A Matlab toolbox for analyzing repetitive movements: application in gait and tapping experiments

• Published in: Biomedizinische Technik Vol. 65; no. 4; pp. 447 - 459
• Main Authors: Kirlangic, Mehmet Eylem, Al-Qadhi, Safwan, Hauptmann, Christian, Freund, Hans-Joachim
• Format: Journal Article
• Language: English
• Published: Germany De Gruyter 27.08.2020; Walter de Gruyter GmbH
• Subjects: Brain; clinical setting; Clinical trials; Coordination; Data acquisition; Data processing; Deep brain stimulation; Deep Brain Stimulation - methods; Digital signal processing; Gait; Gait - physiology; Humans; motor coordination; Movement disorders; Neurodegenerative diseases; Neurological diseases; Parkinson Disease - diagnosis; Parkinson's disease; Patients; sensory motor cueing; Signal processing; signal processing pipeline; Signal Processing, Computer-Assisted; Signs and symptoms; Stimulation; Surgery; synchronization index; Tremor; clinical setting; sensory motor cueing; synchronization index; signal processing pipeline; Parkinson’s disease; motor coordination
• ISSN: 0013-5585; 1862-278X; 1862-278X
• DOI: 10.1515/bmt-2018-0189

Coordination and timing in repetitive movements have been intensively investigated in diverse experimental settings for understanding the underlying basic mechanisms in healthy controls. On this basic research side, there are mainly two theoretical models: the Wing-Kristofferson (WK) model and the Haken-Kelso-Bunz (HKB) model. On the clinical side of the research, several efforts have been spent on quantitatively assessing gait and other repetitive movements such as tapping, especially as an outcome measure of clinical trials in diverse neurological disorders. Nevertheless, Parkinson’s disease (PD) remains the predominant disorder in the clinical literature in this context, as the tremor activity and the changes in the gait are both common symptoms in PD. Although there are motion recording systems for data acquisition in clinical settings, the tools for analysis and quantification of the extracted time-series offered by these systems are severely restricted. Therefore, we introduce a toolbox which enables the analysis of repetitive movements within the framework of the two main theoretical models of motor coordination, which explicitly focuses on varying clinical and experimental settings such as self-paced vs. cued or uni-manual vs. bi-manual measurements. The toolbox contains particular pipelines for digital signal processing. Licensed under the GNU General Public License (GNU-GPL), the open source toolbox is freely available and can be downloaded from the Github link: https://github.com/MehmetEylemKirlangic/RepetitiveMovementAnalysis. We illustrate the application of the toolbox on sample experiments of gait and tapping with a control subject, as well as with a Parkinson’s patient. The patient has gone through a brain surgery for deep brain stimulation (DBS); hence, we present the results for both stimulation ON and stimulation OFF modes. Sample data are freely accessible at: https://github.com/MehmetEylemKirlangic/DATA.