Utilizing Neural Networks to Predict Freezing of Gait in Parkinson's Patients

The artificial neural network is a form of machine learning that is highly effective at recognizing patterns in large, noise-filled datasets. Possessing these attributes uniquely qualifies the neural network as a mathematical basis for adaptability in personal biomedical devices. The purpose of this study was to determine the viability of neural networks in predicting Freezing of Gait (FoG), a symptom of Parkinson's disease in which the patient's legs are suddenly rendered unable to move. More specifically, a class of neural networks known as layered recurrent networks (LRNs) was applied to an open- source FoG experimental dataset donated to the Machine Learning Repository of the University of California at Irvine. The independent variables in this experiment \u2014 the subject being tested, neural network architecture, and sampling of the majority classes \u2014 were each varied and compared against the performance of the neural network in predicting future FoG events. It was determined that single-layered recurrent networks are a viable method of predicting FoG events given the volume of the training data available, though results varied significantly between different patients. For the three patients tested, shank acceleration data was used to train networks with peak precision/recall values of 41.88%/47.12%, 89.05%/29.60%, and 57.19%/27.39% respectively. These values were obtained for networks optimized using detection theory rather than optimized for desired values of precision and recall. Furthermore, due to the nature of the experiments performed in this study, these values are representative of the lower-bound performance of layered recurrent networks trained to detect gait freezing. As such, these values may be improved through a variety of measures.