Movement Disorders (revue)

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A Novel Automatic Method for Monitoring Tourette Motor Tics Through a Wearable Device

Identifieur interne : 000913 ( PascalFrancis/Corpus ); précédent : 000912; suivant : 000914

A Novel Automatic Method for Monitoring Tourette Motor Tics Through a Wearable Device

Auteurs : Michel Bernabei ; Ezio Preatoni ; Martin Mendez ; Luca Piccini ; Mauro Porta ; Giuseppe Andreoni

Source :

RBID : Pascal:10-0446320

Descripteurs français

English descriptors

Abstract

The aim of this study was to propose a novel automatic method for quantifying motor-tics caused by the Tourette Syndrome (TS). In this preliminary report, the feasibility of the monitoring process was tested over a series of standard clinical trials in a population of 12 subjects affected by TS. A wearable instrument with an embedded three-axial accelerometer was used to detect and classify motor tics during standing and walking activities. An algorithm was devised to analyze acceleration data by: eliminating noise; detecting peaks connected to pathological events; and classifying intensity and frequency of motor tics into quantitative scores. These indexes were compared with the video-based ones provided by expert clinicians, which were taken as the gold-standard. Sensitivity, specificity, and accuracy of tic detection were estimated, and an agreement analysis was performed through the least square regression and the Bland-Altman test. The tic recognition algorithm showed sensitivity = 80.8% ± 8.5% (mean ± SD), specificity = 75.8% ± 17.3%, and accuracy = 80.5% ± 12.2%. The agreement study showed that automatic detection tended to overestimate the number of tics occurred. Although, it appeared this may be a systematic error due to the different recognition principles of the wearable and video-based systems. Furthermore, there was substantial concurrency with the gold-standard in estimating the severity indexes. The proposed methodology gave promising performances in terms of automatic motor-tics detection and classification in a standard clinical context. The system may provide physicians with a quantitative aid for TS assessment. Further developments will focus on the extension of its application to everyday long-term monitoring out of clinical environments.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 25
A06       @2 12
A08 01  1  ENG  @1 A Novel Automatic Method for Monitoring Tourette Motor Tics Through a Wearable Device
A11 01  1    @1 BERNABEI (Michel)
A11 02  1    @1 PREATONI (Ezio)
A11 03  1    @1 MENDEZ (Martin)
A11 04  1    @1 PICCINI (Luca)
A11 05  1    @1 PORTA (Mauro)
A11 06  1    @1 ANDREONI (Giuseppe)
A14 01      @1 Dipartimento di Bioingegneria, Politecnico di Milano @2 Milan @3 ITA @Z 1 aut. @Z 2 aut. @Z 3 aut.
A14 02      @1 Dipartimento di Industrial Design, Arti, Comunicazione e Moda (INDACO), Politecnico di Milano @2 Milan @3 ITA @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 6 aut.
A14 03      @1 Facultad de Ciencias, Universidad Autónoma de San Luis Potosí @2 San Luis Potosí @3 MEX @Z 3 aut.
A14 04      @1 Department of Neurology, Tourette Centre, IRCCS "Galeazzi," @2 Milan @3 ITA @Z 5 aut.
A20       @1 1967-1972
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000194841700270
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 21 ref.
A47 01  1    @0 10-0446320
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 The aim of this study was to propose a novel automatic method for quantifying motor-tics caused by the Tourette Syndrome (TS). In this preliminary report, the feasibility of the monitoring process was tested over a series of standard clinical trials in a population of 12 subjects affected by TS. A wearable instrument with an embedded three-axial accelerometer was used to detect and classify motor tics during standing and walking activities. An algorithm was devised to analyze acceleration data by: eliminating noise; detecting peaks connected to pathological events; and classifying intensity and frequency of motor tics into quantitative scores. These indexes were compared with the video-based ones provided by expert clinicians, which were taken as the gold-standard. Sensitivity, specificity, and accuracy of tic detection were estimated, and an agreement analysis was performed through the least square regression and the Bland-Altman test. The tic recognition algorithm showed sensitivity = 80.8% ± 8.5% (mean ± SD), specificity = 75.8% ± 17.3%, and accuracy = 80.5% ± 12.2%. The agreement study showed that automatic detection tended to overestimate the number of tics occurred. Although, it appeared this may be a systematic error due to the different recognition principles of the wearable and video-based systems. Furthermore, there was substantial concurrency with the gold-standard in estimating the severity indexes. The proposed methodology gave promising performances in terms of automatic motor-tics detection and classification in a standard clinical context. The system may provide physicians with a quantitative aid for TS assessment. Further developments will focus on the extension of its application to everyday long-term monitoring out of clinical environments.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Tic @5 01
C03 01  X  ENG  @0 Tic @5 01
C03 01  X  SPA  @0 Tic @5 01
C03 02  X  FRE  @0 Syndrome de Gilles de la Tourette @5 02
C03 02  X  ENG  @0 Gilles de la Tourette syndrome @5 02
C03 02  X  SPA  @0 Gilles de la Tourette síndrome @5 02
C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Monitorage @5 09
C03 04  X  ENG  @0 Monitoring @5 09
C03 04  X  SPA  @0 Monitoreo @5 09
C03 05  X  FRE  @0 Dépistage @5 10
C03 05  X  ENG  @0 Medical screening @5 10
C03 05  X  SPA  @0 Descubrimiento @5 10
C03 06  X  FRE  @0 Accéléromètre @5 11
C03 06  X  ENG  @0 Accelerometer @5 11
C03 06  X  SPA  @0 Acelerómetro @5 11
C07 01  X  FRE  @0 Mouvement involontaire @5 37
C07 01  X  ENG  @0 Involuntary movement @5 37
C07 01  X  SPA  @0 Movimiento involuntario @5 37
C07 02  X  FRE  @0 Trouble neurologique @5 39
C07 02  X  ENG  @0 Neurological disorder @5 39
C07 02  X  SPA  @0 Trastorno neurológico @5 39
C07 03  X  FRE  @0 Pathologie de l'encéphale @5 40
C07 03  X  ENG  @0 Cerebral disorder @5 40
C07 03  X  SPA  @0 Encéfalo patología @5 40
C07 04  X  FRE  @0 Maladie dégénérative @5 41
C07 04  X  ENG  @0 Degenerative disease @5 41
C07 04  X  SPA  @0 Enfermedad degenerativa @5 41
C07 05  X  FRE  @0 Pathologie du système nerveux central @5 42
C07 05  X  ENG  @0 Central nervous system disease @5 42
C07 05  X  SPA  @0 Sistema nervosio central patología @5 42
N21       @1 291
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 10-0446320 INIST
ET : A Novel Automatic Method for Monitoring Tourette Motor Tics Through a Wearable Device
AU : BERNABEI (Michel); PREATONI (Ezio); MENDEZ (Martin); PICCINI (Luca); PORTA (Mauro); ANDREONI (Giuseppe)
AF : Dipartimento di Bioingegneria, Politecnico di Milano/Milan/Italie (1 aut., 2 aut., 3 aut.); Dipartimento di Industrial Design, Arti, Comunicazione e Moda (INDACO), Politecnico di Milano/Milan/Italie (1 aut., 2 aut., 4 aut., 6 aut.); Facultad de Ciencias, Universidad Autónoma de San Luis Potosí/San Luis Potosí/Mexique (3 aut.); Department of Neurology, Tourette Centre, IRCCS "Galeazzi,"/Milan/Italie (5 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 12; Pp. 1967-1972; Bibl. 21 ref.
LA : Anglais
EA : The aim of this study was to propose a novel automatic method for quantifying motor-tics caused by the Tourette Syndrome (TS). In this preliminary report, the feasibility of the monitoring process was tested over a series of standard clinical trials in a population of 12 subjects affected by TS. A wearable instrument with an embedded three-axial accelerometer was used to detect and classify motor tics during standing and walking activities. An algorithm was devised to analyze acceleration data by: eliminating noise; detecting peaks connected to pathological events; and classifying intensity and frequency of motor tics into quantitative scores. These indexes were compared with the video-based ones provided by expert clinicians, which were taken as the gold-standard. Sensitivity, specificity, and accuracy of tic detection were estimated, and an agreement analysis was performed through the least square regression and the Bland-Altman test. The tic recognition algorithm showed sensitivity = 80.8% ± 8.5% (mean ± SD), specificity = 75.8% ± 17.3%, and accuracy = 80.5% ± 12.2%. The agreement study showed that automatic detection tended to overestimate the number of tics occurred. Although, it appeared this may be a systematic error due to the different recognition principles of the wearable and video-based systems. Furthermore, there was substantial concurrency with the gold-standard in estimating the severity indexes. The proposed methodology gave promising performances in terms of automatic motor-tics detection and classification in a standard clinical context. The system may provide physicians with a quantitative aid for TS assessment. Further developments will focus on the extension of its application to everyday long-term monitoring out of clinical environments.
CC : 002B17; 002B17G
FD : Tic; Syndrome de Gilles de la Tourette; Pathologie du système nerveux; Monitorage; Dépistage; Accéléromètre
FG : Mouvement involontaire; Trouble neurologique; Pathologie de l'encéphale; Maladie dégénérative; Pathologie du système nerveux central
ED : Tic; Gilles de la Tourette syndrome; Nervous system diseases; Monitoring; Medical screening; Accelerometer
EG : Involuntary movement; Neurological disorder; Cerebral disorder; Degenerative disease; Central nervous system disease
SD : Tic; Gilles de la Tourette síndrome; Sistema nervioso patología; Monitoreo; Descubrimiento; Acelerómetro
LO : INIST-20953.354000194841700270
ID : 10-0446320

Links to Exploration step

Pascal:10-0446320

Le document en format XML

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<div type="abstract" xml:lang="en">The aim of this study was to propose a novel automatic method for quantifying motor-tics caused by the Tourette Syndrome (TS). In this preliminary report, the feasibility of the monitoring process was tested over a series of standard clinical trials in a population of 12 subjects affected by TS. A wearable instrument with an embedded three-axial accelerometer was used to detect and classify motor tics during standing and walking activities. An algorithm was devised to analyze acceleration data by: eliminating noise; detecting peaks connected to pathological events; and classifying intensity and frequency of motor tics into quantitative scores. These indexes were compared with the video-based ones provided by expert clinicians, which were taken as the gold-standard. Sensitivity, specificity, and accuracy of tic detection were estimated, and an agreement analysis was performed through the least square regression and the Bland-Altman test. The tic recognition algorithm showed sensitivity = 80.8% ± 8.5% (mean ± SD), specificity = 75.8% ± 17.3%, and accuracy = 80.5% ± 12.2%. The agreement study showed that automatic detection tended to overestimate the number of tics occurred. Although, it appeared this may be a systematic error due to the different recognition principles of the wearable and video-based systems. Furthermore, there was substantial concurrency with the gold-standard in estimating the severity indexes. The proposed methodology gave promising performances in terms of automatic motor-tics detection and classification in a standard clinical context. The system may provide physicians with a quantitative aid for TS assessment. Further developments will focus on the extension of its application to everyday long-term monitoring out of clinical environments.</div>
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<s0>Degenerative disease</s0>
<s5>41</s5>
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<s0>Pathologie du système nerveux central</s0>
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<NO>PASCAL 10-0446320 INIST</NO>
<ET>A Novel Automatic Method for Monitoring Tourette Motor Tics Through a Wearable Device</ET>
<AU>BERNABEI (Michel); PREATONI (Ezio); MENDEZ (Martin); PICCINI (Luca); PORTA (Mauro); ANDREONI (Giuseppe)</AU>
<AF>Dipartimento di Bioingegneria, Politecnico di Milano/Milan/Italie (1 aut., 2 aut., 3 aut.); Dipartimento di Industrial Design, Arti, Comunicazione e Moda (INDACO), Politecnico di Milano/Milan/Italie (1 aut., 2 aut., 4 aut., 6 aut.); Facultad de Ciencias, Universidad Autónoma de San Luis Potosí/San Luis Potosí/Mexique (3 aut.); Department of Neurology, Tourette Centre, IRCCS "Galeazzi,"/Milan/Italie (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 12; Pp. 1967-1972; Bibl. 21 ref.</SO>
<LA>Anglais</LA>
<EA>The aim of this study was to propose a novel automatic method for quantifying motor-tics caused by the Tourette Syndrome (TS). In this preliminary report, the feasibility of the monitoring process was tested over a series of standard clinical trials in a population of 12 subjects affected by TS. A wearable instrument with an embedded three-axial accelerometer was used to detect and classify motor tics during standing and walking activities. An algorithm was devised to analyze acceleration data by: eliminating noise; detecting peaks connected to pathological events; and classifying intensity and frequency of motor tics into quantitative scores. These indexes were compared with the video-based ones provided by expert clinicians, which were taken as the gold-standard. Sensitivity, specificity, and accuracy of tic detection were estimated, and an agreement analysis was performed through the least square regression and the Bland-Altman test. The tic recognition algorithm showed sensitivity = 80.8% ± 8.5% (mean ± SD), specificity = 75.8% ± 17.3%, and accuracy = 80.5% ± 12.2%. The agreement study showed that automatic detection tended to overestimate the number of tics occurred. Although, it appeared this may be a systematic error due to the different recognition principles of the wearable and video-based systems. Furthermore, there was substantial concurrency with the gold-standard in estimating the severity indexes. The proposed methodology gave promising performances in terms of automatic motor-tics detection and classification in a standard clinical context. The system may provide physicians with a quantitative aid for TS assessment. Further developments will focus on the extension of its application to everyday long-term monitoring out of clinical environments.</EA>
<CC>002B17; 002B17G</CC>
<FD>Tic; Syndrome de Gilles de la Tourette; Pathologie du système nerveux; Monitorage; Dépistage; Accéléromètre</FD>
<FG>Mouvement involontaire; Trouble neurologique; Pathologie de l'encéphale; Maladie dégénérative; Pathologie du système nerveux central</FG>
<ED>Tic; Gilles de la Tourette syndrome; Nervous system diseases; Monitoring; Medical screening; Accelerometer</ED>
<EG>Involuntary movement; Neurological disorder; Cerebral disorder; Degenerative disease; Central nervous system disease</EG>
<SD>Tic; Gilles de la Tourette síndrome; Sistema nervioso patología; Monitoreo; Descubrimiento; Acelerómetro</SD>
<LO>INIST-20953.354000194841700270</LO>
<ID>10-0446320</ID>
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