TY - JOUR PY - 2020// TI - Prediction of freezing of gait in Parkinson's disease from foot plantar-pressure arrays using a convolutional neural network JO - Annual International Conference of the IEEE Engineering in Medicine and Biology Society. A1 - Shalin, Gaurav A1 - Pardoel, Scott A1 - Nantel, Julie A1 - Lemaire, Edward D. A1 - Kofman, Jonathan SP - 244 EP - 247 VL - 2020 IS - N2 - Freezing of gait (FOG) is a sudden cessation of locomotion in advanced Parkinson's disease (PD). A FOG episode can lead to falls, decreased mobility, and decreased overall quality of life. Prediction of FOG episodes provides an opportunity for intervention and freeze prevention. A novel method of FOG prediction that uses foot plantar pressure data acquired during gait was developed and evaluated, with plantar pressure data treated as 2D images and classified using a convolutional neural network (CNN). Data from five people with PD and a history of FOG were collected during walking trials. FOG instances were identified and data preceding each freeze were labeled as Pre-FOG. Left and right foot FScan pressure frames were concatenated into a single 60x42 pressure array. Each frame was considered as an independent image and classified as Pre-FOG, FOG, or Non-FOG, using the CNN. From prediction models using different Pre-FOG durations, shorter Pre-FOG durations performed best, with Pre-FOG class sensitivity 94.3%, and specificity 95.1%. These results demonstrated that foot pressure distribution alone can be a good FOG predictor when treating each plantar pressure frame as a 2D image, and classifying the images using a CNN. Furthermore, the CNN eliminated the need for feature extraction and selection.Clinical Relevance- This research demonstrated that foot plantar pressure data can be used to predict freezing of gait occurrence, using a convolutional neural network deep learning technique. This had the added advantage of eliminating the need for feature extraction and selection.
Language: en
LA - en SN - 2375-7477 UR - http://dx.doi.org/10.1109/EMBC44109.2020.9176382 ID - ref1 ER -