Using machine learning methods to detect physical conditions with postural balance

Previous researches investigated the association between diseases and the postural balance (PB), such as Parkinson's disease, multiple sclerosis, and Leprosy, etc. However, there is limited study exploring whether the PB can predict a person’s physical condition. Therefore, the aim of this study was to build a physical conditions detection system via a simple machine learning classifier–logistic regression (LR) with PB characterized by the center of pressure (COP) measured by a force plate. We converted COP to total excursion distance (TOTEX), TOTEX of anterior–posterior distance (TOEXAP) and TOTEX of medial–lateral distance (TOTEXML) as major features in the LR model along with gender, age, and body mass index (BMI). We conducted a perspective study to collect 67 patients’ records. Using those 67 records, we built 6 independent LG models based on gender, age, BMI, and collaborated with and without PB measurements to examine the effectiveness of using PB in the model to predict a person’s physical condition. We compared those 6 LR models’ performances based on the Area Under the Receiver Operating Characteristics (AUC), confusion matrix including accuracy, sensitivity, and specificity rate. The performance comparison results showed the predictive models with PB measurements were better than those of without PB (average AUC: 0.81 vs. 0.72). Therefore, the proposed physical conditions detection system can better discriminate healthy and unhealthy person with PB measurements in the LR classifier.

[1]  T. Stoffregen,et al.  Coupling of head and body movement with motion of the audible environment. , 2009, Journal of experimental psychology. Human perception and performance.

[2]  Susan L. Kasser,et al.  A prospective evaluation of balance, gait, and strength to predict falling in women with multiple sclerosis. , 2011, Archives of physical medicine and rehabilitation.

[3]  David H. Perrin,et al.  Performance on the Balance Error Scoring System Decreases After Fatigue. , 2004, Journal of athletic training.

[4]  James A. Norris,et al.  Ability of static and statistical mechanics posturographic measures to distinguish between age and fall risk. , 2005, Journal of biomechanics.

[5]  Marcelo Ângelo Cirillo,et al.  Data classification with binary response through the Boosting algorithm and logistic regression , 2017, Expert Syst. Appl..

[6]  Murray Mp,et al.  Center of gravity, center of pressure, and supportive forces during human activities. , 1967 .

[7]  H. Hirschfeld,et al.  One-leg stance in healthy young and elderly adults: a measure of postural steadiness? , 2004, Clinical biomechanics.

[8]  C. Algun,et al.  Is hypertension a risk factor for poor balance control in elderly adults? , 2015, Journal of physical therapy science.

[9]  Pertti Era,et al.  Force Platform Measurements as Predictors of Falls among Older People – A Review , 2006, Gerontology.

[10]  A Tremblay,et al.  Reducing weight increases postural stability in obese and morbid obese men , 2007, International Journal of Obesity.

[11]  Stephen R Lord,et al.  Neuropsychological, balance, and mobility risk factors for falls in people with multiple sclerosis: a prospective cohort study. , 2014, Archives of physical medicine and rehabilitation.

[12]  Steven P. Broglio,et al.  Previous mild traumatic brain injury and postural-control dynamics. , 2011, Journal of athletic training.

[13]  M. Oliveira,et al.  Comparing postural balance among older adults and Parkinson’s disease patients , 2016 .

[14]  H. Wallmann,et al.  Static and Dynamic Balance After Ankle Plantarflexor Fatigue in Older Adults , 2016 .

[15]  M. Turvey,et al.  Diabetes and Postural Stability: Review and Hypotheses , 2009, Journal of motor behavior.

[16]  Maury A Nussbaum,et al.  Reliability of COP-based postural sway measures and age-related differences. , 2008, Gait & posture.

[17]  I. Melzer,et al.  Effects of Regular Walking on Postural Stability in the Elderly , 2003, Gerontology.

[18]  Mohd Hanifa Sariman,et al.  Effects of Age on Physical Activity Level, Strength and Balance Towards Fall Risk Index Among Women Aged 20–73 Years , 2016 .

[19]  R. Moe-Nilssen,et al.  Physical fatigue affects gait characteristics in older persons. , 2007, The journals of gerontology. Series A, Biological sciences and medical sciences.

[20]  C. Ekdahl,et al.  Standing balance in trans-tibial amputees following vascular disease or trauma: A comparative study with healthy subjects , 1994, Prosthetics and orthotics international.

[21]  C. Y. Peng,et al.  An Introduction to Logistic Regression Analysis and Reporting , 2002 .

[22]  J. Greve,et al.  Correlation between body mass index and postural balance. , 2007, Clinics.

[23]  Michael A Babyak,et al.  What You See May Not Be What You Get: A Brief, Nontechnical Introduction to Overfitting in Regression-Type Models , 2004, Psychosomatic medicine.

[24]  Carlo Pozzilli,et al.  The Diagnostic Accuracy of Static Posturography in Predicting Accidental Falls in People With Multiple Sclerosis , 2013, Neurorehabilitation and neural repair.

[25]  Xu-Jiao Chen,et al.  Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients , 2015, Clinical interventions in aging.

[26]  B. Maki,et al.  Aging and Postural Control , 1990, Journal of the American Geriatrics Society.

[27]  Jay Lee,et al.  Degradation Assessment and Fault Modes Classification Using Logistic Regression , 2005 .

[28]  R. D. da Silva,et al.  Age-related differences in center of pressure measures during one-leg stance are time dependent. , 2013, Journal of applied biomechanics.

[29]  A. Geurts,et al.  Intrasubject variability of selected force-platform parameters in the quantification of postural control. , 1993, Archives of physical medicine and rehabilitation.

[30]  T.E. Prieto,et al.  Measures of postural steadiness: differences between healthy young and elderly adults , 1996, IEEE Transactions on Biomedical Engineering.

[31]  M Schieppati,et al.  The role of instrumental assessment of balance in clinical decision making. , 2010, European journal of physical and rehabilitation medicine.