Speech disorders, collectively referred to as hypokinetic dysarthria (HD), are early biomarkers of Parkinson’s disease (PD). To assess all dimensions of HD, patients could perform several speech tasks using a smartphone outside a clinic. This paper aims to adapt the parametrization process to running speech so that a patient is not required to interact actively with the device, and features can be extracted directly from phone calls. The method utilizes a voice activity detector followed by a voicing detection. The algorithm was tested on a database of 126 recordings (86 patients with PD and 40 healthy controls) of monologue mixed with noise with different signal-to-noise ratios (SNR) to simulate the real environment conditions. Pearson correlation coefficients show a strong linear relationship between speech features and patients’ scores assessing HD and other motor/non-motor symptoms – p-value < 0.01 for the normalized amplitude quotient (NAQ) with Test 3F Dysarthric Profile (DX index) and Unified Parkinson’s Disease Rating Scale (part III) in 20 dB SNR conditions, p-value < 0.01 for the jitter and shimmer with the Mini Mental State Exam (10 dB SNR). A model based on the Extreme Gradient Boosting algorithm predicts the DX index with a 10.83% estimated error rate (EER) and the Addenbrooke’s Cognitive Examination-Revise (ACE-R) score with 13.38% EER. The introduced algorithm can potentially be used in mHealth applications for passive monitoring and assessment of PD patients.
CITATION STYLE
Kovac, D., Mekyska, J., Brabenec, L., Kostalova, M., & Rektorova, I. (2023). Research on Passive Assessment of Parkinson’s Disease Utilising Speech Biomarkers. In Lecture Notes of the Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering, LNICST (Vol. 488 LNICST, pp. 259–273). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/978-3-031-34586-9_18
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