Objective Assessment of Upper-Extremity Motor Functions in Spinocerebellar Ataxia Using Wearable Sensors

The study presents a novel approach to objectively assessing the upper-extremity motor symptoms in spinocerebellar ataxia (SCA) using data collected via a wearable sensor worn on the patient’s wrist during upper-extremity tasks associated with the Assessment and Rating of Ataxia (SARA). Fi...

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Main Authors: Mohammadi-Ghazi, Reza, Nguyen, Hung, Mishra, Ram Kinker, Enriquez, Ana, Najafi, Bijan, Stephen, Christopher D., Gupta, Anoopum S., Schmahmann, Jeremy D., Vaziri, Ashkan
Other Authors: Massachusetts Institute of Technology. Department of Civil and Environmental Engineering. Laboratory for Infrastructure Science and Sustainability
Format: Article
Published: Multidisciplinary Digital Publishing Institute 2022
Online Access:https://hdl.handle.net/1721.1/145995
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author Mohammadi-Ghazi, Reza
Nguyen, Hung
Mishra, Ram Kinker
Enriquez, Ana
Najafi, Bijan
Stephen, Christopher D.
Gupta, Anoopum S.
Schmahmann, Jeremy D.
Vaziri, Ashkan
author2 Massachusetts Institute of Technology. Department of Civil and Environmental Engineering. Laboratory for Infrastructure Science and Sustainability
author_facet Massachusetts Institute of Technology. Department of Civil and Environmental Engineering. Laboratory for Infrastructure Science and Sustainability
Mohammadi-Ghazi, Reza
Nguyen, Hung
Mishra, Ram Kinker
Enriquez, Ana
Najafi, Bijan
Stephen, Christopher D.
Gupta, Anoopum S.
Schmahmann, Jeremy D.
Vaziri, Ashkan
author_sort Mohammadi-Ghazi, Reza
collection MIT
description The study presents a novel approach to objectively assessing the upper-extremity motor symptoms in spinocerebellar ataxia (SCA) using data collected via a wearable sensor worn on the patient&rsquo;s wrist during upper-extremity tasks associated with the Assessment and Rating of Ataxia (SARA). First, we developed an algorithm for detecting/extracting the cycles of the finger-to-nose test (FNT). We extracted multiple features from the detected cycles and identified features and parameters correlated with the SARA scores. Additionally, we developed models to predict the severity of symptoms based on the FNT. The proposed technique was validated on a dataset comprising the seventeen (<i>n</i> = 17) participants&rsquo; assessments. The cycle detection technique showed an accuracy of 97.6% in a Bland&ndash;Altman analysis and a 94% accuracy (F1-score of 0.93) in predicting the severity of the FNT. Furthermore, the dependency of the upper-extremity tests was investigated through statistical analysis, and the results confirm dependency and potential redundancies in the upper-extremity SARA assessments. Our findings pave the way to enhance the utility of objective measures of SCA assessments. The proposed wearable-based platform has the potential to eliminate subjectivity and inter-rater variabilities in assessing ataxia.
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spelling mit-1721.1/1459952023-06-28T20:39:31Z Objective Assessment of Upper-Extremity Motor Functions in Spinocerebellar Ataxia Using Wearable Sensors Mohammadi-Ghazi, Reza Nguyen, Hung Mishra, Ram Kinker Enriquez, Ana Najafi, Bijan Stephen, Christopher D. Gupta, Anoopum S. Schmahmann, Jeremy D. Vaziri, Ashkan Massachusetts Institute of Technology. Department of Civil and Environmental Engineering. Laboratory for Infrastructure Science and Sustainability The study presents a novel approach to objectively assessing the upper-extremity motor symptoms in spinocerebellar ataxia (SCA) using data collected via a wearable sensor worn on the patient&rsquo;s wrist during upper-extremity tasks associated with the Assessment and Rating of Ataxia (SARA). First, we developed an algorithm for detecting/extracting the cycles of the finger-to-nose test (FNT). We extracted multiple features from the detected cycles and identified features and parameters correlated with the SARA scores. Additionally, we developed models to predict the severity of symptoms based on the FNT. The proposed technique was validated on a dataset comprising the seventeen (<i>n</i> = 17) participants&rsquo; assessments. The cycle detection technique showed an accuracy of 97.6% in a Bland&ndash;Altman analysis and a 94% accuracy (F1-score of 0.93) in predicting the severity of the FNT. Furthermore, the dependency of the upper-extremity tests was investigated through statistical analysis, and the results confirm dependency and potential redundancies in the upper-extremity SARA assessments. Our findings pave the way to enhance the utility of objective measures of SCA assessments. The proposed wearable-based platform has the potential to eliminate subjectivity and inter-rater variabilities in assessing ataxia. 2022-10-26T17:35:26Z 2022-10-26T17:35:26Z 2022-10-20 2022-10-26T11:07:58Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/145995 Sensors 22 (20): 7993 (2022) PUBLISHER_CC http://dx.doi.org/10.3390/s22207993 Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/ application/pdf Multidisciplinary Digital Publishing Institute Multidisciplinary Digital Publishing Institute
spellingShingle Mohammadi-Ghazi, Reza
Nguyen, Hung
Mishra, Ram Kinker
Enriquez, Ana
Najafi, Bijan
Stephen, Christopher D.
Gupta, Anoopum S.
Schmahmann, Jeremy D.
Vaziri, Ashkan
Objective Assessment of Upper-Extremity Motor Functions in Spinocerebellar Ataxia Using Wearable Sensors
title Objective Assessment of Upper-Extremity Motor Functions in Spinocerebellar Ataxia Using Wearable Sensors
title_full Objective Assessment of Upper-Extremity Motor Functions in Spinocerebellar Ataxia Using Wearable Sensors
title_fullStr Objective Assessment of Upper-Extremity Motor Functions in Spinocerebellar Ataxia Using Wearable Sensors
title_full_unstemmed Objective Assessment of Upper-Extremity Motor Functions in Spinocerebellar Ataxia Using Wearable Sensors
title_short Objective Assessment of Upper-Extremity Motor Functions in Spinocerebellar Ataxia Using Wearable Sensors
title_sort objective assessment of upper extremity motor functions in spinocerebellar ataxia using wearable sensors
url https://hdl.handle.net/1721.1/145995
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