生物力学信号分析评价帕金森病的步态

L. S. Fernández, Luite Alejandro Sanchez Perez, José Juan Carbajal Hernández, Gabriel de J. Rodriguez Jordan
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引用次数: 5

摘要

无线传感器网络的生物力学信号采集和信息处理对帕金森病患者的医疗保健具有重要的挑战。与其他生物力学体征一样,PD患者通常表现为动作缓慢、难以启动、变化或中断,这反映在步态改变上。患者应步行至少10米,然后转身返回起点。这些移动要求会影响无线通信的质量。目前PD患者的评估量表有很多,但在最近的研究中,“运动障碍学会-统一帕金森病评定评定量表”(MDS-UPDRS)获得了极大的声誉。然而,评估是一种主观的方式,很大程度上取决于患者的瞬间状态,所显示的结果只是定性的,没有发现细微的差异。本文分别介绍了蓝牙和XBee无线传感器网络的结果,以及根据MDS-UPDRS建立的参数,利用来自惯性测量单元的多轴信号,对步态进行分析、评估和分类的扩散模型的第一阶段。该模型具有良好的评价和分类效果,并得到了医学专家的支持。
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Biomechanical Signal Analysis for Evaluation of Gait in Parkinson's Disease
The biomechanical signals acquisition through wireless sensor networks and the information processing for healthcare in patients with Parkinson's disease (PD) have an important challenge. As well as other biomechanical signs, patients with PD usually present slow movements, difficult to initiate, vary or interrupt which reflect in gait alterations. The patient should walk at least 10 meters, then turn around and return to the starting point. These movement requirements can affect the wireless communication quality. Currently there are many scales for the assessment of patients with PD, but in recent research, the scale “Movement Disorder Society - Unified Parkinson's Disease-Rating Rating Scale” (MDS-UPDRS) has gained great notoriety. However, evaluation is in a subjective way and depends a lot on the patient's momentary status and the results shown are qualitative only, and the subtle differences not detected. This paper presents results with wireless sensors networks Bluetooth and XBee, respectively, as well as the first stage of a diffuse model to analyse, evaluate and classify the gait according to the parameters established by the MDS-UPDRS, with multi-axial signals from inertial measurement units. The model presented good results for evaluation and classification, always backed-up by the help of medical experts.
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