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Publications

Publications by Flora Rocha Ferreira

2018

Foot clearance pattern: a distinctive gait variable in vascular Parkinson's disease

Authors
Gago, MF; Ferreira, F; Carvalho, C; Mollaei, N; Bicho, E; Rodrigues, L; Sousa, N; Gama, J; Ferreira, C;

Publication
EUROPEAN JOURNAL OF NEUROLOGY

Abstract

2016

Multi-bump solutions in a neural field model with external inputs

Authors
Ferreira, F; Erlhagen, W; Bicho, E;

Publication
PHYSICA D-NONLINEAR PHENOMENA

Abstract
We study the conditions for the formation of multiple regions of high activity or "bumps" in a one-dimensional, homogeneous neural field with localized inputs. Stable multi-bump solutions of the integro-differential equation have been proposed as a model of a neural population representation of remembered external stimuli. We apply a class of oscillatory coupling functions and first derive criteria to the input width and distance, which relate to the synaptic couplings that guarantee the existence and stability of one and two regions of high activity. These input-induced patterns are attracted by the corresponding stable one-bump and two-bump solutions when the input is removed. We then extend our analytical and numerical investigation to N-bump solutions showing that the constraints on the input shape derived for the two-bump case can be exploited to generate a memory of N > 2 localized inputs. We discuss the pattern formation process when either the conditions on the input shape are violated or when the spatial ranges of the excitatory and inhibitory connections are changed. An important aspect for applications is that the theoretical findings allow us to determine for a given coupling function the maximum number of localized inputs that can be stored in a given finite interval.

2018

Artificial Neural Networks Classification of Patients with Parkinsonism based on Gait

Authors
Fernandes, C; Fonseca, L; Ferreira, F; Gago, M; Costa, L; Sousa, N; Ferreira, C; Gama, J; Erlhagen, W; Bicho, E;

Publication
PROCEEDINGS 2018 IEEE INTERNATIONAL CONFERENCE ON BIOINFORMATICS AND BIOMEDICINE (BIBM)

Abstract
Differential diagnosis between Idiopathic Parkinson's disease (IPD) and Vascular Parkinsonism (VaP) is a difficult task, especially early in the disease. There is growing evidence to support the use of gait assessment in diagnosis and management of movement disorder diseases. The aim of this study is to evaluate the effectiveness of some machine learning strategies in distinguishing IPD and VaP gait. Wearable sensors positioned on both feet were used to acquire the gait data from 15 IPD, 15 VaP, and 15 healthy subjects. A comparative classification analysis was performed by applying two supervised machine learning algorithms: Multiple Layer Perceptrons (MLPs) and Deep Belief Networks (DBNs). The decisional space was composed of the gait variables, with or without neuropsychological evaluation (Montreal cognitive assessment (MoCA) score), top-ranked in an error incremental analysis. In the classification task of characterizing parkinsonian gait by distinguishing between patients (IPD+VaP) and healthy control, from the all strides classification of the gait performed by the person, high accuracy (93% with or without MoCA) was obtained for both algorithms. In the classification task of the two groups of patients (VaP vs. IPD), DBN classifier achieved higher performance (73% with MoCA). To the best of our knowledge, this is the first study on gait classification that includes a VaP group. DBN classifiers are not frequently applied in literature to similar studies, but the results here obtained demonstrate that the use of DBN classifiers based on gait analysis is promising to be a good support to the neurologist in distinguishing VaP and IPD.

2019

Gait stride-to-stride variability and foot clearance pattern analysis in Idiopathic Parkinson's Disease and Vascular Parkinsonism

Authors
Ferreira, F; Gago, MF; Bicho, E; Carvalho, C; Mollaei, N; Rodrigues, L; Sousa, N; Rodrigues, PP; Ferreira, C; Gama, J;

Publication
JOURNAL OF BIOMECHANICS

Abstract
The literature on gait analysis in Vascular Parkinsonism (VaP), addressing issues such as variability, foot clearance patterns, and the effect of levodopa, is scarce. This study investigates whether spatiotemporal, foot clearance and stride-to-stride variability analysis can discriminate VaP, and responsiveness to levodopa. Fifteen healthy subjects, 15 Idiopathic Parkinson's Disease (IPD) patients and 15 VaP patients, were assessed in two phases: before (Off-state), and one hour after (On-state) the acute administration of a suprathreshold (1.5 times the usual) levodopa dose. Participants were asked to walk a 30-meter continuous course at a self-selected walking speed while wearing foot-worn inertial sensors. For each gait variable, mean, coefficient of variation (CV), and standard deviations SDI and SD2 obtained by Poincare analysis were calculated. General linear models (GLMs) were used to identify group differences. Patients were subject to neuropsychological evaluation (MoCA test) and Brain MRI. VaP patients presented lower mean stride velocity, stride length, lift-off and strike angle, and height of maximum toe (later swing) (p < .05), and higher %gait cycle in double support, with only the latter unresponsive to levodopa. VaP patients also presented higher CV, significantly reduced after levodopa. Yet, all VaP versus IPD differences lost significance when accounting for mean stride length as a covariate. In conclusion, VaP patients presented a unique gait with reduced degrees of foot clearance, probably correlated to vascular lesioning in dopaminergic/non-dopaminergic cortical and subcortical non-dopaminergic networks, still amenable to benefit from levodopa. The dependency of gait and foot clearance and variability deficits from stride length deserves future clarification.

2020

Objective Graphical Clustering of Spatiotemporal Gait Pattern in Patients with Parkinsonism

Authors
Ferreira, F; Gago, M; Mollaei, N; Bicho, E; Sousa, N; Gama, J; Ferreira, C;

Publication
INTERNATIONAL CONFERENCE ON NUMERICAL ANALYSIS AND APPLIED MATHEMATICS ICNAAM 2019

Abstract
The goal of this study was grouping patients with parkinsonism that share similar gait characteristics based on principal component analysis (PCA). Spatiotemporal gait data during self-selected walking were obtained from 15 patients with Vascular Parkinsonism, 15 patients with Idiopathic Parkinson's Disease and 15 Controls. PCA was used to reduce the dimensionality of 12 gait characteristics for the 45 subjects. Fuzzy C-mean cluster analysis was performed plotting the first two principal components, which accounted for 84.1% of the total variability. Results indicates that it is possible to quantitatively differentiate different gait types in patients with parkinsonism using PCA. Objective graphical classification of gait patterns could assist in clinical evaluation as well as aid treatment planning.

2020

A Deep Learning Approach for Intelligent Cockpits: Learning Drivers Routines

Authors
Fernandes, C; Ferreira, F; Erlhagen, W; Monteiro, S; Bicho, E;

Publication
Intelligent Data Engineering and Automated Learning - IDEAL 2020 - 21st International Conference, Guimaraes, Portugal, November 4-6, 2020, Proceedings, Part II

Abstract
Nowadays an increasing number of vehicles are being equipped with powerful cockpit systems capable of collecting drivers’ footprints over time. The collection of this valuable data opens effective opportunities for routine prediction. With the growing ability of vehicles to collect spatial and temporal information solving the routine prediction problem becomes crucial and feasible. It is then extremely important to advance and take advantage of the capabilities of these cockpit systems. A vehicle that is capable of predicting the next destination of the driver and when the driver intends to leave to that destination can prepare the journey in advance. Previous studies tackling the next location prediction problem have made use of Traditional Markov models, Neural Networks, Dynamic models, among others. In this work, a framework based on the hierarchical density-based clustering algorithm followed by a Long Short-Term Memory (LSTM) recurrent neural network is proposed for spatial-temporal prediction of drivers’ routines. Based on real-life driving scenarios of three different users, the proposed approach achieved a test set accuracy of 96.20%, 90.23%, and 86.40% when predicting the next destination and a Score of 93.69, 79.21, and 28.81 when predicting the departure time, respectively. The results indicate that the proposed architecture can be implemented on the vehicle cockpit for the assistance of the management of future trips. © 2020, Springer Nature Switzerland AG.

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