Probabilistic Data-Driven Method for Limb Movement Detection during Sleep

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  • Matteo Cesari
  • Julie A.E. Christensen
  • Jennum, Poul
  • Helge B.D. Sorensen

Periodic limb movement disorder (PLMD) is a sleep disorder characterized by repetitive limb movements (LM) during night. The gold standard for LM detection consists of visual analysis of tibialis left (TIBL) and right (TIBR) electromyographic (EMG) signals. Such analysis is subjective and time-consuming. We here propose a semi-supervised and data-driven approach for LM detection during sleep that was trained and tested on 27 healthy controls (C) and 36 PLMD patients. After preprocessing of the EMG signals, discrete wavelet transform (Daubechies 4 mother wavelet and down to 4th decomposition level) was applied. EMG was reconstructed for each set of detail coefficients, thus obtaining four signals (DI-D4). The pre-processed EMG and DI-D4 signals were divided in 3-s mini-epochs of which traditional EMG features were calculated. Based on the assumption of lack of movements in healthy controls during rapid eye movement (REM) sleep, we used the features during REM of a subgroup of C to build a non-parametric probabilistic model defining the resting EMG distribution. This model was then used to classify the remaining mini-epochs as either resting EMG or LM. The percentages of 3-s mini-epochs with LMs were calculated for each subject and used to distinguish the remaining C and PLMD with a support vector machine and 5-fold cross validation scheme. Results showed that C can be distinguished by PLMD with accuracy higher than 82% in the preprocessed EMG and DI-D3 signals.

Original languageEnglish
Title of host publication40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
Number of pages4
PublisherIEEE
Publication date2018
Pages163-166
Article number8512254
ISBN (Electronic)978-1-5386-3646-6
DOIs
Publication statusPublished - 2018
Event40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018 - Honolulu, United States
Duration: 18 Jul 201821 Jul 2018

Conference

Conference40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
LandUnited States
ByHonolulu
Periode18/07/201821/07/2018
SeriesProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
Volume2018-July
ISSN1557-170X

ID: 218724899