Automatic detection of freezing of gait events in patients with Parkinson's disease

The aim of this study is to detect freezing of gait (FoG) events in patients suffering from Parkinson's disease (PD) using signals received from wearable sensors (six accelerometers and two gyroscopes) placed on the patients' body. For this purpose, an automated methodology has been developed which consists of four stages. In the first stage, missing values due to signal loss or degradation are replaced and then (second stage) low frequency components of the raw signal are removed. In the third stage, the entropy of the raw signal is calculated. Finally (fourth stage), four classification algorithms have been tested (Naive Bayes, Random Forests, Decision Trees and Random Tree) in order to detect the FoG events. The methodology has been evaluated using several different configurations of sensors in order to conclude to the set of sensors which can produce optimal FoG episode detection. Signals recorded from five healthy subjects, five patients with PD who presented the symptom of FoG and six patients who suffered from PD but they do not present FoG events. The signals included 93 FoG events with 405.6 s total duration. The results indicate that the proposed methodology is able to detect FoG events with 81.94% sensitivity, 98.74% specificity, 96.11% accuracy and 98.6% area under curve (AUC) using the signals from all sensors and the Random Forests classification algorithm. (C) 2012 Elsevier Ireland Ltd. All rights reserved.