Abstract
Classification of neurodegenerative diseases (NDD) like Parkinson’s disease (PD), Amyotrophic Lateral Sclerosis (ALS), and Huntington’s disease (HD) is of high clinical importance. The gait analysis based classification is attractive due to its simplicity and noninvasiveness. In this paper, we propose a data driven features approach along with autocorrelation and cross correlation between gait time series to create different feature set for a sample representation. Further, a rule based classifier using Decision Tree is trained with those features to classify the neurodegenerative diseases from healthy controls. Mutual Information (MI) analysis revealed the dominance of data driven features over auto and cross correlation based features. The classifier fed with top 500 features could produce the classification accuracy of 88.5%, 92.3%, and 96.2% for HD vs. control, PD vs. Control, and ALS vs. control. Pooling all neurodegenerative samples into one as NDD class and applying current approach produced nearly 87.5% of accuracy for NDD vs. control. Finally, we validated the present approach for a challenging situation of classification of less severe patients and observed respectable accuracies of 80%, 80%, 90%, and 73.33% for HD vs. control, PD vs. Control, and ALS vs. control, and NDD vs. control, respectively. The proposed algorithm shows potential for rule based classification system in data driven features for Neurodegenerative disease classification.
Similar content being viewed by others
Notes
Online available at http://www.physionet.org/physiobank/database/gaitndd/
References
Disease Statistics, OHSU Brain Institute. http://www.ohsu.edu/xd/health/services/brain/in-community/brain-awareness/brain-health/disease statistics.cfm Retrieved on November 7, 2017.
Gourie Devi M. Epidemiology of neurological disorders in India: review of background, prevalence and incidence of epilepsy, stroke, Parkinson's disease and tremors. Neurol India. 2014;62(6):588–98.
Wu Y, Krishnan S. Computer-aided analysis of gait rhythm fluctuations in amyotrophic lateral sclerosis. Med Biol Eng Comput. 2009;47:1165–71.
Hausdroff JM, Cudkowicz ME, Firtion R, Wei JY, Goldberger AL. Gait variability and basal ganglia disorders: stride-to-stride variations of gait cycle timing in Parkinson’s disease and Huntington’s disease. Mov Disord. 1998;13(3):428–37.
Christofoletti G, McNeely ME, Campbell MC, Duncan RP, Earhart GM. Investigation of factors impacting mobility and gait in Parkinson disease. Hum Mov Sci. 2016;49:308–14. https://doi.org/10.1016/j.humov.2016.08.007.
Pyo SJ, Kim H, Kim S, Park Y-M, Kim M-J, et al. Quantitative gait analysis in patients with Huntington’s disease. J Move Disorders. 2017;10(3):140–4.
Gupta A, Nguyen TB, Chakraborty S, Bourque PR. Accuracy of conventional MRI in ALS. Can J Neurol Sci. 2014;41:53–7.
Wahid F, Begg R, Hass CJ, Halgamuge S, Ackland DC. Classification of Parkinson’s disease gait using spatial temporal gait features. IEEE J Biomed Health Inform. 2015:2168–94. https://doi.org/10.1109/JBHI.2015.2450232.
Wang J, Yuan W, An R. Effectiveness of backward walking training on spatial-temporal gait characteristics: a systematic review and meta-analysis. Hum Mov Sci. 2018;60:57–71. https://doi.org/10.1016/j.humov.2018.05.007.
Hausdorff JM. ZviLadin, Jeanne Y.Wei. Footswitch system for measurement of the temporal parameters of gait. J Biomech. 1995;28(3):347–51.
Barker S, Craik R, Freedman W, Herrmann N, Hillstrom H. Accuracy, reliability, and validity of a spatiotemporal gait analysis system. Med Eng Phys. 2006;28:460–7.
Monrraga Bernardino F, Sánchez-DelaCruz E, Ruíz M. Knee-Ankle Sensor for Gait Characterization: Gender Identification Case. Intelligent Computing Systems, Communications in Computer and Information Science, Springer, 2018, 820.
Wua Y, Shib L. Analysis of altered gait cycle duration in amyotrophic lateral sclerosis based on nonparametric probability density function estimation. Med Eng Phys. 2011;33:347–55.
Zeng W, Wang C. Classification of neurodegenerative diseases using gait dynamics via deterministic learning. Inf Sci. 2015;317:246–58.
Daliri MR. Automatic diagnosis of neurodegenerative diseases using gait dynamics. Measurement. 2012;45:1729–34.
Wu Y, Krishnan S. Statistical analysis of gait rhythm in patients with Parkinson’s disease. IEEE Trans Neu Syst Rehab Eng. 2010;18(2):150–8.
W. Van Drongelen. Signal Processing for Neuroscientists: An Introduction to the Analysis of Physiological Signals, Academic Press, 2006.
Joshi D, Khajuria A, Joshi P. An automatic non-invasive method for Parkinson’s disease classification. Comput Methods Prog Biomed, Elsevier. 2017;145:135–45.
Baratin E, Sugavaneswaran L, Umapathy K, Ioana C, Krishnan S. Wavelet-based characterization of gait signal for neurological abnormalities. Gait Posture, Elsevier. 2015;41:634–9.
Yang M, Zheng H, Wang H, Mclean S. Feature Selection and Construction for the Discrimination of Neurodegenerative Diseases Based on Gait Analysis. Pervasive Computing Technologies for Healthcare, 3rd International Conference IEEE, London, 2009.
Ren P, Tang S, Fang F, Luo L, Xu L, Bringas-Vega ML, et al. Gait rhythm fluctuation analysis for neurodegenerative diseases by empirical mode decomposition. IEEE Trans Biomed Eng. 2017;64(1):52–60.
Ren P, Zhao W, Zhao Z, Bringas ML, Valdes-Sosa PA, Kendrick KM. Analysis of gait rhythm fluctuations for neurodegenerative diseases by phase synchronization and conditional entropy. IEEE Trans Neural Syst Rehab Eng. 2016;24(2):291–9.
Lipton ZC. The Mythos of Model Interpretability. ArXiv e-prints, 2016.
Tanner L, Schreiber M, Jenny GH. Low et al. decision tree algorithms predict the diagnosis and outcome of dengue fever in the early phase of illness. PLoS Negl Trop Dis. 2008;2(3):10.1371/journal.pntd.0000196.
Nukala BT, Nakano T, Rodriguez A, et al. Real-time classification of patients with balance disorders vs. Normal subjects using a low-cost small wireless wearable gait sensor. Biosensors. 2016, 6(4):58–80. https://doi.org/10.3390/bios6040058.
Tu Y-Q, Shen Y-L. Phase correction autocorrelation-based frequency estimation method for sinusoidal signal. Sign Proc, Elsevier. 2017;130:183–9.
Zoubek L, Charbonnier S, Lesecq S, Buguet A, Chapotot F. Feature selection for sleep/wake stages classification using data driven methods. Biomed Sign Proc Control, Elsevier. 2007;2(3):171–9.
Gait dynamics in neurodegenerative database, Physionet. http://www.physionet.org/physiobank/database/gaitndd/, retrieved on 15 September 2017.
Hausdorff JM, Lertratanakul A, Cudkowicz ME, et al. Dynamic markers of altered gait rhythm in amyotrophic lateral sclerosis. J Appl Physiol. 2000;88:2045–53.
Kwak SK, Kim JH. Statistical data preparation: management of missing values and outliers. Korean J Anesthesiol. 2017;70(4):407–11.
Leys C, Ley C, Klein O, et al. Detecting outliers: do not use standard deviation around the mean, use absolute deviation around the median. J Exp Soc Psychol/ Elsevier. 2013;19(4):764–6.
Pedregosa, et al. Scikit-learn: machine learning in Python. JMLR. 2011;12:2825–30.
K-nearest neighbor’s algorithm. https://en.wikipedia.org/wiki/K-nearest_neighbors_algorithm . Retrieved on 11 November 2017.
Xia Y, Gao Q, Ye Q. Classification of gait rhythm signals between patients with neurodegenerative diseases and normal subjects: experiments with statistical features and different classification models. Biomed Sign Proc Control, Elsevier. 2015;18:254–62.
De Laet T, Papageorgiou E, Nieuwenhuys A, Desloovere K. Does expert knowledge improve automatic probabilistic classification of gait joint motion patterns in children with cerebral palsy? PLoS One. 2017;12(6):10.1371/journal.pone.0178378.
Shirakawa T, Sugiyama N, Sato H, Sakurai K, Sato E. Gait analysis and machine learning classification on healthy subjects in normal walking. Int J Parallel, Emerg Distrib Syst, Taylor and Francis. 2015;32(2):185–94.
Acknowledgements
We thank Prof. Vinay Goyal (Professor, Department of Neurology, Neuroscience Centre, AIIMS, New Delhi) for guiding us with his valuable suggestions while preparing the manuscript.
Funding
This study was not funded by any of the agency.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interests
All the authors have no conflicts of interests.
Research involving human participants/animals
This article does not contain any studies with human participants or animals performed by any of the authors.
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Gupta, K., Khajuria, A., Chatterjee, N. et al. Rule based classification of neurodegenerative diseases using data driven gait features. Health Technol. 9, 547–560 (2019). https://doi.org/10.1007/s12553-018-0274-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12553-018-0274-y