Table 6.
Authors | Study objectives | Sensors | Algorithm or model | Classification accuracy model validation | Classification accuracy results | Quality assessment score (total score 12) |
---|---|---|---|---|---|---|
De Vos et al. 34 | To investigate the use of wearable sensors coupled with machine learning as a means of disease classification between progressive supranuclear palsy and Parkinson’s disease. | Inertial sensors | One-way-analysis of variance (ANOVA), independent t-test, least absolute shrinkage and selection operator LASSO, LR, RF | 10-fold cross validation | 93% (RF: PSP vs. HC), 88% (RF: PSP vs. PD), 93% (LR: PSP vs. HC), 80% (LR: PSP vs. PD) | 10.0 |
Di Lazzaro et al. 35 | To assess motor performances of a population of newly diagnosed, drug-free Parkinson’s disease (PD) patients using wearable inertial sensors and to compare them to healthy controls and differentiate PD subtypes (tremor dominant, postural instability gait disability and mixed phenotype). | Inertial sensors | ReliefF ranking, Kruskal-Wallis feature-selection methods, SVM, one-way ANOVA | Leave-one-out cross-validation | 97% (0.96) | 7.5 |
Hsu et al. 36 | To conduct a comprehensive analysis of the placement of multiple wearable sensors for the purpose of analysing and classifying the gaits of patients with neurological disorders. | Inertial sensors | RF, neural network with multilayer perceptron, Gaussian Naïve Bayes, Adaboost, decision tree | 5-fold cross validation | 81% (RF), 78% (MP), 87% (NB), 84% (AB), 80% (DT) | 9.0 |
Jung et al. 37 | To develop and evaluate neural network-based classifiers for effective categorization of athlete, normal foot, and deformed foot groups’ gait assessed using wearable IMUs. | Inertial sensors | Neural network-based classifier (using gait spectrograms) CNN | 4-fold cross-validation | Neural network Gait parameters: 93.02%. Gait spectrograms of foot (88.82%); post pelvis (94.25%); foot and post pelvis (96.68%); foot, shank, thigh, post pelvis (98.19%) | 8.0 |
Kashyap et al. 38 | The study examines the potential use of a comprehensive sensor-based approach for objective evaluation of cerebellar ataxia in five domains (speech, upper limb, lower limb, gait and balance) through the instrumented versions of nine bedside neurological tests. | Inertial sensors, Kinect depth camera | RF, principal component analysis (PCA) | Leave-one-out cross-validation, comparing mean squared errors MSE by classification of various leaf size (l) | Combined nine tests demonstrate performance accuracy: 91.17%; classifying principal components PC in decreasing order of importance, performance accuracy: 97.06%; RF 97% (F1 score = 95.2%) | 7.5 |
Mannini et al. 39 | To propose and validate a general probabilistic modelling approach for the classification of different pathological gaits (healthy elderly, post-stroke patients, patients with Huntington disease). | Inertial sensors | Hidden Markov models (HMMs), SVM, majority voting (MV) classification | Leave-one-subject-out (LOSO) cross-validation | Overall accuracy: 66.7%; SVM classifier (HMM-based features only): 71.5%; SVM classifier (time and frequency domains only): 71.7%; SVM classifier (full feature): 73.3%; apply MV classifier with the full feature: 90.5% | 9.5 |
Moon et al. 40 | To determine whether balance and gait variables obtained with wearable inertial motion sensors can be utilised to differentiate between Parkinson’s disease (PD) and essential tremor (ET) using machine learning. | Inertial sensors | Neural networks, SVM, k-nearest neighbour, decision tree, RF, gradient boosting, LR, dummy model | Accuracy, recall, precision, F1 score, 3 fold cross-validation with grid search strategy | Accuracy 0.65 (kNN) to 0.89 (NN); precision 0.54 (SVM, kNN, DT, LR) to 0.61(NN); recall 0.58 (DT) to 0.63 (kNN, GB), F1 score 0.53 (DT, LR) to 0.61 (NN) | 8.0 |
Nukala et al. 41 | To accurately classify patients with balance disorders and normal controls using wearable inertial sensors using machine learning and to determine the best-performing classification algorithm. | Inertial sensors | Back propagation artificial neural network (BP-ANN), support vector machine (SVM), k-nearest neighbours algorithm (KNN), binary decision tress (BDT) | Confusion Matrix, sensitivity, specificity, precision, negative predictive value (NPV), F-measure | BP-ANN (100%), SVM (98%), KNN (96%), BDT (94%) | 7.0 |
Rastegari 42 | To compare the bag-of-words approach with standard epoch-based statistical approach of feature engineering methods in Parkinson disease patients. | Inertial sensors | Linear SVM, decision tree, RF, k-nearest neighbour KNN | Leave-one-subject-out cross validation LOSOCV, Pearson correlation analysis | Bag of words approach (90%), epoch-based statistical feature (60%) | 7.0 |
Rehman et al. 43 | To compare the impact of walking protocols and gait assessment systems on the performance of a support vector machine (SVM) and random forest (RF) for classification of Parkinson’s disease. | Inertial sensors | Multivariate analysis of variance (MANOVA), independent t-test, receiver operating characteristics analysis (ROC), SVM with radial basis function SVM-RBF, RF | 10-fold cross-validation with area under the curve AUC | SVM performed better than RF. Intermittent walkway (IW): no differences between Axivity and GAITRite; continuous walkway (CW): classification more accurate with Axivity (AUC 87.83) versus GAITRite (AUC 80.49) | 9.0 |
Rovini et al. 44 | To accurately classify gait altering pathologies (healthy controls, Parkinson’s disease, idiopathic hyposmia) by performing comparative classification analysis using three supervised machine learning algorithms. | Inertial sensors | Kolmogorov-Smirnov test, Kruskal-Wallis test, Wilcoxon rank-sum test, Spearman correlation coefficient, SVM, RF, Naïve Bayes NB | Sensitivity, specificity, precision, accuracy, F-measure, 10-fold cross-validation | RF (0.97 accuracy); SVM (0.93 sensitivity, 0.97 specificity, 0.95 accuracy); NB (0.95 accuracy). SVM had the worst performance. | 6.5 |
Steinmetzer et al. 45 | To determine whether arm swing could accurately classify patients with Parkinson’s disease using wearable sensors and machine learning algorithms. | Inertial sensors | Wavelet transformation, convolutional neural network CNN single signal, multi-layer CNN, weight voting | 3-fold cross-validation, binary confusion matrix | Three-channel CNN achieved the best results. classification accuracy of 93.4% using wavelet transformation and three-layer CNN architecture | 9.0 |
Tedesco et al. 46 | To investigate the ability of a set of inertial sensors worn on the lower limbs by rugby players involved a change-of-direction (COD) activity to differentiate between healthy and post-ACL groups via the use of machine learning. | Inertial sensors | k-nearest neighbour kNN, Naïve Bayes NB, SVM, gradient boosting tree XGB, multi-layer perceptron MLP, stacking | Leave-one-out cross-validation LOSO-CV | Multilayer perception accuracy 73.07%; gradient boosting sensitivity 81.8%. Worst accuracy SVM 71.18%. The overall accuracy is uniform among all models (between 71.18% and 73.07%) | 9.5 |
Abbreviations : LR, Logistic Regression; RF, Random Forest; SVM Support Vector Machine; ANOVA, One-way-Analysis Of Variance.