Passive Monitoring of Parkinson Tremor in Daily Life: A Prototypical Network Approach

Objective and continuous monitoring of Parkinson’s disease (PD) tremor in free-living conditions could benefit both individual patient care and clinical trials, by overcoming the snapshot nature of clinical assessments. To enable robust detection of tremor in the context of limited amounts of labele...

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Main Authors: Luc J. W. Evers, Yordan P. Raykov, Tom M. Heskes, Jesse H. Krijthe, Bastiaan R. Bloem, Max A. Little
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Sensors
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Online Access:https://www.mdpi.com/1424-8220/25/2/366
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author Luc J. W. Evers
Yordan P. Raykov
Tom M. Heskes
Jesse H. Krijthe
Bastiaan R. Bloem
Max A. Little
author_facet Luc J. W. Evers
Yordan P. Raykov
Tom M. Heskes
Jesse H. Krijthe
Bastiaan R. Bloem
Max A. Little
author_sort Luc J. W. Evers
collection DOAJ
description Objective and continuous monitoring of Parkinson’s disease (PD) tremor in free-living conditions could benefit both individual patient care and clinical trials, by overcoming the snapshot nature of clinical assessments. To enable robust detection of tremor in the context of limited amounts of labeled training data, we propose to use prototypical networks, which can embed domain expertise about the heterogeneous tremor and non-tremor sub-classes. We evaluated our approach using data from the Parkinson@Home Validation study, including 8 PD patients with tremor, 16 PD patients without tremor, and 24 age-matched controls. We used wrist accelerometer data and synchronous expert video annotations for the presence of tremor, captured during unscripted daily life activities in and around the participants’ own homes. Based on leave-one-subject-out cross-validation, we demonstrate the ability of prototypical networks to capture free-living tremor episodes. Specifically, we demonstrate that prototypical networks can be used to enforce robust performance across domain-informed sub-classes, including different tremor phenotypes and daily life activities.
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spelling doaj-art-4e5205d55fc947338f20f9929591c1362025-01-24T13:48:39ZengMDPI AGSensors1424-82202025-01-0125236610.3390/s25020366Passive Monitoring of Parkinson Tremor in Daily Life: A Prototypical Network ApproachLuc J. W. Evers0Yordan P. Raykov1Tom M. Heskes2Jesse H. Krijthe3Bastiaan R. Bloem4Max A. Little5Center of Expertise for Parkinson and Movement Disorders, Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsSchool of Mathematical Sciences, University of Nottingham, Nottingham NG9 2SE, UKInstitute for Computing and Information Sciences, Radboud University, 6525 EC Nijmegen, The NetherlandsPattern Recognition & Bioinformatics Group, Delft University of Technology, 2628 XE Delft, The NetherlandsCenter of Expertise for Parkinson and Movement Disorders, Department of Neurology, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsSchool of Computer Science, University of Birmingham, Birmingham B15 2TT, UKObjective and continuous monitoring of Parkinson’s disease (PD) tremor in free-living conditions could benefit both individual patient care and clinical trials, by overcoming the snapshot nature of clinical assessments. To enable robust detection of tremor in the context of limited amounts of labeled training data, we propose to use prototypical networks, which can embed domain expertise about the heterogeneous tremor and non-tremor sub-classes. We evaluated our approach using data from the Parkinson@Home Validation study, including 8 PD patients with tremor, 16 PD patients without tremor, and 24 age-matched controls. We used wrist accelerometer data and synchronous expert video annotations for the presence of tremor, captured during unscripted daily life activities in and around the participants’ own homes. Based on leave-one-subject-out cross-validation, we demonstrate the ability of prototypical networks to capture free-living tremor episodes. Specifically, we demonstrate that prototypical networks can be used to enforce robust performance across domain-informed sub-classes, including different tremor phenotypes and daily life activities.https://www.mdpi.com/1424-8220/25/2/366tremor modelingtremor detectionpassive monitoringwearable sensorsprototype networksParkinson’s disease
spellingShingle Luc J. W. Evers
Yordan P. Raykov
Tom M. Heskes
Jesse H. Krijthe
Bastiaan R. Bloem
Max A. Little
Passive Monitoring of Parkinson Tremor in Daily Life: A Prototypical Network Approach
Sensors
tremor modeling
tremor detection
passive monitoring
wearable sensors
prototype networks
Parkinson’s disease
title Passive Monitoring of Parkinson Tremor in Daily Life: A Prototypical Network Approach
title_full Passive Monitoring of Parkinson Tremor in Daily Life: A Prototypical Network Approach
title_fullStr Passive Monitoring of Parkinson Tremor in Daily Life: A Prototypical Network Approach
title_full_unstemmed Passive Monitoring of Parkinson Tremor in Daily Life: A Prototypical Network Approach
title_short Passive Monitoring of Parkinson Tremor in Daily Life: A Prototypical Network Approach
title_sort passive monitoring of parkinson tremor in daily life a prototypical network approach
topic tremor modeling
tremor detection
passive monitoring
wearable sensors
prototype networks
Parkinson’s disease
url https://www.mdpi.com/1424-8220/25/2/366
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