Title Information
Title
Short-Timescale Assessment of Motor Symptomatology in Parkinson’s Disease and Essential Tremor
Abstract
Parkinson’s disease (PD) affects over 4 million people worldwide, making it the second-most prevalent neurodegenerative disease behind Alzheimer’s disease. Cardinal motor symptoms of PD include resting tremor, bradykinesia, rigidity, and postural or gait-related instability. Current therapies, including dopamine replacement and deep brain stimulation of the subthalamic nucleus (STN) or internal globus pallidus (GPi), aim to alleviate these hallmark motor symptoms: as such, clinical evaluation focuses on assessing their severity. Currently, clinicians use the Unified Parkinson’s Disease Rating Scale (UPDRS) to quantify symptomatology in PD patients. While this scale has been validated, its subjectivity, susceptibility to inter-rater variability, and its inability to capture short-timescale fluctuations in symptomatology make it an imperfect tool. PD researchers, clinicians, and patients have begun to harness the rise of ubiquitous mobile computing to assess symptomatology. The mPower app, which allowed patients to complete tasks designed to evaluate cognition, gait, vocal tremor, and speed/dexterity, became available on Apple’s app store in 2015. Within the first year, over 1,000 participants with a confirmed diagnosis of PD enrolled in the study, indicating the promise of such an approach. Here, we use a novel, iPad-based task to assess motor symptomatology over seven different calculated domains in three-second epochs. Using a support vector machine (SVM) learning algorithm, we can generate 7-dimensional hyperplane classifiers for PD and ET patients that can accurately differentiate patients from control subjects, and PD patients from ET patients.
Name
Name Part
Sanderson, John
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
Yu, James
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
Liu, David
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
Akbar, Umer
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
D'Abreu, Anelyssa
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
Lee, Shane
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
Asaad, Wael
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name: Corporate
Name Part
Brown University. Alpert Medical School. Scholarly Concentration Program. Non-Scholarly Concentrator
Role
Role Term: Text
research program
Subject (fast) (authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01036509")
Topic
Neurosciences
Subject (fast) (authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01053693")
Topic
Parkinson's disease
Subject (fast) (authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01014742")
Topic
Medical technology
Language
Language Term: Text (ISO639-2B)
English
Origin Information
Date Created (keyDate="yes", encoding="w3cdtf")
2018
Note (displayLabel="Scholarly concentration")
Non-Scholarly Concentrator
Access Condition: use and reproduction (href="")
All rights reserved
Access Condition: logo (href="")
Type of Resource
text