{"about":{"site":"https://codewithpapers.app","non_affiliation":"Code with Papers and Syntology are not affiliated with, endorsed by, or sponsored by Papers with Code, Meta, or the pwc-archive mirror.","licence":"CC BY-SA 4.0","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","attribution":"https://codewithpapers.app/attribution","modified":"archive material modified by Syntology; see the attribution page"},"url":"/paper/detecting-daily-living-gait-amid-huntington-s","title":"Detecting Daily Living Gait Amid Huntington's Disease Chorea using a Foundation Deep Learning Model","arxiv_id":"2412.11286","date":"2024-12-15","proceeding":null,"authors":["Dafna Schwartz","Lori Quinn","Nora E. Fritz","Lisa M. Muratori","Jeffery M. Hausdorff","Ran Gilad Bachrach"],"abstract":"Wearable sensors offer a non-invasive way to collect physical activity (PA) data, with walking as a key component. Existing models often struggle to detect gait bouts in individuals with neurodegenerative diseases (NDDs) involving involuntary movements. We developed J-Net, a deep learning model inspired by U-Net, which uses a pre-trained self-supervised foundation model fine-tuned with Huntington`s disease (HD) in-lab data and paired with a segmentation head for gait detection. J-Net processes wrist-worn accelerometer data to detect gait during daily living. We evaluated J-Net on in-lab and daily-living data from HD, Parkinson`s disease (PD), and controls. J-Net achieved a 10-percentage point improvement in ROC-AUC for HD over existing methods, reaching 0.97 for in-lab data. In daily-living environments, J-Net estimates showed no significant differences in median daily walking time between HD and controls (p = 0.23), in contrast to other models, which indicated counterintuitive results (p < 0.005). Walking time measured by J-Net correlated with the UHDRS-TMS clinical severity score (r=-0.52; p=0.02), confirming its clinical relevance. Fine-tuning J-Net on PD data also improved gait detection over current methods. J-Net`s architecture effectively addresses the challenges of gait detection in severe chorea and offers robust performance in daily living. The dataset and J-Net model are publicly available, providing a resource for further research into NDD-related gait impairments.","url_abs":"https://arxiv.org/abs/2412.11286v1","url_pdf":"https://arxiv.org/pdf/2412.11286v1.pdf","source":{"archive":"pwc-archive (Hugging Face), CC BY-SA 4.0","snapshot":"2025-07-28","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","row_kind":"abstracts"},"code_links":[{"paper_slug":"detecting-daily-living-gait-amid-huntington-s","repo_url":"https://github.com/dafnaschwartz/hd_gait_detection_with_ssl","is_official":1,"mentioned_in_paper":1,"mentioned_in_github":1,"framework":"pytorch","reach":null}],"tasks":[],"methods":[{"method_slug":"concatenated-skip-connection","method_name":"Concatenated Skip Connection"},{"method_slug":"convolution","method_name":"Convolution"},{"method_slug":"max-pooling","method_name":"Max Pooling"},{"method_slug":"relu","method_name":"ReLU"},{"method_slug":"u-net","method_name":"U-Net"}],"datasets_introduced":[],"methods_introduced":[],"results":[],"syntology":{"syntology_url":null,"atlas_url":null,"mcp":null,"developers":"https://syntology.ai/developers"},"arxiv_metadata":null,"syntology_extracted_results":null}