Abstract
Previous researches investigated the association between diseases and the postural balance (PB), such as Parkinson's disease, multiple sclerosis, and Leprosy, etc. However, there is limited study exploring whether the PB can predict a person’s physical condition. Therefore, the aim of this study was to build a physical conditions detection system via a simple machine learning classifier–logistic regression (LR) with PB characterized by the center of pressure (COP) measured by a force plate. We converted COP to total excursion distance (TOTEX), TOTEX of anterior–posterior distance (TOEXAP) and TOTEX of medial–lateral distance (TOTEXML) as major features in the LR model along with gender, age, and body mass index (BMI). We conducted a perspective study to collect 67 patients’ records. Using those 67 records, we built 6 independent LG models based on gender, age, BMI, and collaborated with and without PB measurements to examine the effectiveness of using PB in the model to predict a person’s physical condition. We compared those 6 LR models’ performances based on the Area Under the Receiver Operating Characteristics (AUC), confusion matrix including accuracy, sensitivity, and specificity rate. The performance comparison results showed the predictive models with PB measurements were better than those of without PB (average AUC: 0.81 vs. 0.72). Therefore, the proposed physical conditions detection system can better discriminate healthy and unhealthy person with PB measurements in the LR classifier.
Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.References
Acar S, Demırbüken İ, Algun C, Malkoc M, Tekın N (2015) Is hypertension a risk factor for poor balance control in elderly adults? J Phys Therapy Sci 27(3):901–904. https://www.jstage.jst.go.jp/article/jpts/27/3/27_jpts-2014-623/_pdf
Almeida IAD, Terra MB, Oliveira MRD, Silva Júnior RAD, Ferraz HB, Santos SMS (2016) Comparing postural balance among older adults and Parkinson's disease patients. Motriz Rev Educ Física 22(4):261–265. https://doi.org/10.1590/s1980-6574201600040007
Anyadike-Danes K, Brown SR (2016) The effect of concussion history on positional balance ability in rugby union athletes. In: ISBS-conference proceedings archive. https://ojs.ub.uni-konstanz.de/cpa/article/view/7063
Babyak MA (2004) What you see may not be what you get: a brief, nontechnical introduction to overfitting in regression-type models. Psychosomatic Med 66(3):411–421. https://people.duke.edu/mababyak/papers/babyakregression.pdf
Bonnet C, Carello C, Turvey MT (2009) Diabetes and postural stability: review and hypotheses. J Mot Behav 41(2):172–192. https://doi.org/10.3200/JMBR.41.2.172-192
Geurts AC, Nienhuis B, Mulder T (1993) Intrasubject variability of selected force-platform parameters in the quantification of postural control. Arch Phys Med Rehabil 74(11):1144–1150. https://www.academia.edu/download/48299215/Intrasubject_variability_of_selected_For20160824-32165-112i3rl.pdf
Greve J, Alonso A, Bordini ACP, Camanho GL (2007) Correlation between body mass index and postural balance. Clinics 62(6):717–720. https://doi.org/10.1590/S1807-59322007000600010
Helbostad JL, Leirfall S, Moe-Nilssen R, Sletvold O (2007) Physical fatigue affects gait characteristics in older persons. J Gerontol Ser A Biol Sci Med Sci 62(9):1010–1015. https://academic.oup.com/biomedgerontology/article/62/9/1010/525884
Hermodsson Y, Ekdahl C, Persson BM, Roxendal G (1994) Standing balance in trans-tibial amputees following vascular disease or trauma: a comparative study with healthy subjects. Prosthet Orthot Int 18(3):150–158. https://doi.org/10.3109/03093649409164400
Hoang PD, Cameron MH, Gandevia SC, Lord SR (2014) Neuropsychological, balance, and mobility risk factors for falls in people with multiple sclerosis: a prospective cohort study. Arch Phys Med Rehabil 95(3):480–486. https://www.sciencedirect.com/science/article/abs/pii/S0003999313010083
Jonsson E, Seiger Å, Hirschfeld H (2004) One-leg stance in healthy young and elderly adults: a measure of postural steadiness? Clin Biomech 19(7):688–694. https://www.sciencedirect.com/science/article/abs/pii/S0268003304000737
Kasser SL, Jacobs JV, Foley JT, Cardinal BJ, Maddalozzo GF (2011) A prospective evaluation of balance, gait, and strength to predict falling in women with multiple sclerosis. Arch Phys Med Rehabil 92(11):1840–1846. https://www.sciencedirect.com/science/article/abs/pii/S0003999311003686
Lin D, Seol H, Nussbaum MA, Madigan ML (2008) Reliability of COP-based postural sway measures and age-related differences. Gait Post 28(2):337–342. https://www.sciencedirect.com/science/article/abs/pii/S0966636208000301
Maki BE, Holliday PJ, Fernie GR (1990) Aging and postural control: a comparison of spontaneous-and induced-sway balance tests. J Am Geriatr Soc 38(1):1–9. https://doi.org/10.1111/j.1532-5415.1990.tb01588.x
Melzer I, Benjuya N, Kaplanski J (2003) Effects of regular walking on postural stability in the elderly. Gerontology, 49(4):240–245. https://www.karger.com/Article/PDF/70404
Menezes FS, Liska GR, Cirillo MA, Vivanco MJ (2017) Data classification with binary response through the Boosting algorithm and logistic regression. Expert Syst Appl 69:62–73. https://www.sciencedirect.com/science/article/pii/S0957417416304092
Murray MP, Seireg A, Scholz RC (1967) Center of gravity, center of pressure, and supportive forces during human activities. J Appl Physiol 23(6):831–838. https://doi.org/10.1152/jappl.1967.23.6.831
Nardone A, Schieppati M (2010) The role of instrumental assessment of balance in clinical decision making. Eur J Phys Rehabil Med 46(2):221–237. https://europepmc.org/article/med/20485225
Norris ES, Wallmann HW (2016) Static and dynamic balance after ankle plantarflexor fatigue in older adults. Phys Occup Therapy Geriatrics 34(1):57–70. https://doi.org/10.3109/02703181.2015.1114063
Norris JA, Marsh AP, Smith IJ, Kohut RI, Miller ME (2005) Ability of static and statistical mechanics posturographic measures to distinguish between age and fall risk. J Biomech 38(6):1263–1272. https://www.sciencedirect.com/science/article/pii/S0021929004003227
Parreira RB, Boer MC, Rabello L, Costa VDSP, de Oliveira Jr E, da Silva RA (2013) Age-related differences in center of pressure measures during one-leg stance are time dependent. J Appl Biomech 29(3):312–316. https://journals.humankinetics.com/view/journals/jab/29/3/article-p312.xml
Peng CYJ, Lee KL, Ingersoll GM (2002) An introduction to logistic regression analysis and reporting. J Educ Res 96(1):3–14. https://doi.org/10.1080/00220670209598786
Piirtola M, Era P (2006) Force platform measurements as predictors of falls among older people—a review. Gerontology 52(1):1–16. https://www.karger.com/Article/Abstract/89820
Prieto TE, Myklebust JB, Hoffmann RG, Lovett EG, Myklebust BM (1996) Measures of postural steadiness: differences between healthy young and elderly adults. IEEE Trans Biomed Eng 43(9):956–966. https://ieeexplore.ieee.org/abstract/document/532130
Prosperini L, Fortuna D, Giannì C, Leonardi L, Pozzilli C (2013) The diagnostic accuracy of static posturography in predicting accidental falls in people with multiple sclerosis. Neurorehabil Neural Repair 27(1):45–52. https://doi.org/10.1177/1545968312445638
Shahudin NN, Yusof SM, Abdul Razak F, Sariman MH, Mohd Azam MZ, Wan Norman WMN (2016) Effects of age on physical activity level, strength and balance towards fall risk index among women aged 20–73 years. In: Ismail SI, Sulaiman N, Adnan R (eds) Proceedings of the 2nd international colloquium on sports science, exercise, engineering and technology 2015 (ICoSSEET 2015), pp 25–34. Springer, Singapore. https://doi.org/10.1007/978-981-287-691-1_3
Shen S, He T, Chu J, He J, Chen X (2015) Uncontrolled hypertension and orthostatic hypotension in relation to standing balance in elderly hypertensive patients. Clin Intervent Aging 10:897–906. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4455870/
Sosnoff JJ, Broglio SP, Shin S, Ferrara MS (2011) Previous mild traumatic brain injury and postural-control dynamics. J Athletic Training 46(1):85–91. https://doi.org/10.4085/1062-6050-46.1.85
Stoffregen TA, Villard S, Kim C, Ito K, Bardy BG (2009) Coupling of head and body movement with motion of the audible environment. J Exp Psychol Hum Percept Perform 35(4):1221–1231. https://psycnet.apa.org/record/2009-11357-016
Teasdale N, Hue O, Marcotte J, Berrigan F, Simoneau M, Dore J, Marceau P, Marceau S, Tremblay A (2007) Reducing weight increases postural stability in obese and morbid obese men. Int J Obesity 31(1):153–160. https://www.nature.com/articles/0803360
Viveiro LAP, Vieira JDOM, Trindade MAB, Tanaka C (2017) Balance control is compromised in patients with leprosy. Leprosy Rev. https://observatorio.fm.usp.br/handle/OPI/21878
Wilkins JC, McLeod TCV, Perrin DH, Gansneder BM (2004) Performance on the balance error scoring system decreases after fatigue. J Athletic Training 39(2):156. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC419510/
World Health Organization (2018) Noncommunicable diseases country profiles 2018. https://apps.who.int/iris/bitstream/handle/10665/274512/9789241514620-eng.pdf
Yan J, Lee J (2005) Degradation assessment and fault modes classification using logistic regression. J Manuf Sci Eng 127(4):912–914. https://doi.org/10.1115/1.1962019
Acknowledgements
The authors are indebted to all the subjects that generously gave their time and effort for the experiments. The authors acknowledge financial support from Ministry of Science and Technology, Taiwan (Grant no. MOST107-2628-E-155-001-MY3).
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliation'.
Rights and permissions
About this article
Cite this article
Chou, C., Chou, SH., Chen, Y.C. et al. Using machine learning methods to detect physical conditions with postural balance. J Ambient Intell Human Comput 14, 14499–14505 (2023). https://doi.org/10.1007/s12652-020-02261-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12652-020-02261-y