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Freezing of Gait Detection in Parkinson's Disease: A Subject-Independent Detector Using Anomaly Scores
Authors
E Dutkiewicz
AJ Fuglevand
+6 more
PHW Leong
SJG Lewis
AL McEwan
ST Moore
DN Nguyen
TT Pham
Publication date
1 January 2017
Publisher
'Institute of Electrical and Electronics Engineers (IEEE)'
Doi
Cite
Abstract
© 2012 IEEE. Freezing of gait (FoG) is common in Parkinsonian gait and strongly relates to falls. Current clinical FoG assessments are patients' self-report diaries and experts' manual video analysis. Both are subjective and yield moderate reliability. Existing detection algorithms have been predominantly designed in subject-dependent settings. In this paper, we aim to develop an automated FoG detector for subject independent. After extracting highly relevant features, we apply anomaly detection techniques to detect FoG events. Specifically, feature selection is performed using correlation and clusterability metrics. From a list of 244 feature candidates, 36 candidates were selected using saliency and robustness criteria. We develop an anomaly score detector with adaptive thresholding to identify FoG events. Then, using accuracy metrics, we reduce the feature list to seven candidates. Our novel multichannel freezing index was the most selective across all window sizes, achieving sensitivity (specificity) of 96% (79%). On the other hand, freezing index from the vertical axis was the best choice for a single input, achieving sensitivity (specificity) of 94% (84%) for ankle and 89% (94%) for back sensors. Our subject-independent method is not only significantly more accurate than those previously reported, but also uses a much smaller window (e.g., 3 s versus 7.5 s) and/or lower tolerance (e.g., 0.4 s versus 2 s)
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OPUS - University of Technology Sydney
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Last time updated on 16/06/2018