Advertisement

Connection Between the Parkinson’s Disease Subtypes and Patients’ Symptoms Progression

  • Anita ValmarskaEmail author
  • Dragana Miljkovic
  • Marko Robnik–Šikonja
  • Nada Lavrač
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 11526)

Abstract

Parkinson’s disease (PD) is a neurodegenerative disease characterized by a variety of symptoms. Clinicians studying movement disorders have tried to connect the variability of symptoms to underlying subtypes of PD, the two most common being tremor dominant (TD) and postural instability and gait difficulty dominant (PIGD). This paper investigates the connection between the Parkinson’s disease PIGD and TD subtypes, and patients’ symptoms progression. We present a set of symptoms closely related to each subtype as well as the patients’ statuses that indicate a switch in subtype classification. Detection of patients’ symptoms that possibly lead towards subtype change can contribute to the more personalized treatment of PD patients. The results of experiments on Parkinson’s Progression Markers Initiative (PPMI) data suggest the connection of the PIGD subtype to non-motor symptoms associated with decreased quality of life.

Notes

Acknowledgments

We acknowledge the support of the Slovenian Research Agency research core funding program P2-0103. The data used were obtained from the Parkinson’s Progression Markers Initiative (PPMI) (www.ppmi-info.org/data).

References

  1. 1.
    Fereshtehnejad, S.M., Postuma, R.B., Dagher, A., Zeighami, Y.: Clinical criteria for subtyping Parkinson’s disease: biomarkers and longitudinal progression. Brain 140(7), 1959–1976 (2017)CrossRefGoogle Scholar
  2. 2.
    Jankovic, J., et al.: Variable expression of Parkinson’s disease - a base-line analysis of the DATATOP cohort. Neurology 40(10), 1529–1529 (1990)CrossRefGoogle Scholar
  3. 3.
    Marek, K., et al.: The Parkinson’s Progression Markers Initiative (PPMI). Prog. Neurobiol. 95(4), 629–635 (2011)CrossRefGoogle Scholar
  4. 4.
    Robnik-Šikonja, M., Kononenko, I.: Explaining classifications for individual instances. IEEE Trans. Knowl. Data Eng. 20(5), 589–600 (2008)CrossRefGoogle Scholar
  5. 5.
    Stebbins, G.T., Goetz, C.G., Burn, D.J., Jankovic, J., Khoo, T.K., Tilley, B.C.: How to identify tremor dominant and postural instability/gait difficulty groups with the movement disorder society unified Parkinson’s disease rating scale: comparison with the unified Parkinson’s disease rating scale. Mov. Disord. 28(5), 668–670 (2013)CrossRefGoogle Scholar
  6. 6.
    Valmarska, A., Miljkovic, D., Konitsiotis, S., Gatsios, D., Lavrač, N., Robnik-Šikonja, M.: Symptoms and medications change patterns for Parkinson’s disease patients stratification. Artif. Intell. Med. 91, 82–95 (2018)CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Anita Valmarska
    • 1
    Email author
  • Dragana Miljkovic
    • 1
  • Marko Robnik–Šikonja
    • 2
  • Nada Lavrač
    • 1
    • 3
  1. 1.Jožef Stefan InstituteLjubljanaSlovenia
  2. 2.Faculty of Computer and Information ScienceUniversity of LjubljanaLjubljanaSlovenia
  3. 3.University of Nova GoricaNova GoricaSlovenia

Personalised recommendations