AI WALKUP: A Computer-Vision Approach to Quantifying MDS-UPDRS in Parkinson's Disease
Xiang Xiang, Zihan Zhang, Jing Ma, Yao Deng
TL;DR
The paper addresses subjectivity and resource intensity in the MDS-UPDRS motor assessment for Parkinson's disease by proposing a smartphone-based computer-vision pipeline that derives six motor-item signals from monocular videos using MediaPipe pose and hand keypoints, followed by time-series feature extraction with tsfresh. The end-to-end framework runs on-device video capture and cloud-based pose analysis to provide objective movement descriptors and visualizations for clinicians. It demonstrates feasibility with data collected from healthy subjects and an Android app implementation, with plans to extend to PD patients and conduct clinical validation. The approach promises scalable, at-home motor assessment that can reduce clinic visits and clinician workload while enabling rapid, objective monitoring of disease progression.
Abstract
Parkinson's Disease (PD) is the second most common neurodegenerative disorder. The existing assessment method for PD is usually the Movement Disorder Society - Unified Parkinson's Disease Rating Scale (MDS-UPDRS) to assess the severity of various types of motor symptoms and disease progression. However, manual assessment suffers from high subjectivity, lack of consistency, and high cost and low efficiency of manual communication. We want to use a computer vision based solution to capture human pose images based on a camera, reconstruct and perform motion analysis using algorithms, and extract the features of the amount of motion through feature engineering. The proposed approach can be deployed on different smartphones, and the video recording and artificial intelligence analysis can be done quickly and easily through our APP.
