Wearable assistant for Parkinson's disease patients with the freezing of gait symptom. 2010

Marc Bächlin, and Meir Plotnik, and Daniel Roggen, and Inbal Maidan, and Jeffrey M Hausdorff, and Nir Giladi, and Gerhard Tröster
Wearable Computing Laboratory, Swiss Federal Institute of Technology Zürich, Zürich CH-8092, Switzerland. baechlin@ife.ee.ethz.ch

In this paper, we present a wearable assistant for Parkinson's disease (PD) patients with the freezing of gait (FOG) symptom. This wearable system uses on-body acceleration sensors to measure the patients' movements. It automatically detects FOG by analyzing frequency components inherent in these movements. When FOG is detected, the assistant provides a rhythmic auditory signal that stimulates the patient to resume walking. Ten PD patients tested the system while performing several walking tasks in the laboratory. More than 8 h of data were recorded. Eight patients experienced FOG during the study, and 237 FOG events were identified by professional physiotherapists in a post hoc video analysis. Our wearable assistant was able to provide online assistive feedback for PD patients when they experienced FOG. The system detected FOG events online with a sensitivity of 73.1% and a specificity of 81.6%. The majority of patients indicated that the context-aware automatic cueing was beneficial to them. Finally, we characterize the system performance with respect to the walking style, the sensor placement, and the dominant algorithm parameters.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010300 Parkinson Disease A progressive, degenerative neurologic disease characterized by a TREMOR that is maximal at rest, retropulsion (i.e. a tendency to fall backwards), rigidity, stooped posture, slowness of voluntary movements, and a masklike facial expression. Pathologic features include loss of melanin containing neurons in the substantia nigra and other pigmented nuclei of the brainstem. LEWY BODIES are present in the substantia nigra and locus coeruleus but may also be found in a related condition (LEWY BODY DISEASE, DIFFUSE) characterized by dementia in combination with varying degrees of parkinsonism. (Adams et al., Principles of Neurology, 6th ed, p1059, pp1067-75) Idiopathic Parkinson Disease,Lewy Body Parkinson Disease,Paralysis Agitans,Primary Parkinsonism,Idiopathic Parkinson's Disease,Lewy Body Parkinson's Disease,Parkinson Disease, Idiopathic,Parkinson's Disease,Parkinson's Disease, Idiopathic,Parkinson's Disease, Lewy Body,Parkinsonism, Primary
D003020 Clothing Fabric or other material used to cover the body. Clothes,Garments,Military Uniforms,Nurse Uniforms,School Uniforms,Uniforms,Garment,Military Uniform,Nurse Uniform,School Uniform,Uniform,Uniform, Military,Uniform, Nurse,Uniform, School,Uniforms, Military,Uniforms, Nurse,Uniforms, School
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000054 Acceleration An increase in the rate of speed. Accelerations
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000465 Algorithms A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task. Algorithm
D012656 Self-Help Devices Devices, not affixed to the body, designed to help persons having musculoskeletal or neuromuscular disabilities to perform activities involving movement. Assistive Devices,Assistive Technology,Assistive Device,Assistive Technologies,Device, Assistive,Device, Self-Help,Devices, Assistive,Devices, Self-Help,Self Help Devices,Self-Help Device,Technologies, Assistive,Technology, Assistive

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