Longitudinal Monitoring of Progressive Supranuclear Palsy using Body-Worn Movement Sensors

© 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society..

BACKGROUND: We have previously shown that wearable technology and machine learning techniques can accurately discriminate between progressive supranuclear palsy (PSP), Parkinson's disease, and healthy controls. To date these techniques have not been applied in longitudinal studies of disease progression in PSP.

OBJECTIVES: We aimed to establish whether data collected by a body-worn inertial measurement unit (IMU) network could predict clinical rating scale scores in PSP and whether it could be used to track disease progression.

METHODS: We studied gait and postural stability in 17 participants with PSP over five visits at 3-month intervals. Participants performed a 2-minute walk and an assessment of postural stability by standing for 30 seconds with their eyes closed, while wearing an array of six IMUs.

RESULTS: Thirty-two gait and posture features were identified, which progressed significantly with time. A simple linear regression model incorporating the three features with the clearest progression pattern was able to detect statistically significant progression 3 months in advance of the clinical scores. A more complex linear regression and a random forest approach did not improve on this.

CONCLUSIONS: The reduced variability of the models, in comparison to clinical rating scales, allows a significant change in disease status from baseline to be observed at an earlier stage. The current study sheds light on the individual features that are important in tracking disease progression. © 2022 The Authors. Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

Movement disorders : official journal of the Movement Disorder Society - 37(2022), 11 vom: 01. Nov., Seite 2263-2271

Sprache:

Englisch

Beteiligte Personen:

Sotirakis, Charalampos [VerfasserIn]
Conway, Niall [VerfasserIn]
Su, Zi [VerfasserIn]
Villarroel, Mauricio [VerfasserIn]
Tarassenko, Lionel [VerfasserIn]
FitzGerald, James J [VerfasserIn]
Antoniades, Chrystalina A [VerfasserIn]

Links:

Volltext

Themen:

Clinical rating scales
Gait and posture
Inertial measurement units
Journal Article
Kinematic features
Machine learning
Research Support, Non-U.S. Gov't
Wearable sensors

Anmerkungen:

Date Completed 15.11.2022

Date Revised 06.01.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/mds.29194

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM34571380X