Gait Characterization in Duchenne Muscular Dystrophy (DMD) Using a Single-Sensor Accelerometer : Classical Machine Learning and Deep Learning Approaches
Differences in gait patterns of children with Duchenne muscular dystrophy (DMD) and typically developing (TD) peers are visible to the eye, but quantifications of those differences outside of the gait laboratory have been elusive. In this work, we measured vertical, mediolateral, and anteroposterior acceleration using a waist-worn iPhone accelerometer during ambulation across a typical range of velocities. Fifteen TD and fifteen DMD children from 3 to 16 years of age underwent eight walking/running activities, including five 25 m walk/run speed-calibration tests at a slow walk to running speeds (SC-L1 to SC-L5), a 6-min walk test (6MWT), a 100 m fast walk/jog/run (100MRW), and a free walk (FW). For clinical anchoring purposes, participants completed a Northstar Ambulatory Assessment (NSAA). We extracted temporospatial gait clinical features (CFs) and applied multiple machine learning (ML) approaches to differentiate between DMD and TD children using extracted temporospatial gait CFs and raw data. Extracted temporospatial gait CFs showed reduced step length and a greater mediolateral component of total power (TP) consistent with shorter strides and Trendelenberg-like gait commonly observed in DMD. ML approaches using temporospatial gait CFs and raw data varied in effectiveness at differentiating between DMD and TD controls at different speeds, with an accuracy of up to 100%. We demonstrate that by using ML with accelerometer data from a consumer-grade smartphone, we can capture DMD-associated gait characteristics in toddlers to teens.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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| Enthalten in: |
Sensors (Basel, Switzerland) - 24(2024), 4 vom: 08. Feb. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ramli, Albara Ah [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 26.02.2024 Date Revised 27.02.2024 published: Electronic Citation Status MEDLINE |
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| doi: |
10.3390/s24041123 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368902609 |
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| 520 | |a Differences in gait patterns of children with Duchenne muscular dystrophy (DMD) and typically developing (TD) peers are visible to the eye, but quantifications of those differences outside of the gait laboratory have been elusive. In this work, we measured vertical, mediolateral, and anteroposterior acceleration using a waist-worn iPhone accelerometer during ambulation across a typical range of velocities. Fifteen TD and fifteen DMD children from 3 to 16 years of age underwent eight walking/running activities, including five 25 m walk/run speed-calibration tests at a slow walk to running speeds (SC-L1 to SC-L5), a 6-min walk test (6MWT), a 100 m fast walk/jog/run (100MRW), and a free walk (FW). For clinical anchoring purposes, participants completed a Northstar Ambulatory Assessment (NSAA). We extracted temporospatial gait clinical features (CFs) and applied multiple machine learning (ML) approaches to differentiate between DMD and TD children using extracted temporospatial gait CFs and raw data. Extracted temporospatial gait CFs showed reduced step length and a greater mediolateral component of total power (TP) consistent with shorter strides and Trendelenberg-like gait commonly observed in DMD. ML approaches using temporospatial gait CFs and raw data varied in effectiveness at differentiating between DMD and TD controls at different speeds, with an accuracy of up to 100%. We demonstrate that by using ML with accelerometer data from a consumer-grade smartphone, we can capture DMD-associated gait characteristics in toddlers to teens | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a accelerometer | |
| 650 | 4 | |a classical machine learning | |
| 650 | 4 | |a deep learning | |
| 650 | 4 | |a duchenne muscular dystrophy | |
| 650 | 4 | |a gait | |
| 650 | 4 | |a gait cycle | |
| 650 | 4 | |a linear discriminant analysis | |
| 650 | 4 | |a principal components analysis | |
| 650 | 4 | |a sensors | |
| 650 | 4 | |a temporospatial gait clinical features | |
| 650 | 4 | |a typically developing | |
| 700 | 1 | |a Liu, Xin |e verfasserin |4 aut | |
| 700 | 1 | |a Berndt, Kelly |e verfasserin |4 aut | |
| 700 | 1 | |a Goude, Erica |e verfasserin |4 aut | |
| 700 | 1 | |a Hou, Jiahui |e verfasserin |4 aut | |
| 700 | 1 | |a Kaethler, Lynea B |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Rex |e verfasserin |4 aut | |
| 700 | 1 | |a Lopez, Amanda |e verfasserin |4 aut | |
| 700 | 1 | |a Nicorici, Alina |e verfasserin |4 aut | |
| 700 | 1 | |a Owens, Corey |e verfasserin |4 aut | |
| 700 | 1 | |a Rodriguez, David |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Jane |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Huanle |e verfasserin |4 aut | |
| 700 | 1 | |a Aranki, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a McDonald, Craig M |e verfasserin |4 aut | |
| 700 | 1 | |a Henricson, Erik K |e verfasserin |4 aut | |
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