PTPilotJournal of neuroengineering and rehabilitation2019

Dynamic neural network approach to targeted balance assessment of individuals with and without neurological disease during non-steady-state locomotion.

Nathaniel T Pickle, Staci M Shearin, Nicholas P Fey

PMID 31300001

WHAT IT FOUND

A neural network predicted balance-related whole-body motion from five body segments, including during complex walking in five healthy people and five people with early Parkinson's.

The test used simulated sensors, so it is not a clinical assessment yet.

Key findings

01A neural network trained only on able-bodied data predicted segment contributions to whole-body angular momentum with correlations of 0.989 in able-bodied individuals and 0.987 in individuals with Parkinson's disease.

02Mean errors ranged from approximately 1.8 to 6.4% of peak signal magnitude across body segments and planes of motion.

03Prediction errors were somewhat larger in individuals with Parkinson's disease than in able-bodied individuals.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study had only five healthy participants and five people with early-stage Parkinson's disease, so it cannot show how the method works in larger or more impaired groups. The wearable sensor data were simulated from optical motion capture, not collected from physical low-cost sensors, so real sensor placement and drift issues were not tested. The participants with Parkinson's disease were medicated and had mild symptoms, and the algorithm was not trained on patient data or pathology such as tremor. The accuracy of the predictions has not been shown to be high enough to identify balance deficits or guide treatment.

Declared interests

The supplied text names the UT Southwestern Mobility Foundation Center for Rehabilitation Research as funder. It does not report author conflicts of interest.

The easy way to misread this

Do not read this as a validated clinical balance test. It used simulated sensor data from optical motion capture in five people with early Parkinson's, and the authors say it is unclear whether the accuracy is high enough for clinical treatment.

Read it on PubMed →