Fall Risk Assessment Using Hybrid Machine Learning and Deep Learning Approaches and a Novel Posturography

Study Overview
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Brief Summary
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The purpose of this project is to combine a novel posturogrpahy based on HTC VIVE trackers and hybrid machine learning and deep learning algorithms to establish a set of simple, convenient and valid fall risk assessment tool. This observational and follow up study will community elderly aged over 60 years old. The investigators will collect demographic data, questionnaire surveys, traditional balance tests and the tracker-based posturography to obtain the trunk stability parameters in different standing task. The fall risk will be classified according to self-reported falls n the past one year and verified in a 6-month follow up. The investigators will evaluate the performance of different hybrid machine learning and deep learning algorithm to extract the important features of multiple posturographic parameters and select an optimal model. The investigators will use the receiver operating characteristic curve analysis to compute the sensitivity, specificity and accuracy of different algorithms for risk classification and also compare the performance with traditional balance assessment tools.

Detailed Description
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The purpose of this project is to combine a novel posturogrpahy based on HTC VIVE trackers and hybrid machine learning and deep learning algorithms to establish a set of simple, convenient and valid fall risk assessment tool. This observational and follow up study will community elderly aged over 60 years old. The investigators will collect demographic data, questionnaire surveys, traditional balance tests (Berg Balance scale, Timed-up-and-go, 30s-sit-to-stand, four-stage balance tests) and a tracker-based posturography to obtain the trunk stability parameters in different standing task. The fall risk will be classified according to self-reported falls in the past one year and verified in a 6-month follow up. The investigators will evaluate the performance of different hybrid machine learning and deep learning algorithm to extract the important features of multiple posturographic parameters and select an optimal model. The investigators will use the receiver operating characteristic curve analysis to compute the sensitivity, specificity and accuracy of different algorithms for risk classification and also compare the performance with traditional balance assessment tools. The investigators will evaluate the correlation of these posturographic features and data obtained by other methods. Risk factors of previous falls and future falls will also analyzed.

Official Title
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Fall Risk Assessment Using Hybrid Machine Learning and Deep Learning Approaches and a Novel Posturography

Conditions
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Age Problem, Fall

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: can walk in the household without device independently Exclusion Criteria: with terminal disease with cognitive impairment to follow verbal instruction with neurological conditions that are associated with leg weakness with significant visual impairment that interferes with daily living and walking

Ages Eligible for Study
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Minimum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of fall events | self-reported fall events according to a followup questionnaire and defined as the sudden, involuntary transfer of body to the ground and at a lower level than the previous one | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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fall risk, posturography, machine learning, fall efficacy, deep learning