Deep Learning–Based Prediction of Freezing of Gait in Parkinson's Disease With the Ensemble Channel Selection Approach

ABSTRACT Purpose A debilitating and poorly understood symptom of Parkinson's disease (PD) is freezing of gait (FoG), which increases the risk of falling. Clinical evaluations of FoG, relying on patients’ subjective reports and manual examinations by specialists, are unreliable, and most detecti...

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Main Authors: Sara Abbasi, Khosro Rezaee
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.70206
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author Sara Abbasi
Khosro Rezaee
author_facet Sara Abbasi
Khosro Rezaee
author_sort Sara Abbasi
collection DOAJ
description ABSTRACT Purpose A debilitating and poorly understood symptom of Parkinson's disease (PD) is freezing of gait (FoG), which increases the risk of falling. Clinical evaluations of FoG, relying on patients’ subjective reports and manual examinations by specialists, are unreliable, and most detection methods are influenced by subject‐specific factors. Method To address this, we developed a novel algorithm for detecting FoG events based on movement signals. To enhance efficiency, we propose a novel architecture integrating a bottleneck attention module into a standard bidirectional long short‐term memory network (BiLSTM). This architecture, adaptable to a convolution bottleneck attention–BiLSTM (CBA‐BiLSTM), classifies signals using data from ankle, leg, and trunk sensors. Finding Given three movement directions from three locations, we reduce computational complexity in two phases: selecting optimal channels through ensemble learning followed by feature reduction using attention mapping. In FoG event detection tests, performance improved significantly compared to control groups and existing methods, achieving 99.88% accuracy with only two channels. Conclusion The reduced computational complexity enables real‐time monitoring. Our approach demonstrates substantial improvements in classification results compared to traditional deep learning methods.
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institution Kabale University
issn 2162-3279
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spelling doaj-art-0b86db34f66c484180d10180cd0636de2025-01-29T13:36:39ZengWileyBrain and Behavior2162-32792025-01-01151n/an/a10.1002/brb3.70206Deep Learning–Based Prediction of Freezing of Gait in Parkinson's Disease With the Ensemble Channel Selection ApproachSara Abbasi0Khosro Rezaee1Department of Biomedical Engineering Islamic Azad University of Mashhad Mashhad IranDepartment of Biomedical Engineering Meybod University Meybod IranABSTRACT Purpose A debilitating and poorly understood symptom of Parkinson's disease (PD) is freezing of gait (FoG), which increases the risk of falling. Clinical evaluations of FoG, relying on patients’ subjective reports and manual examinations by specialists, are unreliable, and most detection methods are influenced by subject‐specific factors. Method To address this, we developed a novel algorithm for detecting FoG events based on movement signals. To enhance efficiency, we propose a novel architecture integrating a bottleneck attention module into a standard bidirectional long short‐term memory network (BiLSTM). This architecture, adaptable to a convolution bottleneck attention–BiLSTM (CBA‐BiLSTM), classifies signals using data from ankle, leg, and trunk sensors. Finding Given three movement directions from three locations, we reduce computational complexity in two phases: selecting optimal channels through ensemble learning followed by feature reduction using attention mapping. In FoG event detection tests, performance improved significantly compared to control groups and existing methods, achieving 99.88% accuracy with only two channels. Conclusion The reduced computational complexity enables real‐time monitoring. Our approach demonstrates substantial improvements in classification results compared to traditional deep learning methods.https://doi.org/10.1002/brb3.70206bidirectional long short‐term memorybottleneck attention modulechannel selectionensemblingfreezing of gaitParkinson's disease
spellingShingle Sara Abbasi
Khosro Rezaee
Deep Learning–Based Prediction of Freezing of Gait in Parkinson's Disease With the Ensemble Channel Selection Approach
Brain and Behavior
bidirectional long short‐term memory
bottleneck attention module
channel selection
ensembling
freezing of gait
Parkinson's disease
title Deep Learning–Based Prediction of Freezing of Gait in Parkinson's Disease With the Ensemble Channel Selection Approach
title_full Deep Learning–Based Prediction of Freezing of Gait in Parkinson's Disease With the Ensemble Channel Selection Approach
title_fullStr Deep Learning–Based Prediction of Freezing of Gait in Parkinson's Disease With the Ensemble Channel Selection Approach
title_full_unstemmed Deep Learning–Based Prediction of Freezing of Gait in Parkinson's Disease With the Ensemble Channel Selection Approach
title_short Deep Learning–Based Prediction of Freezing of Gait in Parkinson's Disease With the Ensemble Channel Selection Approach
title_sort deep learning based prediction of freezing of gait in parkinson s disease with the ensemble channel selection approach
topic bidirectional long short‐term memory
bottleneck attention module
channel selection
ensembling
freezing of gait
Parkinson's disease
url https://doi.org/10.1002/brb3.70206
work_keys_str_mv AT saraabbasi deeplearningbasedpredictionoffreezingofgaitinparkinsonsdiseasewiththeensemblechannelselectionapproach
AT khosrorezaee deeplearningbasedpredictionoffreezingofgaitinparkinsonsdiseasewiththeensemblechannelselectionapproach