Quantitative measurement of motor symptoms in Parkinson's disease: A study with full-body motion capture data

Recent advancements in the portability and affordability of optical motion capture systems have opened the doors to various clinical applications. In this paper, we look into the potential use of motion capture data for the quantitative analysis of motor symptoms in Parkinson's Disease (PD). The standard of care, human observer-based assessments of the motor symptoms, can be very subjective and are often inadequate for tracking mild symptoms. Motion capture systems, on the other hand, can potentially provide more objective and quantitative assessments. In this pilot study, we perform full-body motion capture of Parkinson's patients with deep brain stimulator off-drugs and with stimulators on and off. Our experimental results indicate that the quantitative measure on spatio-temporal statistics learnt from the motion capture data reveal distinctive differences between mild and severe symptoms. We used a Support Vector Machine (SVM) classifier for discriminating mild vs. severe symptoms with an average accuracy of approximately 90%. Finally, we conclude that motion capture technology could potentially be an accurate, reliable and effective tool for statistical data mining on motor symptoms related to PD. This would enable us to devise more effective ways to track the progression of neurodegenerative movement disorders.

[1]  K. Akazawa,et al.  Estimation of UPDRS Finger Tapping Score by using Artificial Neural Network for Quantitative Diagnosis of Parkinson's disease , 2007, 2007 6th International Special Topic Conference on Information Technology Applications in Biomedicine.

[2]  N Giladi,et al.  Standardized quantitative measurements in Parkinson's disease. , 1999, Advances in neurology.

[3]  Petra Kaufmann,et al.  An integrated motion capture system for evaluation of neuromuscular disease patients , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[4]  J. Ghika,et al.  Portable system for quantifying motor abnormalities in Parkinson's disease , 1993, IEEE Transactions on Biomedical Engineering.

[5]  A. Siderowf,et al.  Test–Retest reliability of the Unified Parkinson's Disease Rating Scale in patients with early Parkinson's disease: Results from a multicenter clinical trial , 2002, Movement disorders : official journal of the Movement Disorder Society.

[6]  Terry D Ellis,et al.  Test-Retest Reliability of 24 Hours of Activity Monitoring in Individuals With Parkinson's Disease in Home and Community , 2007, Neurorehabilitation and neural repair.

[7]  Marti A. Hearst Trends & Controversies: Support Vector Machines , 1998, IEEE Intell. Syst..

[8]  Paolo Bonato,et al.  Monitoring Motor Fluctuations in Patients With Parkinson's Disease Using Wearable Sensors , 2009, IEEE Transactions on Information Technology in Biomedicine.

[9]  A Pedotti,et al.  Quantitative analysis of gait in Parkinson's disease: a pilot study on the effects of bilateral sub-thalamic stimulation. , 2002, Gait & posture.

[10]  C. Hass,et al.  Dynamic postural stability during sit‐to‐walk transitions in Parkinson disease patients , 2008, Movement disorders : official journal of the Movement Disorder Society.

[11]  T. Hastie,et al.  Quantitative measurements of alternating finger tapping in Parkinson's disease correlate with UPDRS motor disability and reveal the improvement in fine motor control from medication and deep brain stimulation , 2005, Movement disorders : official journal of the Movement Disorder Society.

[12]  Andreas Christmann,et al.  Support vector machines , 2008, Data Mining and Knowledge Discovery Handbook.

[13]  J. J. van Hilten,et al.  Accelerometric assessment of levodopa‐induced dyskinesias in Parkinson's disease , 2001, Movement disorders : official journal of the Movement Disorder Society.

[14]  Howard Poizner,et al.  Nonlinear DDE Analysis of Repetitive Hand Movements in Parkinson’s Disease , 2009 .

[15]  F DuranObiols,et al.  [Surgical treatment of Parkinson's disease]. , 1956 .

[16]  N. Wetzel SURGICAL TREATMENT OF PARKINSON'S DISEASE. , 1963, Chicago medicine.