Evaluating Gait Impairment in Parkinson’s Disease from Instrumented Insole and IMU Sensor Data

Parkinson’s disease (PD) is characterized by a variety of motor and non-motor symptoms, some of them pertaining to gait and balance. The use of sensors for the monitoring of patients’ mobility and the extraction of gait parameters, has emerged as an objective method for assessing the efficacy of the...

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Main Authors: Vassilis Tsakanikas, Adamantios Ntanis, George Rigas, Christos Androutsos, Dimitrios Boucharas, Nikolaos Tachos, Vasileios Skaramagkas, Chariklia Chatzaki, Zinovia Kefalopoulou, Manolis Tsiknakis, Dimitrios Fotiadis
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/23/8/3902
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author Vassilis Tsakanikas
Adamantios Ntanis
George Rigas
Christos Androutsos
Dimitrios Boucharas
Nikolaos Tachos
Vasileios Skaramagkas
Chariklia Chatzaki
Zinovia Kefalopoulou
Manolis Tsiknakis
Dimitrios Fotiadis
author_facet Vassilis Tsakanikas
Adamantios Ntanis
George Rigas
Christos Androutsos
Dimitrios Boucharas
Nikolaos Tachos
Vasileios Skaramagkas
Chariklia Chatzaki
Zinovia Kefalopoulou
Manolis Tsiknakis
Dimitrios Fotiadis
author_sort Vassilis Tsakanikas
collection DOAJ
description Parkinson’s disease (PD) is characterized by a variety of motor and non-motor symptoms, some of them pertaining to gait and balance. The use of sensors for the monitoring of patients’ mobility and the extraction of gait parameters, has emerged as an objective method for assessing the efficacy of their treatment and the progression of the disease. To that end, two popular solutions are pressure insoles and body-worn IMU-based devices, which have been used for precise, continuous, remote, and passive gait assessment. In this work, insole and IMU-based solutions were evaluated for assessing gait impairment, and were subsequently compared, producing evidence to support the use of instrumentation in everyday clinical practice. The evaluation was conducted using two datasets, generated during a clinical study, in which patients with PD wore, simultaneously, a pair of instrumented insoles and a set of wearable IMU-based devices. The data from the study were used to extract and compare gait features, independently, from the two aforementioned systems. Subsequently, subsets comprised of the extracted features, were used by machine learning algorithms for gait impairment assessment. The results indicated that insole gait kinematic features were highly correlated with those extracted from IMU-based devices. Moreover, both had the capacity to train accurate machine learning models for the detection of PD gait impairment.
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spelling doaj.art-3903b473cf69441fa220b8253d6b45982023-11-17T21:16:15ZengMDPI AGSensors1424-82202023-04-01238390210.3390/s23083902Evaluating Gait Impairment in Parkinson’s Disease from Instrumented Insole and IMU Sensor DataVassilis Tsakanikas0Adamantios Ntanis1George Rigas2Christos Androutsos3Dimitrios Boucharas4Nikolaos Tachos5Vasileios Skaramagkas6Chariklia Chatzaki7Zinovia Kefalopoulou8Manolis Tsiknakis9Dimitrios Fotiadis10Unit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreecePD Neurotechnology Ltd., GR 45500 Ioannina, GreecePD Neurotechnology Ltd., GR 45500 Ioannina, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceInstitute of Computer Science, Foundation for Research and Technology—Hellas, GR 70013 Heraklion, GreeceInstitute of Computer Science, Foundation for Research and Technology—Hellas, GR 70013 Heraklion, GreeceDepartment of Neurology, General University Hospital of Patras, GR 26504 Patras, GreeceInstitute of Computer Science, Foundation for Research and Technology—Hellas, GR 70013 Heraklion, GreeceUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR 45110 Ioannina, GreeceParkinson’s disease (PD) is characterized by a variety of motor and non-motor symptoms, some of them pertaining to gait and balance. The use of sensors for the monitoring of patients’ mobility and the extraction of gait parameters, has emerged as an objective method for assessing the efficacy of their treatment and the progression of the disease. To that end, two popular solutions are pressure insoles and body-worn IMU-based devices, which have been used for precise, continuous, remote, and passive gait assessment. In this work, insole and IMU-based solutions were evaluated for assessing gait impairment, and were subsequently compared, producing evidence to support the use of instrumentation in everyday clinical practice. The evaluation was conducted using two datasets, generated during a clinical study, in which patients with PD wore, simultaneously, a pair of instrumented insoles and a set of wearable IMU-based devices. The data from the study were used to extract and compare gait features, independently, from the two aforementioned systems. Subsequently, subsets comprised of the extracted features, were used by machine learning algorithms for gait impairment assessment. The results indicated that insole gait kinematic features were highly correlated with those extracted from IMU-based devices. Moreover, both had the capacity to train accurate machine learning models for the detection of PD gait impairment.https://www.mdpi.com/1424-8220/23/8/3902Parkinson’s diseasegait analysisinstrumented insolesIMU sensorsdigital biomarkerssensor fusion
spellingShingle Vassilis Tsakanikas
Adamantios Ntanis
George Rigas
Christos Androutsos
Dimitrios Boucharas
Nikolaos Tachos
Vasileios Skaramagkas
Chariklia Chatzaki
Zinovia Kefalopoulou
Manolis Tsiknakis
Dimitrios Fotiadis
Evaluating Gait Impairment in Parkinson’s Disease from Instrumented Insole and IMU Sensor Data
Sensors
Parkinson’s disease
gait analysis
instrumented insoles
IMU sensors
digital biomarkers
sensor fusion
title Evaluating Gait Impairment in Parkinson’s Disease from Instrumented Insole and IMU Sensor Data
title_full Evaluating Gait Impairment in Parkinson’s Disease from Instrumented Insole and IMU Sensor Data
title_fullStr Evaluating Gait Impairment in Parkinson’s Disease from Instrumented Insole and IMU Sensor Data
title_full_unstemmed Evaluating Gait Impairment in Parkinson’s Disease from Instrumented Insole and IMU Sensor Data
title_short Evaluating Gait Impairment in Parkinson’s Disease from Instrumented Insole and IMU Sensor Data
title_sort evaluating gait impairment in parkinson s disease from instrumented insole and imu sensor data
topic Parkinson’s disease
gait analysis
instrumented insoles
IMU sensors
digital biomarkers
sensor fusion
url https://www.mdpi.com/1424-8220/23/8/3902
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