Sequential Feature Selection and Adaptive Ensemble Classification for Parkinson’s Disease Detection

Authors

  • Zhimin Zheng Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, China;  China Mobile Research Institute, Beijing, China,
  • Kaidi Gong China Mobile Research Institute, Beijing, China
  • Chen Gong China Mobile Research Institute, Beijing, China
  • Lifang Zhang The Eighth People’s Hospital of Longgang District, Shenzhen, China; The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China
  • Lin Meng Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, China
  • Feng He Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, China

DOI:

https://doi.org/10.15837/ijccc.2026.5.7202

Keywords:

Parkinson’s Disease, gait analysis, feature selection, ensemble machine learning, wearable devices, biomedical information fusion.

Abstract

Parkinson’s Disease (PD) significantly affects motor functions, with gait disturbances being a signal symptom. This study leverages biomedical information fusion to enhance PD diagnosis through gait analysis. Using a 6-axis inertial measurement unit (IMU) mounted on insoles, we collected a comprehensive dataset comprising over 2,000 samples and 164 gait features from PD patients and healthy controls. A novel sequential feature selection strategy was developed, reducing redundancy and identifying 41 critical gait metrics, enabling efficient and interpretable analysis. An adaptive voting ensemble model was proposed, effectively addressing patient heterogeneity and achieving superior predictive performance with an AUC of 0.9055. This method has the potential to optimize wearable systems to facilitate real-time monitoring and early interventions for PD.

References

Balakrishnan, A.; Medikonda, J.; Namboothiri, P.K. (2022). Role of wearable sensors with machine learning approaches in gait analysis for Parkinson's disease assessment: a review, Engineered Science, 19, 5-19, 2022.

Bayés, À.; Samá, A.; Prats, A.; Pérez-López, C.; Crespo-Maraver, M.; Moreno, J.M.; Alcaine, S.; Rodriguez-Molinero, A.; Mestre, B.; Quispe, P. (2018). A "HOLTER" for Parkinson's disease: Validation of the ability to detect on-off states using the REMPARK system, Gait & posture, 59, 1-6, 2018. https://doi.org/10.1016/j.gaitpost.2017.09.031

Bhidayasiri, R.; Tarsy, D. (2012). Parkinson's disease: Hoehn and Yahr scale, Movement disorders: a video atlas, 4-5, 2012. https://doi.org/10.1007/978-1-60327-426-5_2

Bloem, B.R.; Okun, M.S.; Klein, C. (2021). Parkinson's disease, The Lancet, 397(10291), 2284- 2303, 2021. https://doi.org/10.1016/S0140-6736(21)00218-X

Caramia, C.; Torricelli, D.; Schmid, M.; Munoz-Gonzalez, A.; Gonzalez-Vargas, J.; Grandas, F.; Pons, J.L. (2018). IMU-based classification of Parkinson's disease from gait: A sensitivity analysis on sensor location and feature selection, IEEE journal of biomedical and health informatics, 22(6), 1765-1774, 2018. https://doi.org/10.1109/JBHI.2018.2865218

Chen, B.R.; Patel, S.; Buckley, T.; Rednic, R.; McClure, D.J.; Shih, L.; Tarsy, D.; Welsh, M.; Bonato, P. (2011). A web-based system for home monitoring of patients with Parkinson's disease using wearable sensors, IEEE Trans Biomed Eng, 58(3), 831-836, 2011. https://doi.org/10.1109/TBME.2010.2090044

Crenna, P.; Carpinella, I.; Rabuffetti, M.; Calabrese, E.; Mazzoleni, P.; Nemni, R.; Ferrarin, M. (2007). The association between impaired turning and normal straight walking in Parkinson's disease, Gait & posture, 26(2), 172-178, 2007. https://doi.org/10.1016/j.gaitpost.2007.04.010

Das, S.; Amoedo, B.; De la Torre, F.; Hodgins, J. (2012). Detecting Parkinsons' symptoms in uncontrolled home environments: A multiple instance learning approach, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 3688-3691, 2012. https://doi.org/10.1109/EMBC.2012.6346767

Dijkstra, B.; Kamsma, Y.P.; Zijlstra, W. (2010). Detection of gait and postures using a miniaturized triaxial accelerometer-based system: accuracy in patients with mild to moderate Parkinson's disease, Arch Phys Med Rehabil, 91(8), 1272-1277, 2010. https://doi.org/10.1016/j.apmr.2010.05.004

Funayama, M.; Nishioka, K.; Li, Y.; Hattori, N. (2023). Molecular genetics of Parkinson's disease: Contributions and global trends, Journal of human genetics, 68(3), 125-130, 2023. https://doi.org/10.1038/s10038-022-01058-5

Galna, B.; Lord, S.; Burn, D.J.; Rochester, L. (2015). Progression of gait dysfunction in incident Parkinson's disease: impact of medication and phenotype, Movement Disorders, 30(3), 359-367, 2015. https://doi.org/10.1002/mds.26110

Giladi, N.; Shabtai, H.; Simon, E.S.; Biran, S.; Tal, J.; Korczyn, A.D. (2000). Construction of freezing of gait questionnaire for patients with Parkinsonism, Parkinsonism & related disorders, 6(3), 165-170, 2000. https://doi.org/10.1016/S1353-8020(99)00062-0

Goetz, C.G.; Tilley, B.C.; Shaftman, S.R.; Stebbins, G.T.; Fahn, S.; Martinez-Martin, P.; Poewe, W.; Sampaio, C.; Stern, M.B.; Dodel, R.; et al. (2008). Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results, Movement disorders: official journal of the Movement Disorder Society, 23(15), 2129-2170, 2008. https://doi.org/10.1002/mds.22340

Kharb, A.; Saini, V.; Jain, Y.K.; Dhiman, S. (2011). A review of gait cycle and its parameters, IJCEM International Journal of Computational Engineering & Management, 13(01), 2011.

Maertens, W.; Vangeyte, J.; Baert, J.; Jantuan, A.; Mertens, K.C.; De Campeneere, S.; Pluk, A.; Opsomer, G.; Van Weyenberg, S.; Van Nuffel, A. (2011). Development of a real time cow gait tracking and analysing tool to assess lameness using a pressure sensitive walkway: The GAITWISE system, Biosystems Engineering, 110(1), 29-39, 2011. https://doi.org/10.1016/j.biosystemseng.2011.06.003

Martinez, C.; Rodriguez, S.; Gomez, L. (2021). Validation of a smartphone-based gait analysis tool for Parkinson's disease monitoring, Parkinsonism & Related Disorders, 92, 45-52, 2021.

Meng, L.; Pang, J.; Yang, Y.F.; Chen, L.; Xu, R.; Ming, D. (2023). Inertial-based gait metrics during turning improve the detection of early-stage parkinson's disease patients, IEEE Transactions on Neural Systems and Rehabilitation Engineering, 31, 1472-1482, 2023. https://doi.org/10.1109/TNSRE.2023.3237903

Mirelman, A.; Ben Or Frank, M.; Melamed, M.; Granovsky, L.; Nieuwboer, A.; Rochester, L.; Del Din, S.; Avanzino, L.; Pelosin, E.; Bloem, B.R.; et al. (2021). Detecting Sensitive Mobility Features for Parkinson's Disease Stages Via Machine Learning, Mov Disord, 36(9), 2144-2155, 2021. https://doi.org/10.1002/mds.28631

Movement Disorder Society Task Force on Rating Scales for Parkinson's Disease. (2003). The unified Parkinson's disease rating scale (UPDRS): status and recommendations, Movement Disorders, 18(7), 738-750, 2003. https://doi.org/10.1002/mds.10473

Park, H.; Shin, S.; Youm, C.; Cheon, S.M.; Lee, M.; Noh, B. (2021). Classification of Parkinson's disease with freezing of gait based on 360 degrees turning analysis using 36 kinematic features, Journal of NeuroEngineering and Rehabilitation, 18(1), 177, 2021. https://doi.org/10.1186/s12984-021-00975-4

Pastorino, M.; Cancela, J.; Arredondo, M.T.; Pansera, M.; Pastor-Sanz, L.; Villagra, F.; Pastor, M.A.; Martin, J.A. (2011). Assessment of bradykinesia in Parkinson's disease patients through a multi-parametric system, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 1810-1813, 2011. https://doi.org/10.1109/IEMBS.2011.6090516

Pfister, A.; West, A.M.; Bronner, S.; Noah, J.A. (2014). Comparative abilities of Microsoft Kinect and Vicon 3D motion capture for gait analysis, Journal of medical engineering & technology, 38(5), 274-280, 2014. https://doi.org/10.3109/03091902.2014.909540

Pistacchi, M.; Gioulis, M.; Sanson, F.; De Giovannini, E.; Filippi, G.; Rossetto, F.; Marsala, S.Z. (2017). Gait analysis and clinical correlations in early Parkinson's disease, Functional neurology, 32(1), 28, 2017. https://doi.org/10.11138/FNeur/2017.32.1.028

Rehman, R.Z.U.; Del Din, S.; Guan, Y.; Yarnall, A.J.; Shi, J.Q.; Rochester, L. (2019). Selecting clinically relevant gait characteristics for classification of early Parkinson's disease: a comprehensive machine learning approach, Scientific reports, 9(1), 17269, 2019. https://doi.org/10.1038/s41598-019-53656-7

Rom H, Peleg O, Rom Y, Mirelman A, Blumrosen G, Maidan I. Remote clinical decision support tool for Parkinson's disease assessment using a novel approach that combines AI and clinical knowledge. (2025) BMC Medical Informatics and Decisison Making. 25(1), 294, 2025 https://doi.org/10.1186/s12911-025-03104-6

Shi, B.; Tay, A.; Au, W.L.; Tan, D.M.L.; Chia, N.S.Y.; Yen, S.C. (2022). Detection of Freezing of Gait Using Convolutional Neural Networks and Data From Lower Limb Motion Sensors, IEEE Transactions on Biomedical Engineering, 69(7), 2256-2267, 2022. https://doi.org/10.1109/TBME.2022.3140258

Smith, J.; Johnson, E.; Williams, R. (2022). Predicting motor complications in Parkinson's disease using machine learning and gait analysis, Journal of Neural Engineering, 19(3), 036021, 2022.

Ullrich, M.; Roth, N.; Kuderle, A.; Richer, R.; Gladow, T.; Gassner, H.; Marxreiter, F.; Klucken, J.; Eskofier, B.M.; Kluge, F. (2022). Fall risk prediction in Parkinson's disease using real-world inertial sensor gait data, IEEE journal of biomedical and health informatics, 27(1), 319-328, 2022. https://doi.org/10.1109/JBHI.2022.3215921

Vallabhajosula, S.; Buckley, T.A.; Tillman, M.D.; Hass, C.J. (2013). Age and Parkinson's disease related kinematic alterations during multi-directional gait initiation, Gait Posture, 37(2), 280- 286, 2013. https://doi.org/10.1016/j.gaitpost.2012.07.018

Wang, Y.; Liu, X.; Zhao, W. (2022). Deep learning approaches for gait pattern recognition in neurodegenerative diseases, Artificial Intelligence in Medicine, 120, 102256, 2022.

Wang, Xiaotian and Xu, Xuanhang and Zhao, Zhifu and Li, Fu and Qi, Fei and Liang, Shuo. (2025). VGRF Signal-Based Gait Analysis for Parkinson's Disease Detection: A Multi-Scale Directed Graph Neural Network Approach, IEEE Journal of Biomedical and Health Informatics, 1-13, 2025. https://doi.org/10.1109/JBHI.2025.3589772

Yang, Y.F.; Chen, L.; Pang, J.; Huang, X.Y.; Meng, L.; Ming, D. (2022). Validation of a spatiotemporal gait model using inertial measurement units for early-stage Parkinson's disease detection during turns, IEEE Transactions on Biomedical Engineering, 69(12), 3591-3600, 2022. https://doi.org/10.1109/TBME.2022.3172725

Zhang, H.; Deng, K.; Li, H.; Albin, R.; Guan, Y. (2020). Deep Learning Identifies Digital Biomarkers for Self-Reported Parkinson's Disease, Patterns, 1(3), 100042, 2020. https://doi.org/10.1016/j.patter.2020.100042

Additional Files

Published

2026-09-01

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.