# Detecting Parkinsonian Tremor from IMU Data Collected In-The-Wild using Deep Multiple-Instance Learning

arXiv: https://arxiv.org/abs/2005.04185 · HTML: https://mlsanity.com/paper/2005.04185/

## Key facts

- Cited by 5 papers in the map (data through 14 Oct 2026).
- First posted on arXiv 6 May 2020.

## Built on by (most cited first, 5 of 5)

- [Designing Data: Proactive Data Collection and Iteration for Machine Learning](https://mlsanity.com/paper/2301.10319/) (2023)
- [A Shape-Based Functional Index for Objective Assessment of Pediatric Motor Function](https://mlsanity.com/paper/2501.04721/) (2025)
- [Estimating Motor Symptom Presence and Severity in Parkinson's Disease from Wrist Accelerometer Time Series using ROCKET and InceptionTime](https://mlsanity.com/paper/2304.11265/) (2023)
- [Leveraging Unlabelled Data in Multiple-Instance Learning Problems for Improved Detection of Parkinsonian Tremor in Free-Living Conditions](https://mlsanity.com/paper/2305.00249/) (2023)
- [Transportation mode recognition based on low-rate acceleration and location signals with an attention-based multiple-instance learning network](https://mlsanity.com/paper/2404.15323/) (2024)

## Abstract (arXiv)

Parkinson's Disease (PD) is a slowly evolving neuro-logical disease that affects about 1% of the population above 60 years old, causing symptoms that are subtle at first, but whose intensity increases as the disease progresses. Automated detection of these symptoms could offer clues as to the early onset of the disease, thus improving the expected clinical outcomes of the patients via appropriately targeted interventions. This potential has led many researchers to develop methods that use widely available sensors to measure and quantify the presence of PD symptoms such as tremor, rigidity and braykinesia. However, most of these approaches operate under controlled settings, such as in lab or at home, thus limiting their applicability under free-living conditions. In this work, we present a method for automatically identifying tremorous episodes related to PD, based on IMU signals captured via a smartphone device. We propose a Multiple-Instance Learning approach, wherein a subject is represented as an unordered bag of accelerometer signal segments and a single, expert-provided, tremor annotation. Our method combines deep feature learning with a learnable pooling stage that is able to identify key instances within the subject bag, while still being trainable end-to-end. We validate our algorithm on a newly introduced dataset of 45 subjects, containing accelerometer signals collected entirely in-the-wild. The good classification performance obtained in the conducted experiments suggests that the proposed method can efficiently navigate the noisy environment of in-the-wild recordings.
