Assessing Motor Fluctuations in Parkinson’s Disease Patients Based on a Single Inertial Sensor

Altered movement control is typically the first noticeable symptom manifested by Parkinson’s disease (PD) patients. Once under treatment, the effect of the medication is very patent and patients often recover correct movement control over several hours. Nonetheless, as the disease advances, patients...

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Main Authors: Carlos Pérez-López, Albert Samà, Daniel Rodríguez-Martín, Andreu Català, Joan Cabestany, Juan Manuel Moreno-Arostegui, Eva de Mingo, Alejandro Rodríguez-Molinero
Format: Article
Language:English
Published: MDPI AG 2016-12-01
Series:Sensors
Subjects:
Online Access:http://www.mdpi.com/1424-8220/16/12/2132
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author Carlos Pérez-López
Albert Samà
Daniel Rodríguez-Martín
Andreu Català
Joan Cabestany
Juan Manuel Moreno-Arostegui
Eva de Mingo
Alejandro Rodríguez-Molinero
author_facet Carlos Pérez-López
Albert Samà
Daniel Rodríguez-Martín
Andreu Català
Joan Cabestany
Juan Manuel Moreno-Arostegui
Eva de Mingo
Alejandro Rodríguez-Molinero
author_sort Carlos Pérez-López
collection DOAJ
description Altered movement control is typically the first noticeable symptom manifested by Parkinson’s disease (PD) patients. Once under treatment, the effect of the medication is very patent and patients often recover correct movement control over several hours. Nonetheless, as the disease advances, patients present motor complications. Obtaining precise information on the long-term evolution of these motor complications and their short-term fluctuations is crucial to provide optimal therapy to PD patients and to properly measure the outcome of clinical trials. This paper presents an algorithm based on the accelerometer signals provided by a waist sensor that has been validated in the automatic assessment of patient’s motor fluctuations (ON and OFF motor states) during their activities of daily living. A total of 15 patients have participated in the experiments in ambulatory conditions during 1 to 3 days. The state recognised by the algorithm and the motor state annotated by patients in standard diaries are contrasted. Results show that the average specificity and sensitivity are higher than 90%, while their values are higher than 80% of all patients, thereby showing that PD motor status is able to be monitored through a single sensor during daily life of patients in a precise and objective way.
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spelling doaj.art-d33bcc9b48ae4e1eaeb1759d1b8001072022-12-22T02:54:52ZengMDPI AGSensors1424-82202016-12-011612213210.3390/s16122132s16122132Assessing Motor Fluctuations in Parkinson’s Disease Patients Based on a Single Inertial SensorCarlos Pérez-López0Albert Samà1Daniel Rodríguez-Martín2Andreu Català3Joan Cabestany4Juan Manuel Moreno-Arostegui5Eva de Mingo6Alejandro Rodríguez-Molinero7Technical Research Centre for Dependency Care and Autonomous Living, CETPD, Universitat Politècnica de Catalunya, Barcelona Tech., Rambla de l’Exposició 59-69, Vilanova i la Geltrú 08800, Barcelona, SpainTechnical Research Centre for Dependency Care and Autonomous Living, CETPD, Universitat Politècnica de Catalunya, Barcelona Tech., Rambla de l’Exposició 59-69, Vilanova i la Geltrú 08800, Barcelona, SpainTechnical Research Centre for Dependency Care and Autonomous Living, CETPD, Universitat Politècnica de Catalunya, Barcelona Tech., Rambla de l’Exposició 59-69, Vilanova i la Geltrú 08800, Barcelona, SpainTechnical Research Centre for Dependency Care and Autonomous Living, CETPD, Universitat Politècnica de Catalunya, Barcelona Tech., Rambla de l’Exposició 59-69, Vilanova i la Geltrú 08800, Barcelona, SpainTechnical Research Centre for Dependency Care and Autonomous Living, CETPD, Universitat Politècnica de Catalunya, Barcelona Tech., Rambla de l’Exposició 59-69, Vilanova i la Geltrú 08800, Barcelona, SpainTechnical Research Centre for Dependency Care and Autonomous Living, CETPD, Universitat Politècnica de Catalunya, Barcelona Tech., Rambla de l’Exposició 59-69, Vilanova i la Geltrú 08800, Barcelona, SpainClinical Research Unit, Consorci Sanitari del Garraf (Fundación Sant Antoni Abat ), Carrer de Sant Josep, 21-23, Vilanova i la Geltrú 08800, Barcelona, SpainClinical Research Unit, Consorci Sanitari del Garraf (Fundación Sant Antoni Abat ), Carrer de Sant Josep, 21-23, Vilanova i la Geltrú 08800, Barcelona, SpainAltered movement control is typically the first noticeable symptom manifested by Parkinson’s disease (PD) patients. Once under treatment, the effect of the medication is very patent and patients often recover correct movement control over several hours. Nonetheless, as the disease advances, patients present motor complications. Obtaining precise information on the long-term evolution of these motor complications and their short-term fluctuations is crucial to provide optimal therapy to PD patients and to properly measure the outcome of clinical trials. This paper presents an algorithm based on the accelerometer signals provided by a waist sensor that has been validated in the automatic assessment of patient’s motor fluctuations (ON and OFF motor states) during their activities of daily living. A total of 15 patients have participated in the experiments in ambulatory conditions during 1 to 3 days. The state recognised by the algorithm and the motor state annotated by patients in standard diaries are contrasted. Results show that the average specificity and sensitivity are higher than 90%, while their values are higher than 80% of all patients, thereby showing that PD motor status is able to be monitored through a single sensor during daily life of patients in a precise and objective way.http://www.mdpi.com/1424-8220/16/12/2132inertial sensorsSupport Vector MachineParkinson’s diseasemotor fluctuationsambulatory monitoring
spellingShingle Carlos Pérez-López
Albert Samà
Daniel Rodríguez-Martín
Andreu Català
Joan Cabestany
Juan Manuel Moreno-Arostegui
Eva de Mingo
Alejandro Rodríguez-Molinero
Assessing Motor Fluctuations in Parkinson’s Disease Patients Based on a Single Inertial Sensor
Sensors
inertial sensors
Support Vector Machine
Parkinson’s disease
motor fluctuations
ambulatory monitoring
title Assessing Motor Fluctuations in Parkinson’s Disease Patients Based on a Single Inertial Sensor
title_full Assessing Motor Fluctuations in Parkinson’s Disease Patients Based on a Single Inertial Sensor
title_fullStr Assessing Motor Fluctuations in Parkinson’s Disease Patients Based on a Single Inertial Sensor
title_full_unstemmed Assessing Motor Fluctuations in Parkinson’s Disease Patients Based on a Single Inertial Sensor
title_short Assessing Motor Fluctuations in Parkinson’s Disease Patients Based on a Single Inertial Sensor
title_sort assessing motor fluctuations in parkinson s disease patients based on a single inertial sensor
topic inertial sensors
Support Vector Machine
Parkinson’s disease
motor fluctuations
ambulatory monitoring
url http://www.mdpi.com/1424-8220/16/12/2132
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