Fall Risk Assessment in Older Adults with Diabetic Peripheral Neuropathy

Jhonathan Sora Cárdenas, Martha Zequera Díaz, Francisco Calderón Bocanegra

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

1 Scopus citations

Abstract

Diabetic peripheral neuropathy DPN is the most frequent complication with people with diabetes and affects approximately half of this population. This is reflected in the reduction of the transmission of vibratory sensitivity, proprioceptive and of reflexes osteotendinous, affecting sensory and motor skills. People with DPN are up to 23 times more likely to have falls and 15 times more likely to report an injury compared to healthy older adults. Falls have significant consequences, such as temporary or permanent physical disability, which decreases the quality of life of the elderly and represents an increase in mortality. Therefore, a pilot study is proposed to assess the risk of falls in older adults with DPN by implementing a predictive system based on the clinical information of the AGS/BGS guidelines, the oscillation of the pressure center (CoP) at rest and the Timed up and Go test (TUG) with the use of inertial sensors. A sample of convenience of 19 participants (13 control group and 6 with DPN) older than 45 years, were cited to perform data acquisition, which were used as inputs to evaluate four fall risk classification techniques: K-means, support vector machines, K nearest neighbors and neural networks, obtaining a precision = 90.9%, sensitivity = 80% and specificity = 100%. Therefore, this study suggests that it is possible to evaluate the risk of falls in older adults with DPN through the clinical information of the AGS/BGS guidelines, the oscillation of the CoP at rest and the TUG test with the use of inertial sensors and it also has the potential to be implemented in future studies with larger populations.

Original languageEnglish
Title of host publicationFuture Trends in Biomedical and Health Informatics and Cybersecurity in Medical Devices - Proceedings of the International Conference on Biomedical and Health Informatics, ICBHI 2019
EditorsKang-Ping Lin, Ratko Magjarevic, Paulo de Carvalho
PublisherSpringer Science and Business Media Deutschland GmbH
Pages396-404
Number of pages9
ISBN (Print)9783030306359
DOIs
StatePublished - 2020
Event4th International Conference on Biomedical and Health Informatics, ICBHI 2019 - Taipei, Taiwan, Province of China
Duration: 17 Apr 201920 Apr 2019

Publication series

NameIFMBE Proceedings
Volume74
ISSN (Print)1680-0737
ISSN (Electronic)1433-9277

Conference

Conference4th International Conference on Biomedical and Health Informatics, ICBHI 2019
Country/TerritoryTaiwan, Province of China
CityTaipei
Period17/04/1920/04/19

Keywords

  • Center of pressure
  • Diabetic peripheral neuropathy
  • Fall risk assessment
  • Instrumented timed up and go
  • Older adults
  • Pattern recognition

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