Video analysis reveals early signs of Bradykinesia in REM sleep behavior disorder and Parkinson’s disease

Abstract Idiopathic REM sleep behavior disorder (iRBD) is a strong predictor of neurodegenerative diseases like Parkinson’s disease (PD). Early detection of motor impairments such as bradykinesia is critical for identifying at-risk populations. This study analyzed Finger Tapping Task videos from 66...

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Main Authors: Diego L. Guarín, Gabriela Acevedo, Carolina Calonge, Joshua K. Wong, Nikolaus R. McFarland, Adolfo Ramirez-Zamora, David E. Vaillancourt
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-025-01082-0
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author Diego L. Guarín
Gabriela Acevedo
Carolina Calonge
Joshua K. Wong
Nikolaus R. McFarland
Adolfo Ramirez-Zamora
David E. Vaillancourt
author_facet Diego L. Guarín
Gabriela Acevedo
Carolina Calonge
Joshua K. Wong
Nikolaus R. McFarland
Adolfo Ramirez-Zamora
David E. Vaillancourt
author_sort Diego L. Guarín
collection DOAJ
description Abstract Idiopathic REM sleep behavior disorder (iRBD) is a strong predictor of neurodegenerative diseases like Parkinson’s disease (PD). Early detection of motor impairments such as bradykinesia is critical for identifying at-risk populations. This study analyzed Finger Tapping Task videos from 66 participants, including healthy controls (HC) and individuals with iRBD and PD. Only videos that received a clinician score of zero on the MDS-UPDRS Part-III finger tapping item were analyzed. Movement amplitude, speed, and their decrements during the task were directly estimated from the videos using machine learning algorithms. Bradykinesia and hypokinesia were detectable in PD but not in iRBD, while decrement in movement amplitude and speed were observed in PD and iRBD. Classification models achieved 81.5% accuracy distinguishing PD from HC, 79.8% distinguishing iRBD from HC, and 81.7% differentiating iRBD from PD. Video-based assessments offer a low-cost, scalable solution for supporting the identification individuals at risk of developing neurodegenerative diseases.
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institution Kabale University
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language English
publishDate 2025-07-01
publisher Nature Portfolio
record_format Article
series npj Parkinson's Disease
spelling doaj-art-a140c51a26b443b3bea318c01bb5b19d2025-08-20T03:42:40ZengNature Portfolionpj Parkinson's Disease2373-80572025-07-011111910.1038/s41531-025-01082-0Video analysis reveals early signs of Bradykinesia in REM sleep behavior disorder and Parkinson’s diseaseDiego L. Guarín0Gabriela Acevedo1Carolina Calonge2Joshua K. Wong3Nikolaus R. McFarland4Adolfo Ramirez-Zamora5David E. Vaillancourt6Department of Applied Physiology and Kinesiology, University of FloridaDepartment of Applied Physiology and Kinesiology, University of FloridaDepartment of Applied Physiology and Kinesiology, University of FloridaFixel Institute for Neurological Disease, College of Medicine, University of FloridaFixel Institute for Neurological Disease, College of Medicine, University of FloridaFixel Institute for Neurological Disease, College of Medicine, University of FloridaDepartment of Applied Physiology and Kinesiology, University of FloridaAbstract Idiopathic REM sleep behavior disorder (iRBD) is a strong predictor of neurodegenerative diseases like Parkinson’s disease (PD). Early detection of motor impairments such as bradykinesia is critical for identifying at-risk populations. This study analyzed Finger Tapping Task videos from 66 participants, including healthy controls (HC) and individuals with iRBD and PD. Only videos that received a clinician score of zero on the MDS-UPDRS Part-III finger tapping item were analyzed. Movement amplitude, speed, and their decrements during the task were directly estimated from the videos using machine learning algorithms. Bradykinesia and hypokinesia were detectable in PD but not in iRBD, while decrement in movement amplitude and speed were observed in PD and iRBD. Classification models achieved 81.5% accuracy distinguishing PD from HC, 79.8% distinguishing iRBD from HC, and 81.7% differentiating iRBD from PD. Video-based assessments offer a low-cost, scalable solution for supporting the identification individuals at risk of developing neurodegenerative diseases.https://doi.org/10.1038/s41531-025-01082-0
spellingShingle Diego L. Guarín
Gabriela Acevedo
Carolina Calonge
Joshua K. Wong
Nikolaus R. McFarland
Adolfo Ramirez-Zamora
David E. Vaillancourt
Video analysis reveals early signs of Bradykinesia in REM sleep behavior disorder and Parkinson’s disease
npj Parkinson's Disease
title Video analysis reveals early signs of Bradykinesia in REM sleep behavior disorder and Parkinson’s disease
title_full Video analysis reveals early signs of Bradykinesia in REM sleep behavior disorder and Parkinson’s disease
title_fullStr Video analysis reveals early signs of Bradykinesia in REM sleep behavior disorder and Parkinson’s disease
title_full_unstemmed Video analysis reveals early signs of Bradykinesia in REM sleep behavior disorder and Parkinson’s disease
title_short Video analysis reveals early signs of Bradykinesia in REM sleep behavior disorder and Parkinson’s disease
title_sort video analysis reveals early signs of bradykinesia in rem sleep behavior disorder and parkinson s disease
url https://doi.org/10.1038/s41531-025-01082-0
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