Parkinson's disease resting tremor severity classification using machine learning with resampling techniques

Front Neurosci. 2022 Oct 28:16:955464. doi: 10.3389/fnins.2022.955464. eCollection 2022.

Abstract

In resting tremor, the body part is in complete repose and often dampens or subsides entirely with action. The most frequent cause of resting tremors is known as idiopathic Parkinson's disease (PD). For examination, neurologists of patients with PD include tests such as finger-to-nose tests, walking back and forth in the corridor, and the pull test. This evaluation is focused on Unified Parkinson's disease rating scale (UPDRS), which is subjective as well as based on some daily life motor activities for a limited time frame. In this study, severity analysis is performed on an imbalanced dataset of patients with PD. This is the reason why the classification of various data containing imbalanced class distribution has endured a notable drawback of the performance achievable by various standard classification learning algorithms. In this work, we used resampling techniques including under-sampling, over-sampling, and a hybrid combination. Resampling techniques are incorporated with renowned classifiers, such as XGBoost, decision tree, and K-nearest neighbors. From the results, it is concluded that the Over-sampling method performed much better than under-sampling and hybrid sampling techniques. Among the over-sampling techniques, random sampling has obtained 99% accuracy using XGBoost classifier and 98% accuracy using the decision tree. Besides, it is observed that different resampling methods performed differently with various classifiers.

Keywords: Parkinson's disease; accelerometer data; imbalance data; machine learning; resampling techniques; resting tremor; severity analysis.