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      Data-Driven Based Approach to Aid Parkinson’s Disease Diagnosis

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          Abstract

          This article presents a machine learning methodology for diagnosing Parkinson’s disease (PD) based on the use of vertical Ground Reaction Forces (vGRFs) data collected from the gait cycle. A classification engine assigns subjects to healthy or Parkinsonian classes. The diagnosis process involves four steps: data pre-processing, feature extraction and selection, data classification and performance evaluation. The selected features are used as inputs of each classifier. Feature selection is achieved through a wrapper approach established using the random forest algorithm. The proposed methodology uses both supervised classification methods including K-nearest neighbour (K-NN), decision tree (DT), random forest (RF), Naïve Bayes (NB), support vector machine (SVM) and unsupervised classification methods such as K-means and the Gaussian mixture model (GMM). To evaluate the effectiveness of the proposed methodology, an online dataset collected within three different studies is used. This data set includes vGRF measurements collected from eight force sensors placed under each foot of the subjects. Ninety-three patients suffering from Parkinson’s disease and 72 healthy subjects participated in the experiments. The obtained performances are compared with respect to various metrics including accuracy, precision, recall and F-measure. The classification performance evaluation is performed using the leave-one-out cross validation. The results demonstrate the ability of the proposed methodology to accurately differentiate between PD subjects and healthy subjects. For the purpose of validation, the proposed methodology is also evaluated with an additional dataset including subjects with neurodegenerative diseases (Amyotrophic Lateral Sclerosis (ALS) and Huntington’s disease (HD)). The obtained results show the effectiveness of the proposed methodology to discriminate PD subjects from subjects with other neurodegenerative diseases with a relatively high accuracy.

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          Wrappers for feature subset selection

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            Toward integrating feature selection algorithms for classification and clustering

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              Gait variability and basal ganglia disorders: stride-to-stride variations of gait cycle timing in Parkinson's disease and Huntington's disease.

              The basal ganglia are thought to play an important role in regulating motor programs involved in gait and in the fluidity and sequencing of movement. We postulated that the ability to maintain a steady gait, with low stride-to-stride variability of gait cycle timing and its subphases, would be diminished with both Parkinson's disease (PD) and Huntington's disease (HD). To test this hypothesis, we obtained quantitative measures of stride-to-stride variability of gait cycle timing in subjects with PD (n = 15), HD (n = 20), and disease-free controls (n = 16). All measures of gait variability were significantly increased in PD and HD. In subjects with PD and HD, gait variability measures were two and three times that observed in control subjects, respectively. The degree of gait variability correlated with disease severity. In contrast, gait speed was significantly lower in PD, but not in HD, and average gait cycle duration and the time spent in many subphases of the gait cycle were similar in control subjects, HD subjects, and PD subjects. These findings are consistent with a differential control of gait variability, speed, and average gait cycle timing that may have implications for understanding the role of the basal ganglia in locomotor control and for quantitatively assessing gait in clinical settings.
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                Author and article information

                Journal
                Sensors (Basel)
                Sensors (Basel)
                sensors
                Sensors (Basel, Switzerland)
                MDPI
                1424-8220
                10 January 2019
                January 2019
                : 19
                : 2
                : 242
                Affiliations
                [1 ]Laboratory of Images, Signals and Intelligent Systems (LISSI), University of Paris-Est Créteil (UPEC), 122 rue Paul Armangot, 94400 Vitry-Sur-Seine, France; nicolas.khoury@ 123456u-pec.fr (N.K.); amirat@ 123456u-pec.fr (Y.A.); samer.mohammed@ 123456u-pec.fr (S.M.)
                [2 ]French Institute of Science and Technology for Transport, Development and Networks (IFSTTAR), University of Paris-Est, COSYS, GRETTIA, F-77447 Marne la Vallée, France; latifa.oukhellou@ 123456ifsttar.fr
                Author notes
                [* ]Correspondence: ferhat.attal@ 123456u-pec.fr ; Tel.: +33-1-4180-7318; Fax: +33-1-4180-7376
                Author information
                https://orcid.org/0000-0003-1668-7620
                Article
                sensors-19-00242
                10.3390/s19020242
                6359125
                30634600
                502850f1-c35d-4a9b-85e8-70143a0590a9
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 03 December 2018
                : 04 January 2019
                Categories
                Article

                Biomedical engineering
                parkinson diseases,gait cycle,wearable sensors,vertical ground reaction forces (vgrfs),features selection method,classification

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