Tremor quantification through data-driven nonlinear system modeling

Tremor is a repetitive uncontrollable movement of a body part that represents a cardinal symptom in several widespread neurological diseases. Being often related to a lifelong incurable condition, tremor has to be monitored in order to follow disease status and adjust the therapy. This paper proposes a novel method of tremor quantification by modeling the repetitive movement underlying tremor as a periodic solution to an autonomous nonlinear system whose parameters are estimated from the data. A 3D fused acceleration measurement in a smart phone is utilized for data acquisition. The measured trajectory is seen as a superposition of a slow voluntary translational-rotational movement and a involuntary repetitive component produced by autonomous nonlinear dynamics. The repetitive part of the data is extracted by an event-based procedure relying on filtering and scaling of a position estimate obtained from the measurements. A planar representation of the underlying dynamics is used for estimating the parameters of a second-order system with a polynomial nonlinearity. Then, the tremor amplitude is captured by the scaling coefficients while the frequency content is defined by the nonlinear dynamical model. The efficacy of the proposed quantification approach is demonstrated on experimental data.

[1]  J. Hale,et al.  Ordinary Differential Equations , 2019, Fundamentals of Numerical Mathematics for Physicists and Engineers.

[2]  Alexander Medvedev,et al.  Deep Brain Stimulation therapies: A control-engineering perspective , 2017, 2017 American Control Conference (ACC).

[3]  D. Farina,et al.  Bioinformatic Approaches Used in Modelling Human Tremor , 2009 .

[4]  R. Halír Numerically Stable Direct Least Squares Fitting of Ellipses , 1998 .

[5]  Tim Lüth,et al.  Quantitative Assessment of Parkinsonian Tremor Based on an Inertial Measurement Unit , 2015, Sensors.

[6]  Paola Pierleoni,et al.  A real-time system to aid clinical classification and quantification of tremor in Parkinson's disease , 2014, IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI).

[7]  G. Deuschl,et al.  The pathophysiology of tremor , 2001, Muscle & nerve.

[8]  Alexander Medvedev,et al.  Tremor quantification through event-based movement trajectory modeling , 2017, 2017 IEEE Conference on Control Technology and Applications (CCTA).

[9]  Martin Lakie,et al.  The influence of muscle tremor on shooting performance , 2010, Experimental physiology.

[10]  J. Jankovic,et al.  Essential tremor quantification during activities of daily living. , 2011, Parkinsonism & related disorders.

[11]  Alessandro Astolfi,et al.  Nonlinear system identification for autonomous systems via functional equations methods , 2016, 2016 American Control Conference (ACC).

[12]  James McNames,et al.  Using Portable Transducers to Measure Tremor Severity , 2016, Tremor and other hyperkinetic movements.

[13]  A. Stiggelbout,et al.  Systematic evaluation of rating scales for impairment and disability in Parkinson's disease , 2002, Movement disorders : official journal of the Movement Disorder Society.

[14]  Per Lötstedt,et al.  Nonlinear identification of biological clock dynamics , 2015, 2015 54th IEEE Conference on Decision and Control (CDC).

[15]  P. Hartman Ordinary Differential Equations , 1965 .

[16]  Manon Kok,et al.  Probabilistic modeling for sensor fusion with inertial measurements , 2016 .

[17]  T. Söderström,et al.  A second order ODE is sufficient for modelling of many periodic signals , 2005 .

[18]  A. Savitzky,et al.  Smoothing and Differentiation of Data by Simplified Least Squares Procedures. , 1964 .