Description and Prediction of Freezing of Gait in Parkinson's Disease from Wearable Inertial Measurements Units

Parkinson's disease (PD) is a neuro-degenerative disorder, the second most common after Alzheimer's disease. After diagnosis, treatments can help to relieve the symptoms, but there is no known cure for PD. PD is characterized by a combination of motor and no-motor dysfunctions. Among the motor symptoms there is the so called Freezing of Gait (FoG). The FoG is a phenomenon in PD patients in which the feet stock to the floor and is difficult for the patient to initiate movement. FoG is a severe problem, since it is associated with falls, anxiety, loss of mobility, accidents, mortality and it has substantial clinical and social consequences decreasing the quality of life in PD patients. Medicine can be very successful in controlling movements disorders and dealing with some of the PD symptoms. However, the relationship between medication and the development of FoG remains unclear. Several studies have demonstrated that visual or auditory rhythmical cuing allows PD patients to improve their motor abilities. Rhythmic auditory stimulation (RAS) was shown to be particularly effective at improving gait, specially with patients that manifest FoG. While RAS allows to reduce the time and the effects of FoGs occurrence in PD patients after the FoG is detected, it can not avoid the episode due to the latency of detection. An improvement of the system would be the prediction of the FoG. This thesis was developed following two main objectives: (1) the finding of specifics properties during pre FoG periods different from normal walking context and other walking events like turns and stops using the information provided by the inertial measurements units (IMUs) and (2) the formulation of a model for automatically detect the pre FoG patterns in order to completely avoid the upcoming freezing event in PD patients. The first part focuses on the analysis of different methods for feature extraction which might lead in the FoG occurrence.

(Table 1) Petrological description and consolidation properties of ODP Site 186-1150 and Hole 186-1151A

In order to determine the shear parameters of the forearc sedimentary strata drilled during Ocean Drilling Program Leg 186, West Pacific Seismic Network, Japan Trench, eight whole-round samples were selected from different depths in the drilled sections of Sites 1150 and 1151. Whereas Site 1150 lays above the seismically active part of the subduction zone, Site 1151 is situated in an aseismic zone. The aim of the triaxial tests was, apart from determination of the static stress strain behavior of the sediments, to test the hypothesis that the static stress strain parameter could differ for each sites. In order to simulate undrained deformation conditions according to the high clay mineral content of the strata, consolidated undrained shear tests were performed in a triaxial testing setup. Measurements of water content, grain density, organic content, and microtextural investigations under the scanning electron microscope (SEM) accompanied the compression experiments. After the saturation and consolidation stages were completed, failure occurred in the compression stage of the experiments at peak strengths of 280-7278 kPa. The stiffness moduli calculated for each sample from differential stress vs. strain curves show a linear relationship with depth and range between 181 and 5827 kPa. Under the SEM, the artificial fault planes of the tested specimen only show partial alignment of clay minerals because of the high content of microfossils.