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Turning detection during gait: Algorithm validation and influence of sensor location and turning characteristics in the classification of Parkinson’s disease
Journal article   Open access   Peer reviewed

Turning detection during gait: Algorithm validation and influence of sensor location and turning characteristics in the classification of Parkinson’s disease

R.Z.U. Rehman, P. Klocke, S. Hryniv, B. Galna, L. Rochester, S. Del Din and L. Alcock
Sensors, Vol.20(18), Article 5377
2020
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Abstract

Parkinson’s disease (PD) is a common neurodegenerative disorder resulting in a range of mobility deficits affecting gait, balance and turning. In this paper, we present: (i) the development and validation of an algorithm to detect turns during gait; (ii) a method to extract turn characteristics; and (iii) the classification of PD using turn characteristics. Thirty-seven people with PD and 56 controls performed 180-degree turns during an intermittent walking task. Inertial measurement units were attached to the head, neck, lower back and ankles. A turning detection algorithm was developed and validated by two raters using video data. Spatiotemporal and signal-based characteristics were extracted and used for PD classification. There was excellent absolute agreement between the rater and the algorithm for identifying turn start and end (ICC ≥ 0.99). Classification modeling (partial least square discriminant analysis (PLS-DA)) gave the best accuracy of 97.85% when trained on upper body and ankle data. Balanced sensitivity (97%) and specificity (96.43%) were achieved using turning characteristics from the neck, lower back and ankles. Turning characteristics, in particular angular velocity, duration, number of steps, jerk and root mean square distinguished mild-moderate PD from controls accurately and warrant future examination as a marker of mobility impairment and fall risk in PD.

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Collaboration types
Domestic collaboration
Citation topics
1 Clinical & Life Sciences
1.82 Gait & Posture
1.82.263 Gait and Balance
Web Of Science research areas
Chemistry, Analytical
Engineering, Electrical & Electronic
Instruments & Instrumentation
ESI research areas
Chemistry
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