Prediction of gait freezing in Parkinsonian patients: a binary classification augmented with time series prediction
File(s)FOG_final5.pdf (1.65 MB)
Accepted version
Author(s)
Arami, Arash
Poulakakis-Daktylidis, Antonios
Tai, Yen F
Burdet, Etienne
Type
Journal Article
Abstract
This paper presents a novel technique to predict freezing of gait in advance-stage Parkinsonian patients using movement data from wearable sensors. A two-class approach is presented which consists of autoregressive predictive models to project the feature time series, followed by machine learning based classifiers to discriminate freezing from nonfreezing based on the predicted features. To implement and validate our technique a set of time domain and frequency domain features were extracted from the 3D acceleration data, which was then analyzed using information theoretic and feature selection approaches to determine the most discriminative features. Predictive models were trained to predict the features from their past values, then fed into binary classifiers based on support vector machines and probabilistic neural networks which were rigorously cross validated. We compared the results of this approach with a three-class classification approach proposed in previous literature, in which a pre-freezing class was introduced and the problem of prediction of the gait freezing incident was reduced to solving a three-class classification problem. The twoclass approach resulted in a sensitivity of 93±4%, specificity of 91±6%, with an expected prediction horizon of 1.72 seconds. Our subject-specific gait freezing prediction algorithm outperformed existing algorithms, yields consistent results across different subjects and is robust against the choice of classifier, with slight variations in the selected features. In addition, we analyzed the merits and limitations of different families of features to predict gait freezing.
Date Issued
2019-09-01
Date Acceptance
2019-08-01
Citation
IEEE Transactions on Neural Systems and Rehabilitation Engineering, 2019, 27 (9), pp.1909-1919
ISSN
1534-4320
Publisher
Institute of Electrical and Electronics Engineers
Start Page
1909
End Page
1919
Journal / Book Title
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Volume
27
Issue
9
Copyright Statement
© 2019 IEEE. Personal use is permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/31398122
Subjects
Science & Technology
Technology
Life Sciences & Biomedicine
Engineering, Biomedical
Rehabilitation
Engineering
Freezing of gait
feature selection
mutual information
backward elimination
autoregressive models
support vector machines
probabilistic neural networks
DEEP BRAIN-STIMULATION
DISEASE PATIENTS
ABNORMALITIES
VARIABILITY
DYSFUNCTION
PROGRESSION
ONSET
CUES
0903 Biomedical Engineering
0906 Electrical and Electronic Engineering
Biomedical Engineering
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2019-08-06