This paper used micro-Doppler radar (MDR) measurements to investigate the significance of associations between cognitive functions and gait features of elderly persons. The aim of this paper was to develop a system that would enable the risks of developing dementia and related diseases to be monitored remotely on a daily basis. Study participants were adults aged 75 years and older. Gait velocity parameters corresponding to the walking speed and leg and foot velocities were remotely extracted via a simple 24-GHz MDR system in real time. The relationships between the extracted gait velocity parameters and the global cognition and cognitive functions in various cognitive domains (processing speed, memory, executive function, and language domains) that were assessed by conventional paper-and question-based tests were statistically analyzed. Our results revealed that, apart from the walking speed, which was mainly considered in a previous study, other parameters reflecting the leg and foot velocities are effective for the detection and classification of elderly participants with lower cognitive functions in the various cognitive domains. In particular, the statistical significance of the association of the leg velocity in the swing phase with the results of all the cognitive function tests is larger than that of the walking speed. Another important finding is that different gait velocity parameters are associated with each cognitive domain and this means that the MDR-based gait measurement can be used to determine which cognitive domain has deteriorated.
This paper presents a Doppler radar apathy-screening technique applied to elderly people based on their basic daily activities of walking and movements of sit-to-stand and stand-to-sit (STS). Our Doppler radar system remotely measured the kinematic parameters of the movements of 78 community-dwelling elderly adults (27 apathetic participants and 51 non-apathetic ones). Subsequently, logistic regression models using the measured kinematic parameters of gait and sit-to-stand/stand-to-sit movements were constructed for screening. The experimental results verified that, although the model using gait parameters could screen an apathetic group with a sensitivity of 85.2% and a specificity of 58.8%, the model using the STS parameters achieved better screening accuracies with a sensitivity of 88.9% and a specificity of 76.5%. These results reveal that the kinematic information of STS movements is significantly more effective at detecting apathy than is the gait information, which is otherwise regarded to be effective in conventional epidemiological studies.
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