RESUMO
Gait abnormalities and cognitive dysfunction are common in patients with Parkinson's disease (PD) and get worse with disease progression. Recent evidence has suggested a strong relationship between gait abnormalities and cognitive dysfunction in PD patients and impaired cognitive control could be one of the causes for abnormal gait patterns. However, the pathophysiological mechanisms of cognitive dysfunction in PD patients with gait problems are unclear. Here, we collected scalp electroencephalography (EEG) signals during a 7-s interval timing task to investigate the cortical mechanisms of cognitive dysfunction in PD patients with (PDFOG +, n = 34) and without (PDFOG-, n = 37) freezing of gait, as well as control subjects (n = 37). Results showed that the PDFOG + group exhibited the lowest maximum response density at around 7 s compared to PDFOG- and control groups, and this response density peak correlated with gait abnormalities as measured by FOG scores. EEG data demonstrated that PDFOG + had decreased midfrontal delta-band power at the onset of the target cue, which was also correlated with maximum response density and FOG scores. In addition, our classifier performed better at discriminating PDFOG + from PDFOG- and controls with an area under the curve of 0.93 when midfrontal delta power was chosen as a feature. These findings suggest that abnormal midfrontal activity in PDFOG + is related to cognitive dysfunction and describe the mechanistic relationship between cognitive and gait functions in PDFOG + . Overall, these results could advance the development of novel biosignatures and brain stimulation approaches for PDFOG + .
Assuntos
Disfunção Cognitiva , Transtornos Neurológicos da Marcha , Doença de Parkinson , Disfunção Cognitiva/complicações , Eletroencefalografia , Marcha/fisiologia , HumanosRESUMO
In this paper, a novel design of fractional order differentiator (FOD) based on lattice wave digital filter (LWDF) is proposed which requires minimum number of multiplier for its structural realization. Firstly, the FOD design problem is formulated as an optimization problem using the transfer function of lattice wave digital filter. Then, three optimization algorithms, namely, genetic algorithm (GA), particle swarm optimization (PSO) and cuckoo search algorithm (CSA) are applied to determine the optimal LWDF coefficients. The realization of FOD using LWD structure increases the design accuracy, as only N number of coefficients are to be optimized for Nth order FOD. Finally, two design examples of 3rd and 5th order lattice wave digital fractional order differentiator (LWDFOD) are demonstrated to justify the design accuracy. The performance analysis of the proposed design is carried out based on magnitude response, absolute magnitude error (dB), root mean square (RMS) magnitude error, arithmetic complexity, convergence profile and computation time. Simulation results are attained to show the comparison of the proposed LWDFOD with the published works and it is observed that an improvement of 29% is obtained in the proposed design. The proposed LWDFOD approximates the ideal FOD and surpasses the existing ones reasonably well in mid and high frequency range, thereby making the proposed LWDFOD a promising technique for the design of digital FODs.