Quantification of Finger-Tapping Angle Based on Wearable Sensors

We propose a novel simple method for quantitative and qualitative finger-tapping assessment based on miniature inertial sensors (3D gyroscopes) placed on the thumb and index-finger. We propose a simplified description of the finger tapping by using a single angle, describing rotation around a dominant axis. The method was verified on twelve subjects, who performed various tapping tasks, mimicking impaired patterns. The obtained tapping angles were compared with results of a motion capture camera system, demonstrating excellent accuracy. The root-mean-square (RMS) error between the two sets of data is, on average, below 4°, and the intraclass correlation coefficient is, on average, greater than 0.972. Data obtained by the proposed method may be used together with scores from clinical tests to enable a better diagnostic. Along with hardware simplicity, this makes the proposed method a promising candidate for use in clinical practice. Furthermore, our definition of the tapping angle can be applied to all tapping assessment systems.

[1]  John A. Nelder,et al.  A Simplex Method for Function Minimization , 1965, Comput. J..

[2]  J Hermsdörfer,et al.  Comparative analysis of diadochokinetic movements. , 1999, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[3]  Taha Khan,et al.  Automatic and Objective Assessment of Alternating Tapping Performance in Parkinson's Disease , 2013, Sensors.

[4]  S. Ellias,et al.  Quantitative assessment of movement in Alzheimer's disease. , 1995, Journal of geriatric psychiatry and neurology.

[5]  Igor Petrović,et al.  Finger tapping analysis in patients with Parkinson’s disease and atypical parkinsonism , 2016, Journal of Clinical Neuroscience.

[6]  H Poizner,et al.  Finger tapping movements of Parkinson's disease patients automatically rated using nonlinear delay differential equations. , 2012, Chaos.

[7]  Robert Chen,et al.  The modified bradykinesia rating scale for Parkinson's disease: Reliability and comparison with kinematic measures , 2011, Movement disorders : official journal of the Movement Disorder Society.

[8]  Nenad S Jovičić,et al.  Nonlinear optimization for drift removal in estimation of gait kinematics based on accelerometers. , 2012, Journal of biomechanics.

[9]  Peter Brown,et al.  Hypokinesia without decrement distinguishes progressive supranuclear palsy from Parkinson's disease. , 2012, Brain : a journal of neurology.

[10]  Peter H. Veltink,et al.  Measuring 3D Hand and Finger Kinematics—A Comparison between Inertial Sensing and an Opto-Electronic Marker System , 2016, PloS one.

[11]  Kamiar Aminian,et al.  Quantification of Tremor and Bradykinesia in Parkinson's Disease Using a Novel Ambulatory Monitoring System , 2007, IEEE Transactions on Biomedical Engineering.

[12]  Hein A. M. Daanen,et al.  Instrumental Assessment of Bradykinesia: A Comparison Between Motor Tasks , 2016, IEEE Journal of Biomedical and Health Informatics.

[13]  Jan Raethjen,et al.  Provocation of Parkinsonian tremor , 2008, Movement disorders : official journal of the Movement Disorder Society.

[14]  A. Lees,et al.  Bradykinesia akinesia inco-ordination test (BRAIN TEST): an objective computerised assessment of upper limb motor function , 1999, Journal of neurology, neurosurgery, and psychiatry.

[15]  Toshio Tsuji,et al.  Measurement and Evaluation of Finger Tapping Movements Using Log-linearized Gaussian Mixture Networks , 2009, Sensors.

[16]  A. Sunderland,et al.  Arm function after stroke: measurement and recovery over the first three months. , 1987, Journal of neurology, neurosurgery, and psychiatry.

[17]  Dejan B Popović,et al.  Wireless distributed functional electrical stimulation system , 2012, Journal of NeuroEngineering and Rehabilitation.

[18]  Kenzo Akazawa,et al.  Finger taps movement acceleration measurement system for quantitative diagnosis of Parkinson's disease , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[19]  Chul-Seung Kim,et al.  Quantification of bradykinesia during clinical finger taps using a gyrosensor in patients with Parkinson’s disease , 2011, Medical & Biological Engineering & Computing.

[20]  Stephen Hicks,et al.  Statistical characteristics of finger-tapping data in Huntington’s disease , 2012, Medical & Biological Engineering & Computing.

[21]  J. Jankovic,et al.  Movement Disorder Society‐sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS‐UPDRS): Scale presentation and clinimetric testing results , 2008, Movement disorders : official journal of the Movement Disorder Society.

[22]  Robert Chen,et al.  Differential response of speed, amplitude, and rhythm to dopaminergic medications in Parkinson's disease , 2011, Movement disorders : official journal of the Movement Disorder Society.

[23]  James McNames,et al.  Objective measure of upper extremity motor impairment in Parkinson's disease with inertial sensors , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[24]  D. Heldman,et al.  Clinician versus machine: reliability and responsiveness of motor endpoints in Parkinson's disease. , 2014, Parkinsonism & related disorders.

[25]  Mathias Wilhelm,et al.  Whole hand modeling using 8 wearable sensors: biomechanics for hand pose prediction , 2013, AH.

[26]  J H Andreae,et al.  Measurement and analysis of single and multiple finger tapping in normal and Parkinsonian subjects. , 1995, Parkinsonism & related disorders.

[27]  Benoit M. Macq,et al.  Finger Tapping Clinimetric Score Prediction in Parkinson's Disease Using Low-Cost Accelerometers , 2013, Comput. Intell. Neurosci..

[28]  Gábor Fazekas,et al.  Analysis of finger-tapping movement , 2005, Journal of Neuroscience Methods.

[29]  P. Vargha,et al.  A critical discussion of intraclass correlation coefficients. , 1997, Statistics in medicine.

[30]  K. Akazawa,et al.  Opening velocity, a novel parameter, for finger tapping test in patients with Parkinson's disease. , 2009, Parkinsonism & related disorders.

[31]  G. Stebbins,et al.  Assuring interrater reliability for the UPDRS motor section: Utility of the UPDRS teaching tape , 2004, Movement disorders : official journal of the Movement Disorder Society.

[32]  Natasha M. Maurits,et al.  A Method for Automatic and Objective Scoring of Bradykinesia Using Orientation Sensors and Classification Algorithms , 2016, IEEE Transactions on Biomedical Engineering.

[33]  A. Berardelli,et al.  Impairment of individual finger movements in Parkinson's disease , 2003, Movement disorders : official journal of the Movement Disorder Society.

[34]  J. W. Humberston Classical mechanics , 1980, Nature.

[35]  B. Bloem,et al.  Quantitative wearable sensors for objective assessment of Parkinson's disease , 2013, Movement disorders : official journal of the Movement Disorder Society.

[36]  Saso Tomazic,et al.  Angle Estimation of Simultaneous Orthogonal Rotations from 3D Gyroscope Measurements , 2011, Sensors.

[37]  Brice Bouvier,et al.  Upper Limb Kinematics Using Inertial and Magnetic Sensors: Comparison of Sensor-to-Segment Calibrations , 2015, Sensors.

[38]  Dejan B. Popovic,et al.  Kinematics of Gait: New Method for Angle Estimation Based on Accelerometers , 2011, Sensors.

[39]  T. Lueth,et al.  Quantitative assessment of parkinsonian bradykinesia based on an inertial measurement unit , 2015, Biomedical engineering online.

[40]  Mandar S. Jog,et al.  Tasks of Attention Augment Rigidity in Mild Parkinson Disease , 2008, Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques.

[41]  Joseph P. Giuffrida,et al.  Kinematic optimization of deep brain stimulation across multiple motor symptoms in Parkinson's disease , 2011, Journal of Neuroscience Methods.

[42]  Toshio Tsuji,et al.  Measurement and evaluation of finger tapping movements using magnetic sensors , 2008, 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[43]  Y. van der Graaf,et al.  Measuring ataxia: quantification based on the standard neurological examination. , 1994, Journal of neurology, neurosurgery, and psychiatry.