Foot Trajectory Features in Gait of Parkinson’s Disease Patients

Parkinson’s disease (PD) is a progressive neurological disorder characterized by movement disorders, such as gait instability. This study investigated whether certain spatial features of foot trajectory are characteristic of patients with PD. The foot trajectory of patients with mild and advanced PD...

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Main Authors: Taiki Ogata, Hironori Hashiguchi, Koyu Hori, Yuki Hirobe, Yumi Ono, Hiroyuki Sawada, Akira Inaba, Satoshi Orimo, Yoshihiro Miyake
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.726677/full
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author Taiki Ogata
Hironori Hashiguchi
Koyu Hori
Yuki Hirobe
Yumi Ono
Hiroyuki Sawada
Akira Inaba
Satoshi Orimo
Yoshihiro Miyake
author_facet Taiki Ogata
Hironori Hashiguchi
Koyu Hori
Yuki Hirobe
Yumi Ono
Hiroyuki Sawada
Akira Inaba
Satoshi Orimo
Yoshihiro Miyake
author_sort Taiki Ogata
collection DOAJ
description Parkinson’s disease (PD) is a progressive neurological disorder characterized by movement disorders, such as gait instability. This study investigated whether certain spatial features of foot trajectory are characteristic of patients with PD. The foot trajectory of patients with mild and advanced PD in on-state and healthy older and young individuals was estimated from acceleration and angular velocity measured by inertial measurement units placed on the subject’s shanks, just above the ankles. We selected six spatial variables in the foot trajectory: forward and vertical displacements from heel strike to toe-off, maximum clearance, and change in supporting leg (F1 to F3 and V1 to V3, respectively). Healthy young individuals had the greatest F2 and F3 values, followed by healthy older individuals, and then mild PD patients. Conversely, the vertical displacements of mild PD patients were larger than the healthy older individuals. Still, those of healthy older individuals were smaller than the healthy young individuals except for V3. All six displacements of the advanced PD patients were smaller than the mild PD patients. To investigate features in foot trajectories in detail, a principal components analysis and soft-margin kernel support vector machine was used in machine learning. The accuracy in distinguishing between mild PD patients and healthy older individuals and between mild and advanced PD patients was 96.3 and 84.2%, respectively. The vertical and forward displacements in the foot trajectory was the main contributor. These results reveal that large vertical displacements and small forward ones characterize mild and advanced PD patients, respectively.
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spelling doaj.art-a8e91ea6291a4a49921bc4463ec077722022-12-22T03:36:44ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-05-011310.3389/fphys.2022.726677726677Foot Trajectory Features in Gait of Parkinson’s Disease PatientsTaiki Ogata0Hironori Hashiguchi1Koyu Hori2Yuki Hirobe3Yumi Ono4Hiroyuki Sawada5Akira Inaba6Satoshi Orimo7Yoshihiro Miyake8Department of Computer Science, Tokyo Institute of Technology, Yokohama, JapanDepartment of Computational Intelligence and System Science, Tokyo Institute of Technology, Yokohama, JapanDepartment of Computational Intelligence and System Science, Tokyo Institute of Technology, Yokohama, JapanDepartment of Computer Science, Tokyo Institute of Technology, Yokohama, JapanDepartment of Computer Science, Tokyo Institute of Technology, Yokohama, JapanDepartment of Neurology, Kanto Central Hospital, Tokyo, JapanDepartment of Neurology, Kanto Central Hospital, Tokyo, JapanDepartment of Neurology, Kanto Central Hospital, Tokyo, JapanDepartment of Computer Science, Tokyo Institute of Technology, Yokohama, JapanParkinson’s disease (PD) is a progressive neurological disorder characterized by movement disorders, such as gait instability. This study investigated whether certain spatial features of foot trajectory are characteristic of patients with PD. The foot trajectory of patients with mild and advanced PD in on-state and healthy older and young individuals was estimated from acceleration and angular velocity measured by inertial measurement units placed on the subject’s shanks, just above the ankles. We selected six spatial variables in the foot trajectory: forward and vertical displacements from heel strike to toe-off, maximum clearance, and change in supporting leg (F1 to F3 and V1 to V3, respectively). Healthy young individuals had the greatest F2 and F3 values, followed by healthy older individuals, and then mild PD patients. Conversely, the vertical displacements of mild PD patients were larger than the healthy older individuals. Still, those of healthy older individuals were smaller than the healthy young individuals except for V3. All six displacements of the advanced PD patients were smaller than the mild PD patients. To investigate features in foot trajectories in detail, a principal components analysis and soft-margin kernel support vector machine was used in machine learning. The accuracy in distinguishing between mild PD patients and healthy older individuals and between mild and advanced PD patients was 96.3 and 84.2%, respectively. The vertical and forward displacements in the foot trajectory was the main contributor. These results reveal that large vertical displacements and small forward ones characterize mild and advanced PD patients, respectively.https://www.frontiersin.org/articles/10.3389/fphys.2022.726677/fullfoot trajectorygaitinertial measurement unitParkinson’s diseaseforward displacementvertical displacement
spellingShingle Taiki Ogata
Hironori Hashiguchi
Koyu Hori
Yuki Hirobe
Yumi Ono
Hiroyuki Sawada
Akira Inaba
Satoshi Orimo
Yoshihiro Miyake
Foot Trajectory Features in Gait of Parkinson’s Disease Patients
Frontiers in Physiology
foot trajectory
gait
inertial measurement unit
Parkinson’s disease
forward displacement
vertical displacement
title Foot Trajectory Features in Gait of Parkinson’s Disease Patients
title_full Foot Trajectory Features in Gait of Parkinson’s Disease Patients
title_fullStr Foot Trajectory Features in Gait of Parkinson’s Disease Patients
title_full_unstemmed Foot Trajectory Features in Gait of Parkinson’s Disease Patients
title_short Foot Trajectory Features in Gait of Parkinson’s Disease Patients
title_sort foot trajectory features in gait of parkinson s disease patients
topic foot trajectory
gait
inertial measurement unit
Parkinson’s disease
forward displacement
vertical displacement
url https://www.frontiersin.org/articles/10.3389/fphys.2022.726677/full
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