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Use of an adaptive neuro-fuzzy inference system to obtain the correspondence among balance, gait, and depression for Parkinson’s disease

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Abstract

The purpose of this study was to investigate the associations between gait performance, postural stability, and depression in patients with Parkinson’s disease (PD) by using an adaptive neuro-fuzzy inference system (ANFIS). Twenty-two idiopathic PD patients were assessed during outpatient physical therapy by using three clinical tests: the Berg balance scale (BBS), Dynamic gait index (DGI), and Geriatric depression scale (GDS). Scores were determined from clinical observation and patient interviews, and associations among gait performance, postural stability, and depression in this PD population were evaluated. The DGI showed significant positive correlation with the BBS scores, and negative correlation with the GDS score. We assessed the relationship between the BBS score and the DGI results by using a multiple regression analysis. In this case, the GDS score was not significantly associated with the DGI, but the BBS and DGI results were. Strikingly, the ANFIS-estimated value of the DGI, based on the BBS and the GDS scores, significantly correlated with the walking ability determined by using the DGI in patients with Parkinson’s disease. These findings suggest that the ANFIS techniques effectively reflect and explain the multidirectional phenomena or conditions of gait performance in patients with PD.

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Authors and Affiliations

  1. Department of Physical Therapy, Jeonju University, Jeonju, 560-759, Korea

    Youngkeun Woo

  2. Department of Medical Engineering, Andong Science College, Andong, 760-709, Korea

    Juwon Lee

  3. Department of Physical Therapy, Baekseok University, Cheonan, 330-704, Korea

    Sujin Hwang

  4. Department of Radiological Science, Yonsei University, Wonju, 220-701, Korea

    Cheol Pyo Hong

Authors
  1. Youngkeun Woo
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  2. Juwon Lee
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  3. Sujin Hwang
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  4. Cheol Pyo Hong
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Correspondence to Youngkeun Woo.

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Woo, Y., Lee, J., Hwang, S. et al. Use of an adaptive neuro-fuzzy inference system to obtain the correspondence among balance, gait, and depression for Parkinson’s disease. Journal of the Korean Physical Society 62, 959–965 (2013). https://doi.org/10.3938/jkps.62.959

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  • DOI: https://doi.org/10.3938/jkps.62.959

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