Real-World Parkinson’s Hand Tremor Detection Using Ensemble Learning Techniques

Hand tremor is a major motor symptom of Parkinson’s disease (PD) that seriously affects the life quality of patients. Conventional tremor detection methods have mainly focused on resting state. However, resting tremor is not always sufficient to accurately distinguish PD tremor from other...

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Main Authors: Sungwook Hur, Jieming Zhang, Moon-Hyun Kim, Tai-Myoung Chung
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Access
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Online Access:https://ieeexplore.ieee.org/document/10854462/
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author Sungwook Hur
Jieming Zhang
Moon-Hyun Kim
Tai-Myoung Chung
author_facet Sungwook Hur
Jieming Zhang
Moon-Hyun Kim
Tai-Myoung Chung
author_sort Sungwook Hur
collection DOAJ
description Hand tremor is a major motor symptom of Parkinson’s disease (PD) that seriously affects the life quality of patients. Conventional tremor detection methods have mainly focused on resting state. However, resting tremor is not always sufficient to accurately distinguish PD tremor from other tremor disorders such as essential tremor. Examining tremor during movement provides additional diagnostic value, but also has challenges. In this paper, we propose a novel approach to detect Parkinsonian hand tremor at walking state by exploiting the periodic synchronization between arm swings and leg steps that is observed in natural walking, specifically by using a wrist-worn sensor to capture the characteristic hand tremor that is induced during walking in Parkinson’s patients. Our method first applies a dynamic scanning mechanism to screen out valid walking fragments from whole walking sequence. We then exploit walking periodicity to combine time and frequency domain features, and design two new accelerometer-based features, Average Peak Interval Time (APIT) and Average Peak Frequency (APF), which capture the characteristic amplitude and frequency patterns of PD tremors during natural walking movements. Finally, unlike traditional approaches that use uniform feature weighting, our proposed variance adaptive AdaBoost (VA-AdaBoost) algorithm uniquely incorporates accelerometer signal variance to adaptively weight samples for feature training. The results of our five-fold cross-validation experimental evaluation using the PD-BioStampRC21 dataset show that our method achieved an accuracy of 86.67% and an AUC score of 95.56%, representing a significant improvement over the baseline model’s accuracy of 72.67% and surpassing other existing methods. Our method enables more accurate detection of subtle tremor patterns in real-world conditions compared to conventional methods. The proposed method has shown potential in the integration of wearable sensors and ensemble learning techniques for the early and accessible diagnosis of Parkinsonian hand tremor, ultimately contributing to improved patient care and treatment.
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spelling doaj-art-c2753ef51c8143a4b92dab1c1b1f08342025-02-07T00:01:16ZengIEEEIEEE Access2169-35362025-01-0113226782269310.1109/ACCESS.2025.353429310854462Real-World Parkinson’s Hand Tremor Detection Using Ensemble Learning TechniquesSungwook Hur0https://orcid.org/0009-0009-8171-0330Jieming Zhang1https://orcid.org/0009-0007-8796-6316Moon-Hyun Kim2https://orcid.org/0009-0001-2264-8620Tai-Myoung Chung3https://orcid.org/0000-0002-7687-8114Department of Computer Science and Engineering, Sungkyunkwan University, Suwon, Republic of KoreaDepartment of Computer Science and Engineering, Sungkyunkwan University, Suwon, Republic of KoreaDepartment of Computer Science and Engineering, Sungkyunkwan University, Suwon, Republic of KoreaDepartment of Computer Science and Engineering, Sungkyunkwan University, Suwon, Republic of KoreaHand tremor is a major motor symptom of Parkinson’s disease (PD) that seriously affects the life quality of patients. Conventional tremor detection methods have mainly focused on resting state. However, resting tremor is not always sufficient to accurately distinguish PD tremor from other tremor disorders such as essential tremor. Examining tremor during movement provides additional diagnostic value, but also has challenges. In this paper, we propose a novel approach to detect Parkinsonian hand tremor at walking state by exploiting the periodic synchronization between arm swings and leg steps that is observed in natural walking, specifically by using a wrist-worn sensor to capture the characteristic hand tremor that is induced during walking in Parkinson’s patients. Our method first applies a dynamic scanning mechanism to screen out valid walking fragments from whole walking sequence. We then exploit walking periodicity to combine time and frequency domain features, and design two new accelerometer-based features, Average Peak Interval Time (APIT) and Average Peak Frequency (APF), which capture the characteristic amplitude and frequency patterns of PD tremors during natural walking movements. Finally, unlike traditional approaches that use uniform feature weighting, our proposed variance adaptive AdaBoost (VA-AdaBoost) algorithm uniquely incorporates accelerometer signal variance to adaptively weight samples for feature training. The results of our five-fold cross-validation experimental evaluation using the PD-BioStampRC21 dataset show that our method achieved an accuracy of 86.67% and an AUC score of 95.56%, representing a significant improvement over the baseline model’s accuracy of 72.67% and surpassing other existing methods. Our method enables more accurate detection of subtle tremor patterns in real-world conditions compared to conventional methods. The proposed method has shown potential in the integration of wearable sensors and ensemble learning techniques for the early and accessible diagnosis of Parkinsonian hand tremor, ultimately contributing to improved patient care and treatment.https://ieeexplore.ieee.org/document/10854462/Parkinson’s diseaseensemble learningmachine learningtremor detection
spellingShingle Sungwook Hur
Jieming Zhang
Moon-Hyun Kim
Tai-Myoung Chung
Real-World Parkinson’s Hand Tremor Detection Using Ensemble Learning Techniques
IEEE Access
Parkinson’s disease
ensemble learning
machine learning
tremor detection
title Real-World Parkinson’s Hand Tremor Detection Using Ensemble Learning Techniques
title_full Real-World Parkinson’s Hand Tremor Detection Using Ensemble Learning Techniques
title_fullStr Real-World Parkinson’s Hand Tremor Detection Using Ensemble Learning Techniques
title_full_unstemmed Real-World Parkinson’s Hand Tremor Detection Using Ensemble Learning Techniques
title_short Real-World Parkinson’s Hand Tremor Detection Using Ensemble Learning Techniques
title_sort real world parkinson x2019 s hand tremor detection using ensemble learning techniques
topic Parkinson’s disease
ensemble learning
machine learning
tremor detection
url https://ieeexplore.ieee.org/document/10854462/
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AT jiemingzhang realworldparkinsonx2019shandtremordetectionusingensemblelearningtechniques
AT moonhyunkim realworldparkinsonx2019shandtremordetectionusingensemblelearningtechniques
AT taimyoungchung realworldparkinsonx2019shandtremordetectionusingensemblelearningtechniques