Using Machine Learning Algorithms for Identifying Gait Parameters Suitable to Evaluate Subtle Changes in Gait in People with Multiple Sclerosis

In multiple sclerosis (MS), gait impairment is one of the most prominent symptoms. For a sensitive assessment of pathological gait patterns, a comprehensive analysis and processing of several gait analysis systems is necessary. The objective of this work was to determine the best diagnostic gait sys...

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Main Authors: Katrin Trentzsch, Paula Schumann, Grzegorz Śliwiński, Paul Bartscht, Rocco Haase, Dirk Schriefer, Andreas Zink, Andreas Heinke, Thurid Jochim, Hagen Malberg, Tjalf Ziemssen
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/11/8/1049
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author Katrin Trentzsch
Paula Schumann
Grzegorz Śliwiński
Paul Bartscht
Rocco Haase
Dirk Schriefer
Andreas Zink
Andreas Heinke
Thurid Jochim
Hagen Malberg
Tjalf Ziemssen
author_facet Katrin Trentzsch
Paula Schumann
Grzegorz Śliwiński
Paul Bartscht
Rocco Haase
Dirk Schriefer
Andreas Zink
Andreas Heinke
Thurid Jochim
Hagen Malberg
Tjalf Ziemssen
author_sort Katrin Trentzsch
collection DOAJ
description In multiple sclerosis (MS), gait impairment is one of the most prominent symptoms. For a sensitive assessment of pathological gait patterns, a comprehensive analysis and processing of several gait analysis systems is necessary. The objective of this work was to determine the best diagnostic gait system (DIERS pedogait, GAITRite system, and Mobility Lab) using six machine learning algorithms for the differentiation between people with multiple sclerosis (pwMS) and healthy controls, between pwMS with and without fatigue and between pwMS with mild and moderate impairment. The data of the three gait systems were assessed on 54 pwMS and 38 healthy controls. Gaussian Naive Bayes, Decision Tree, k-Nearest Neighbor, and Support Vector Machines (SVM) with linear, radial basis function (rbf) and polynomial kernel were applied for the detection of subtle walking changes. The best performance for a healthy-sick classification was achieved on the DIERS data with a SVM rbf kernel (κ = 0.49 ± 0.11). For differentiating between pwMS with mild and moderate disability, the GAITRite data with the SVM linear kernel (κ = 0.61 ± 0.06) showed the best performance. This study demonstrates that machine learning methods are suitable for identifying pathologic gait patterns in early MS.
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spelling doaj.art-8eb56387f0e941a5bfbdde35368f8db92023-11-22T06:59:22ZengMDPI AGBrain Sciences2076-34252021-08-01118104910.3390/brainsci11081049Using Machine Learning Algorithms for Identifying Gait Parameters Suitable to Evaluate Subtle Changes in Gait in People with Multiple SclerosisKatrin Trentzsch0Paula Schumann1Grzegorz Śliwiński2Paul Bartscht3Rocco Haase4Dirk Schriefer5Andreas Zink6Andreas Heinke7Thurid Jochim8Hagen Malberg9Tjalf Ziemssen10Center of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyInstitute of Biomedical Engineering, TU Dresden, Fetscherstr. 29, 01307 Dresden, GermanyInstitute of Biomedical Engineering, TU Dresden, Fetscherstr. 29, 01307 Dresden, GermanyCenter of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyCenter of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyCenter of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyCenter of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyInstitute of Biomedical Engineering, TU Dresden, Fetscherstr. 29, 01307 Dresden, GermanyInstitute of Biomedical Engineering, TU Dresden, Fetscherstr. 29, 01307 Dresden, GermanyInstitute of Biomedical Engineering, TU Dresden, Fetscherstr. 29, 01307 Dresden, GermanyCenter of Clinical Neuroscience, Neurological Clinic, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307 Dresden, GermanyIn multiple sclerosis (MS), gait impairment is one of the most prominent symptoms. For a sensitive assessment of pathological gait patterns, a comprehensive analysis and processing of several gait analysis systems is necessary. The objective of this work was to determine the best diagnostic gait system (DIERS pedogait, GAITRite system, and Mobility Lab) using six machine learning algorithms for the differentiation between people with multiple sclerosis (pwMS) and healthy controls, between pwMS with and without fatigue and between pwMS with mild and moderate impairment. The data of the three gait systems were assessed on 54 pwMS and 38 healthy controls. Gaussian Naive Bayes, Decision Tree, k-Nearest Neighbor, and Support Vector Machines (SVM) with linear, radial basis function (rbf) and polynomial kernel were applied for the detection of subtle walking changes. The best performance for a healthy-sick classification was achieved on the DIERS data with a SVM rbf kernel (κ = 0.49 ± 0.11). For differentiating between pwMS with mild and moderate disability, the GAITRite data with the SVM linear kernel (κ = 0.61 ± 0.06) showed the best performance. This study demonstrates that machine learning methods are suitable for identifying pathologic gait patterns in early MS.https://www.mdpi.com/2076-3425/11/8/1049multiple sclerosisgait analysismobilitymachine learningfeature selection
spellingShingle Katrin Trentzsch
Paula Schumann
Grzegorz Śliwiński
Paul Bartscht
Rocco Haase
Dirk Schriefer
Andreas Zink
Andreas Heinke
Thurid Jochim
Hagen Malberg
Tjalf Ziemssen
Using Machine Learning Algorithms for Identifying Gait Parameters Suitable to Evaluate Subtle Changes in Gait in People with Multiple Sclerosis
Brain Sciences
multiple sclerosis
gait analysis
mobility
machine learning
feature selection
title Using Machine Learning Algorithms for Identifying Gait Parameters Suitable to Evaluate Subtle Changes in Gait in People with Multiple Sclerosis
title_full Using Machine Learning Algorithms for Identifying Gait Parameters Suitable to Evaluate Subtle Changes in Gait in People with Multiple Sclerosis
title_fullStr Using Machine Learning Algorithms for Identifying Gait Parameters Suitable to Evaluate Subtle Changes in Gait in People with Multiple Sclerosis
title_full_unstemmed Using Machine Learning Algorithms for Identifying Gait Parameters Suitable to Evaluate Subtle Changes in Gait in People with Multiple Sclerosis
title_short Using Machine Learning Algorithms for Identifying Gait Parameters Suitable to Evaluate Subtle Changes in Gait in People with Multiple Sclerosis
title_sort using machine learning algorithms for identifying gait parameters suitable to evaluate subtle changes in gait in people with multiple sclerosis
topic multiple sclerosis
gait analysis
mobility
machine learning
feature selection
url https://www.mdpi.com/2076-3425/11/8/1049
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