Pattern Classification of Hand Movement Tremor in MS Patients with DBS ON and OFF

Abstract

Background: Hand tremor is one of the consequences of MS disease degrading quality of patient’s life. Recently DBS is used as a prominent treatment to reduce this effect. Evaluation of this approach has significant importance because of the prevalence rate of disease.Objective: The purpose of this study was the nonlinear analysis of tremor signal in order to evaluate the quantitative effect of DBS on reducing MS tremor and differentiating between them using pattern recognition algorithms.Material and Methods:In this paper, nine features were extracted from the tremor signal. Through statistical analysis, the significance level of each feature was examined. Finally, tremor signals were categorized by SVM, weighted KNN and NN classifiers. The performance of methods was compared with an ROC graph.Results:The results have demonstrated that dominant frequency, maximum amplitude and energy of the first IMF, deviation of the direct path, sample entropy and fuzzy entropy have the potential to create a significant difference between the tremor signals. The classification accuracy rate of tremor signals in three groups for Weighted KNN, NN and SVM with Gaussian and Quadratic kernels resulted in 95.1%, 93.2%, 91.3% and 88.3%, respectively.conclusion: Generally, nonlinear and nonstationary analyses have a high potential for a quantitative and objective measure of MS tremor. Weighted KNN has shown the best performance of classification with the accuracy of more than 95%. It has been indicated that DBS has a positive influence on reducing the MS tremor. Therefore, DBS can be used in the objective improvement of tremor in MS patients.

Effects of intrathecal Baclofen in reducing tremors in patients with multiple sclerosis

“…3 In turn, therapeutic options for MS tremors include pharmacological agents, botulinum toxin A injections, along with deep brain stimulation or thalamotomy for drug resistant or severe, disabling tremors, but the evidence remains inconclusive regarding a definite approach. 1,4 Figure 1 -Timeline of a 41-year-old Saudi male who was diagnosed with MS in 2005, after an attack of blindness and ataxia.…”

“… 2 , 3 From 25% to 58% of MS patients experience tremors, which are in turn linked to a poor prognosis and higher disability. 4 , 5 Tremors are challenging to control since they resist symptomatic treatment.…”