Improvisation of classification performance based on feature optimization for differentiation of Parkinson’s disease from other neurological diseases using gait characteristics

Most neurological disorders that include Parkinson’s disease (PD) as well as other neurological diseases such as Amyotrophic Lateral Sclerosis (ALS) and Huntington’s disease (HD) have some common abnormalities regarding the movement, vocal, and cognitive behaviors of sufferers. Variations in the manifestation of these types of abnormality help distinguish one disorder from another. In this study, differentiation was performed based on the gait characteristics of patients afflicted by different neurological disorders. In the recent past, many researchers have applied different machine learning and feature selection techniques to the classification of different groups of patients based on common abnormalities. However, in an era of modernization where the focus is on timely low-cost automatization and pattern recognition, such techniques require improvisation to provide high performance. We attempted to improve the performance of such techniques using different feature optimization methods, such as a genetic algorithm (GA) and principal component analysis (PCA), and applying different classification approaches, i.e., linear, nonlinear, and probabilistic classifiers. In this study, gait dynamics data of patients suffering with PD, ALS, and HD were collated from a public database, and a binary classification approach was used by taking PD as one group and adopting ALS+HD as another group. Performance comparison was achieved using different classification techniques that incorporated optimized feature sets obtained from GA and PCA. In comparison with other classifiers using different feature sets, the highest accuracy (97.87%) was obtained using random forest combined with GA-based feature sets. The results provide evidence that could assist medical practitioners in differentiating PD from other neurological diseases using gait characteristics.