Evidence map›Paper›PMID 31242915›Full record

ArticleJournal of neuroengineering and rehabilitation2019

Development and clinical validation of inertial sensor-based gait-clustering methods in Parkinson's disease.

An Nguyen, Nils Roth, Nooshin Haji Ghassemi, Julius Hannink, Thomas Seel, Jochen Klucken, Heiko Gassner, Bjoern M Eskofier

Erratum issuedAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Atypical Gait Cycles in Parkinson's Disease.Sensors (Basel, Switzerland) · 2021
    Article
  13. Article
  14. Article
  15. Article
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  18. Deep Phenotyping of Parkinson's Disease.Journal of Parkinson's disease · 2020
    Review
  19. JNER at 15 years: analysis of the state of neuroengineering and rehabilitation.Journal of neuroengineering and rehabilitation · 2019
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

An NguyenMachine Learning and Data Analytics Lab, Department of Computer Science, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Carl-Thiersch-Straße 2b, Erlangen, 91052, Germany. an.nguyen@fau.de.ORCID 0000-0002-8759-7641
Nils RothMachine Learning and Data Analytics Lab, Department of Computer Science, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Carl-Thiersch-Straße 2b, Erlangen, 91052, Germany.
Nooshin Haji GhassemiMachine Learning and Data Analytics Lab, Department of Computer Science, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Carl-Thiersch-Straße 2b, Erlangen, 91052, Germany.
Julius HanninkMachine Learning and Data Analytics Lab, Department of Computer Science, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Carl-Thiersch-Straße 2b, Erlangen, 91052, Germany.
Thomas SeelControl Systems Group, Department of Electrical Engineering and Computer Science, Technische Universität Berlin (TUB), Einsteinufer 17, Berlin, 10587, Germany.
Jochen KluckenDepartment of Molecular Neurology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Schwabachanlage 6, Erlangen, 91054, Germany.
Heiko GassnerDepartment of Molecular Neurology, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Schwabachanlage 6, Erlangen, 91054, Germany.
Bjoern M EskofierMachine Learning and Data Analytics Lab, Department of Computer Science, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Carl-Thiersch-Straße 2b, Erlangen, 91052, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGait symptoms and balance impairment are characteristic indicators for the progression in Parkinson's disease (PD). Current gait assessments mostly focus on straight strides with assumed constant velocity, while acceleration/deceleration and turning strides are often ignored. This is either due to the set up of typical clinical assessments or technical limitations in capture volume. Wearable inertial measurement units are a promising and unobtrusive technology to overcome these limitations. Other gait phases such as initiation, termination, transitioning (between straight walking and turning) and turning might be relevant as well for the evaluation of gait and balance impairments in PD.

methodIn a cohort of 119 PD patients, we applied unsupervised algorithms to find different gait clusters which potentially include the clinically relevant information from distinct gait phases in the standardized 4x10 m gait test. To clinically validate our approach, we determined the discriminative power in each gait cluster to classify between impaired and unimpaired PD patients and compared it to baseline (analyzing all straight strides).

resultsAs a main result, analyzing only one of the gait clusters constant, non-constant or turning led in each case to a better classification performance in comparison to the baseline (increase of area under the curve (AUC) up to 19% relative to baseline). Furthermore, gait parameters (for turning, constant and non-constant gait) that best predict motor impairment in PD were identified.

conclusionsWe conclude that a more detailed analysis in terms of different gait clusters of standardized gait tests such as the 4x10 m walk may give more insights about the clinically relevant motor impairment in PD patients.

Indexed as

AlgorithmsActigraphyAgedCluster AnalysisFemaleGait Disorders, NeurologicHumansMaleMiddle AgedParkinson DiseaseWearable Electronic DevicesAccelerometerClassificationGait analysisGait clusterGait phasesGyroscopeInertial sensorsParkinson’s disease

Identifiers

PMID31242915
PMCPMC6595695

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.