Exploring Machine Learning Models Based on Accelerometer Sensor Alone or Combined With Gyroscope to Classify Home-Based Exercises and Physical Behavior in (Pre)sarcopenic Older Adults

2021 ◽  
pp. 1-13
Author(s):  
Lenore Dedeyne ◽  
Jorgen A. Wullems ◽  
Jolan Dupont ◽  
Jos Tournoy ◽  
Evelien Gielen ◽  
...  
Keyword(s):  
Machine Learning ◽  
Older Adults ◽  
Inertial Measurement Unit ◽  
Measurement Unit ◽  
Learning Models ◽  
Top Down ◽  
Inertial Measurement ◽  
Physical Behavior ◽  
Home Based ◽  
Machine Learning Models

Tools for objective monitoring of home-based training and physical behavior (PB) in (pre)sarcopenic older adults are needed. The present study explored two approaches with machine learning models, including accelerometer data either with or without additional gyroscope data (in an inertial measurement unit). Twenty-five community-dwelling (pre)sarcopenic adults mean 80.7 [5.5] years) performed the Otago exercise protocol (OEP) and PB modules (e.g., sitting or walking) while wearing an inertial measurement unit on the lower back (Dynaport MoveMonitor; McRoberts, The Hague, The Netherlands). Machine learning (ML) models for classification were developed by two approaches (top-down and bottom-up approaches) and with two levels of classification: general (no wear, OEP, and PB) and detailed (all subclassifications). Classification output was compared with video recordings. For the bottom-up approach, one ML model was developed. For the top-down approach, data were first classified as no wear, OEP, or PB. Thereafter, OEP and PB were subclassified by one ML model each into subclassification. Only classification of the general classification no wear and the subclassification sitting/lying reached the acceptable performance threshold of 80%. This result was independent of the approach used. Moreover, a gyroscope did not improve performance. Despite the progress in ML techniques and monitors, objective compliance registrations remain challenging.

scholarly journals Automatically evaluating balance using machine learning and data from a single inertial measurement unit

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Fahad Kamran ◽  
Kathryn Harrold ◽  
Jonathan Zwier ◽  
Wendy Carender ◽  
Tian Bao ◽  
...  
Keyword(s):  
Machine Learning ◽  
Inertial Measurement Unit ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Model Performance ◽  
Machine Learning Techniques ◽  
Measurement Unit ◽  
Balance Performance ◽  
Inertial Measurement ◽  
Self Assessments

Abstract Background Recently, machine learning techniques have been applied to data collected from inertial measurement units to automatically assess balance, but rely on hand-engineered features. We explore the utility of machine learning to automatically extract important features from inertial measurement unit data for balance assessment. Findings Ten participants with balance concerns performed multiple balance exercises in a laboratory setting while wearing an inertial measurement unit on their lower back. Physical therapists watched video recordings of participants performing the exercises and rated balance on a 5-point scale. We trained machine learning models using different representations of the unprocessed inertial measurement unit data to estimate physical therapist ratings. On a held-out test set, we compared these learned models to one another, to participants’ self-assessments of balance, and to models trained using hand-engineered features. Utilizing the unprocessed kinematic data from the inertial measurement unit provided significant improvements over both self-assessments and models using hand-engineered features (AUROC of 0.806 vs. 0.768, 0.665). Conclusions Unprocessed data from an inertial measurement unit used as input to a machine learning model produced accurate estimates of balance performance. The ability to learn from unprocessed data presents a potentially generalizable approach for assessing balance without the need for labor-intensive feature engineering, while maintaining comparable model performance.

scholarly journals Evaluating the use of machine learning in the assessment of joint angle using a single inertial sensor

2019 ◽  
Vol 6 ◽  
pp. 205566831986854 ◽  
Author(s):  
Rob Argent ◽  
Sean Drummond ◽  
Alexandria Remus ◽  
Martin O’Reilly ◽  
Brian Caulfield
Keyword(s):  
Machine Learning ◽  
Knee Joint ◽  
Inertial Measurement Unit ◽  
Joint Angle ◽  
Machine Learning Algorithms ◽  
Measurement Unit ◽  
Reference Standard ◽  
Inertial Measurement ◽  
Knee Joint Angle ◽  
Single Sensor

Introduction Joint angle measurement is an important objective marker in rehabilitation. Inertial measurement units may provide an accurate and reliable method of joint angle assessment. The objective of this study was to assess whether a single sensor with the application of machine learning algorithms could accurately measure hip and knee joint angle, and investigate the effect of inertial measurement unit orientation algorithms and person-specific variables on accuracy. Methods Fourteen healthy participants completed eight rehabilitation exercises with kinematic data captured by a 3D motion capture system, used as the reference standard, and a wearable inertial measurement unit. Joint angle was calculated from the single inertial measurement unit using four machine learning models, and was compared to the reference standard to evaluate accuracy. Results Average root-mean-squared error for the best performing algorithms across all exercises was 4.81° (SD = 1.89). The use of an inertial measurement unit orientation algorithm as a pre-processing step improved accuracy; however, the addition of person-specific variables increased error with average RMSE 4.99° (SD = 1.83°). Conclusions Hip and knee joint angle can be measured with a good degree of accuracy from a single inertial measurement unit using machine learning. This offers the ability to monitor and record dynamic joint angle with a single sensor outside of the clinic.

scholarly journals Predictive Modeling for Frailty Conditions in Elderly People: Machine Learning Approaches (Preprint)

2019 ◽  
Author(s):  
Adane Tarekegn ◽  
Fulvio Ricceri ◽  
Giuseppe Costa ◽  
Elisa Ferracin ◽  
Mario Giacobini
Keyword(s):  
Machine Learning ◽  
Older Adults ◽  
Elderly People ◽  
Emergency Admission ◽  
Evaluation Metrics ◽  
Support Vector ◽  
Learning Models ◽  
Increased Risk ◽  
Wide Range ◽  
Machine Learning Models

BACKGROUND Frailty is one of the most critical age-related conditions in older adults. It is often recognized as a syndrome of physiological decline in late life, characterized by a marked vulnerability to adverse health outcomes. A clear operational definition of frailty, however, has not been agreed so far. There is a wide range of studies on the detection of frailty and their association with mortality. Several of these studies have focused on the possible risk factors associated with frailty in the elderly population while predicting who will be at increased risk of frailty is still overlooked in clinical settings. OBJECTIVE The objective of our study was to develop predictive models for frailty conditions in older people using different machine learning methods based on a database of clinical characteristics and socioeconomic factors. METHODS An administrative health database containing 1,095,612 elderly people aged 65 or older with 58 input variables and 6 output variables was used. We first identify and define six problems/outputs as surrogates of frailty. We then resolve the imbalanced nature of the data through resampling process and a comparative study between the different machine learning (ML) algorithms – Artificial neural network (ANN), Genetic programming (GP), Support vector machines (SVM), Random Forest (RF), Logistic regression (LR) and Decision tree (DT) – was carried out. The performance of each model was evaluated using a separate unseen dataset. RESULTS Predicting mortality outcome has shown higher performance with ANN (TPR 0.81, TNR 0.76, accuracy 0.78, F1-score 0.79) and SVM (TPR 0.77, TNR 0.80, accuracy 0.79, F1-score 0.78) than predicting the other outcomes. On average, over the six problems, the DT classifier has shown the lowest accuracy, while other models (GP, LR, RF, ANN, and SVM) performed better. All models have shown lower accuracy in predicting an event of an emergency admission with red code than predicting fracture and disability. In predicting urgent hospitalization, only SVM achieved better performance (TPR 0.75, TNR 0.77, accuracy 0.73, F1-score 0.76) with the 10-fold cross validation compared with other models in all evaluation metrics. CONCLUSIONS We developed machine learning models for predicting frailty conditions (mortality, urgent hospitalization, disability, fracture, and emergency admission). The results show that the prediction performance of machine learning models significantly varies from problem to problem in terms of different evaluation metrics. Through further improvement, the model that performs better can be used as a base for developing decision-support tools to improve early identification and prediction of frail older adults.

scholarly journals Modifiable predictors of suicidal ideation during psychotherapy for late-life major depression. A machine learning approach

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
George S. Alexopoulos ◽  
Patrick J. Raue ◽  
Samprit Banerjee ◽  
Elizabeth Mauer ◽  
Patricia Marino ◽  
...  
Keyword(s):  
Machine Learning ◽  
Older Adults ◽  
Suicidal Ideation ◽  
Major Depression ◽  
Self Efficacy ◽  
Classification Tree ◽  
Gradient Boosting ◽  
Learning Models ◽  
General Self Efficacy ◽  
Machine Learning Models

AbstractThis study aimed to identify subgroups of depressed older adults with distinct trajectories of suicidal ideation during brief psychotherapy and to detect modifiable predictors of membership to the trajectories of suicidal ideation. Latent growth mixed models were used to identify trajectories of the presence of suicidal ideation in participants to a randomized controlled trial comparing Problem Solving Therapy with “Engage” therapy in older adults with major depression over 9 weeks. Predictors of membership to trajectories of suicidal ideation were identified by the convergence of four machine learning models, i.e., least absolute shrinkage and selection operator logistic regression, random forest, gradient boosting machine, and classification tree. The course of suicidal ideation was best captured by two trajectories, a favorable and an unfavorable trajectory comprising 173 and 76 participants respectively. Members of the favorable trajectory had no suicidal ideation by week 8. In contrast, members of the unfavorable trajectory had a 60% probability of suicidal ideation by treatment end. Convergent findings of the four machine learning models identified hopelessness, neuroticism, and low general self-efficacy as the strongest predictors of membership to the unfavorable trajectory of suicidal ideation during psychotherapy. Assessment of suicide risk should include hopelessness, neuroticism, and general self-efficacy as they are predictors of an unfavorable course of suicidal ideation in depressed older adults receiving psychotherapy. Psychotherapeutic interventions exist for hopelessness, emotional reactivity related to neuroticism, and low self-efficacy, and if used during therapy, may improve the course of suicidal ideation.

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