subjectivity across human examiners. Automated symptomatic assessment has attracted significant interest to optimise treatment regimens between clinician visits, however, no wearable has the capacity to simultaneously assess all three cardinal symptoms. Challenges in the measurement of rigidity, mapping muscle activity outof-clinic and sensor fusion have inhibited translation. In this study, we address all through a novel wearable sensor system and learning algorithms. The sensor system is composed of a force-sensor, two inertial measurement units (IMUs) and four custom mechanomyography (MMG) sensors. The system was tested in its capacity to predict Unified Parkinson’s Disease Rating Scale (UPDRS) scores based on quantitative assessment of bradykinesia, rigidity and tremor in PD patients. 23 PD patients were tested with the sensor system in parallel with exams conducted by treating clinicians and 10 healthy subjects were recruited as a comparison control group. Results prove the system accurately predicts UPDRS scores for all symptoms (85.4% match on average with physician assessment) and discriminates between healthy subjects and PD patients (96.6% on average). MMG features can also be used for remote monitoring of severity and fluctuations in PD symptoms out-of-clinic. This closedloop feedback system enables individually tailored and regularly updated treatment, facilitating better outcomes for a very large patient population.
Date Issued
2020-06-01
Date Acceptance
2020-02-10
Citation
IEEE Transactions on Neural Systems and Rehabilitation Engineering, 2020, 28 (6), pp.1397-1406
ISSN
1534-4320
Publisher
Institute of Electrical and Electronics Engineers
Start Page
1397
End Page
1406
Journal / Book Title
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Volume
28
Issue
6
Copyright Statement
This work is licensed under a Creative Commons Attribution 4.0 License. For more information, see https://creativecommons.org/licenses/by/4.0/.
License URL
Sponsor
Engineering & Physical Science Research Council (E
Engineering & Physical Science Research Council (EPSRC)
Office Of Naval Research Global
Identifier
https://ieeexplore.ieee.org/document/9064818
Grant Number
EP/R511547/1
EP/K503381/1
N62909-14-1-N221
Subjects
Science & Technology
Technology
Life Sciences & Biomedicine
Engineering, Biomedical
Rehabilitation
Engineering
Parkinson's disease symptoms
wearable sensor system
machine learning
MMG
telemedicine
muscle stiffness
DEEP-BRAIN-STIMULATION
OBJECTIVE ASSESSMENT
MOTOR SYMPTOMS
TREMOR
RIGIDITY
SYSTEM
CLASSIFICATION
BRADYKINESIA
0903 Biomedical Engineering
0906 Electrical and Electronic Engineering
Biomedical Engineering
Publication Status
Published
Date Publish Online
2020-04-13