Accelerometry-Based Digital Gait Characteristics for Classification of Parkinson's Disease: What Counts?

<italic>Objective:</italic> Gait may be a useful biomarker that can be objectively measured with wearable technology to classify Parkinson&#x0027;s disease (PD). This study aims to: (i) comprehensively quantify a battery of commonly utilized gait digital characteristics (spatiotempor...

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Bibliographic Details
Main Authors: Rana Zia Ur Rehman, Christopher Buckley, Maria Encarna Mico-Amigo, Cameron Kirk, Michael Dunne-Willows, Claudia Mazza, Jian Qing Shi, Lisa Alcock, Lynn Rochester, Silvia Del Din
Format: Article
Language:English
Published: IEEE 2020-01-01
Series:IEEE Open Journal of Engineering in Medicine and Biology
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Online Access:https://ieeexplore.ieee.org/document/8964569/
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Summary:<italic>Objective:</italic> Gait may be a useful biomarker that can be objectively measured with wearable technology to classify Parkinson&#x0027;s disease (PD). This study aims to: (i) comprehensively quantify a battery of commonly utilized gait digital characteristics (spatiotemporal and signal-based), and (ii) identify the best discriminative characteristics for the optimal classification of PD. <italic>Methods:</italic> Six partial least square discriminant analysis (PLS-DA) models were trained on subsets of 210 characteristics measured in 142 subjects (81 people with PD, 61 controls (CL)). <italic>Results:</italic> Models accuracy ranged between 70.42-88.73&#x0025; (AUC: 78.4-94.5&#x0025;) with a sensitivity of 72.84-90.12&#x0025; and a specificity of 60.3-86.89&#x0025;. Signal-based digital gait characteristics independently gave 87.32&#x0025; accuracy. The most influential characteristics in the classification models were related to root mean square values, power spectral density, step velocity and length, gait regularity and age. <italic>Conclusions:</italic> This study highlights the importance of signal-based gait characteristics in the development of tools to help classify PD in the early stages of the disease.
ISSN:2644-1276