A New Modality for Quantitative Evaluation of Parkinson's Disease: In-Air Movement

Parkinsons disease (PD) is neurodegenerative disorder with very high prevalence rate occurring mainly among elderly. One of the most typical symptoms of PD is deterioration of handwriting that is usually the first manifestation of Parkinsons disease. In this study, a new modality - in-air trajectory during handwriting - is proposed to efficiently diagnose PD. Experimental results showed that analysis of in-air trajectories is capable of assessing subtle motor abnormalities that are connected with PD. Moreover, conjunction of in-air trajectories with conventional on-surface handwriting allows us to build predictive model with PD classification accuracy over 80%. In total, we compute over 600 handwriting features. Then, we select smaller subset of these features using two feature selection algorithms: Mann-Whitney U-test filter and relief algorithm, and map these feature subsets to binary classification response using support vector machines.