Parkinson's Disease Diagnosis based on Gait Cycle Analysis Through an Interpretable Interval Type-2 Neuro-Fuzzy System

In this paper, an interpretable classifier using an interval type-2 fuzzy neural network for detecting patients suffering from Parkinson's Disease (PD) based on analyzing the gait cycle is presented. The proposed method utilizes clinical features extracted from the vertical Ground Reaction Force (vGRF), measured by 16 wearable sensors placed in the soles of subjects' shoes and learns interpretable fuzzy rules. Therefore, experts can verify the decision made by the proposed method based on investigating the firing strength of interpretable fuzzy rules. Moreover, experts can utilize the extracted fuzzy rules for patient diagnosing or adjust them based on their knowledge. To improve the robustness of the proposed method against uncertainty and noisy sensor measurements, Interval Type-2 Fuzzy Logic is applied. To learn fuzzy rules, two paradigms are proposed: 1- A batch learning approach based on clustering available samples is applied to extract initial fuzzy rules, 2- A complementary online learning is proposed to improve the rule base encountering new labeled samples. The performance of the method is evaluated for classifying patients and healthy subjects in different conditions including the presence of noise or observing new instances. Moreover, the performance of the model is compared to some previous supervised and unsupervised machine learning approaches. The final Accuracy, Precision, Recall, and F1 Score of the proposed method are 88.74%, 89.41%, 95.10%, and 92.16%. Finally, the extracted fuzzy sets for each feature are reported.