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Deep Learning Based Walking Tasks Classification in Older Adults Using fNIRS.

Dongning Ma, Meltem Izzetoglu, Roee Holtzer

    IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society
    |August 18, 2023
    PubMed
    Summary
    This summary is machine-generated.

    This study introduces a deep learning method to automatically classify attentional states during walking in older adults. The approach accurately distinguishes between low and high attention states, aiding in fall risk assessment.

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    Area of Science:

    • Neuroscience
    • Biomedical Engineering
    • Gerontology

    Background:

    • Gait decline in older adults is linked to increased disability and mortality.
    • Dual task walking (DTW) exacerbates gait and cognitive deficits, correlating with falls history.
    • Cortical activity in the pre-frontal cortex (PFC) during DTW is measurable via functional near-infrared spectroscopy (fNIRS).

    Purpose of the Study:

    • To develop an automatic classification system for low (single task walking - STW) and high (DTW) attentional walking states in older adults.
    • To leverage deep learning for classifying cognitive activations during different walking conditions.
    • To enhance classification accuracy by incorporating fNIRS data, gender, and cognitive status.

    Main Methods:

    • Formulated STW as a low attentional state and DTW as a high attentional state.
    • Analyzed fNIRS data, focusing on differences between HbO2 and Hb values as features.
    • Engineered fNIRS features into 3-channel images and applied data augmentation for deep learning models.
    • Fine-tuned pre-trained deep learning models with the fNIRS dataset, gender, and cognitive status.

    Main Results:

    • Achieved approximately 81% classification accuracy, outperforming traditional machine learning by ~10%.
    • Demonstrated the effectiveness of using HbO2 - Hb as a third channel in the input image.
    • Identified that using a pre-trained model and all voxel locations yields the best classification performance.

    Conclusions:

    • Deep learning models can effectively classify attentional states during walking in older adults using fNIRS data.
    • The proposed method offers a promising approach for objective assessment of cognitive load during gait.
    • Findings support the potential for improved fall risk prediction and intervention strategies.