Dataset Information

Assessing inertial measurement unit locations for freezing of gait detection and patient preference.

ABSTRACT:

Background

Freezing of gait, a common symptom of Parkinson's disease, presents as sporadic episodes in which an individual's feet suddenly feel stuck to the ground. Inertial measurement units (IMUs) promise to enable at-home monitoring and personalization of therapy, but there is a lack of consensus on the number and location of IMUs for detecting freezing of gait. The purpose of this study was to assess IMU sets in the context of both freezing of gait detection performance and patient preference.

Methods

Sixteen people with Parkinson's disease were surveyed about sensor preferences. Raw IMU data from seven people with Parkinson's disease, wearing up to eleven sensors, were used to train convolutional neural networks to detect freezing of gait. Models trained with data from different sensor sets were assessed for technical performance; a best technical set and minimal IMU set were identified. Clinical utility was assessed by comparing model- and human-rater-determined percent time freezing and number of freezing events.

Results

The best technical set consisted of three IMUs (lumbar and both ankles, AUROC = 0.83), all of which were rated highly wearable. The minimal IMU set consisted of a single ankle IMU (AUROC = 0.80). Correlations between these models and human raters were good to excellent for percent time freezing (ICC = 0.93, 0.89) and number of freezing events (ICC = 0.95, 0.86) for the best technical set and minimal IMU set, respectively.

Conclusions

Several IMU sets consisting of three IMUs or fewer were highly rated for both technical performance and wearability, and more IMUs did not necessarily perform better in FOG detection. We openly share our data and software to further the development and adoption of a general, open-source model that uses raw signals and a standard sensor set for at-home monitoring of freezing of gait.

SUBMITTER: O'Day J

PROVIDER: S-EPMC8842967 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Publications

Assessing inertial measurement unit locations for freezing of gait detection and patient preference.

O'Day Johanna J Lee Marissa M Seagers Kirsten K Hoffman Shannon S Jih-Schiff Ava A Kidziński Łukasz Ł Delp Scott S Bronte-Stewart Helen H

Journal of neuroengineering and rehabilitation 20220213 1

<h4>Background</h4>Freezing of gait, a common symptom of Parkinson's disease, presents as sporadic episodes in which an individual's feet suddenly feel stuck to the ground. Inertial measurement units (IMUs) promise to enable at-home monitoring and personalization of therapy, but there is a lack of consensus on the number and location of IMUs for detecting freezing of gait. The purpose of this study was to assess IMU sets in the context of both freezing of gait detection performance and patient p ...[more]

PMID: 35152881

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Project description:IntroductionThe use of portable gait measurement systems in research is appealing to collect real-world data at low-cost, low participant burden, and without requirement for dedicated lab space. Most commercially available inertial measurement units (IMU's) designed for running only capture temporospatial data, the ability to capture biomechanics data such as shock and motion metrics with the RunScribe IMU makes it the closest to a lab alternative. The RunScribe system has been validated in running, however, is yet to be validated for walking.MethodQualisys motion capture, AMTI force plates, and Delsys Trigno accelerometers were used as gold standard lab measures for comparison against the RunScribe IMU. Twenty participants completed 10 footsteps per foot (20 total) measured by both systems simultaneously. Variables for validation included: Vertical Ground reaction force (GRF), instantaneous GRF rate, pronation excursion, pronation velocity, total shock, impact force, braking force. Interclass correlation (ICC) was used to determine agreement between the measurement systems, mean differences were used to evaluate group level accuracy.ResultsICC results showed moderate agreement between measurement systems when both limbs were averaged. The greatest agreement was seen for GRF rate, pronation excursion, and pronation velocity (ICC = 0.627, 0.616, 0.539), low agreement was seen for GRF, total shock, impact shock, braking shock (ICC = 0.269, 0.351, 0.244, 0.180). However mean differences show the greatest level of accuracy for GRF, GRF rate, and impact shock.DiscussionResults show mixed agreement between the RunScribe and gold standard lab measures, and varied agreement across left and right limbs. Kinematic variables showed the greatest agreement, however GRF had the lowest relative mean difference for group results. The results show acceptable levels of agreement for most variables, however further work must be done to assess the repeatability and sensitivity of the RunScribe to be applied within areas such as footwear testing and gait retraining protocols.

Project description:IntroductionThe shift of the horse breeding sector from agricultural to leisure and sports purposes led to a decrease in local breeds' population size due to the loss of their original breeding purposes. Most of the Italian breeds must adapt to modern market demands, and gait traits are suitable phenotypes to help this process. Inertial measurement unit (IMU) technology can be used to objectively assess them. This work aims to investigate on IMU recorded data (i) the influence of environmental factors and biometric measurements, (ii) their repeatability, (iii) the correlation with judge evaluations, and (iv) their predictive value.Material and methodsThe Equisense Motion S® was used to collect phenotypes on 135 horses, Bardigiano (101) and Murgese (34) and the data analysis was conducted using R (v.4.1.2). Analysis of variance (ANOVA) was employed to assess the effects of biometric measurements and environmental and animal factors on the traits.Results and discussionVariations in several traits depending on the breed were identified, highlighting different abilities among Bardigiano and Murgese horses. Repeatability of horse performance was assessed on a subset of horses, with regularity and elevation at walk being the traits with the highest repeatability (0.63 and 0.72). The positive correlation between judge evaluations and sensor data indicates judges' ability to evaluate overall gait quality. Three different algorithms were employed to predict the judges score from the IMU measurements: Support Vector Machine (SVM), Gradient Boosting Machine (GBM), and K-Nearest Neighbors (KNN). A high variability was observed in the accuracy of the SVM model, ranging from 55 to 100% while the other two models showed higher consistency, with accuracy ranging from 74 to 100% for the GBM and from 64 to 88% for the KNN. Overall, the GBM model exhibits the highest accuracy and the lowest error. In conclusion, integrating IMU technology into horse performance evaluation offers valuable insights, with implications for breeding and training.

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Dataset Information

Assessing inertial measurement unit locations for freezing of gait detection and patient preference.

Background

Methods

Results

Conclusions

Publications

Assessing inertial measurement unit locations for freezing of gait detection and patient preference.

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