Classification-Based Screening of Parkinson’s Disease Patients through Graph and Handwriting Signals

Parkinson’s disease (PD) is one of the most common neurodegenerative diseases, affecting millions of people worldwide, especially among the elderly population. It has been demonstrated that handwriting impairment can be an important early marker for the detection of this disease. The aim of this study was to propose a simple and quick way to discriminate PD patients from controls through handwriting tasks using machine-learning techniques. We developed a telemonitoring system based on a user-friendly application for drawing tablets that enabled us to collect real-time information about position, pressure, and inclination of the digital pen during the experiment and, simultaneously, to supply visual feedback on the screen to the subject. We developed a protocol that includes drawing and writing tasks, including tasks in the Italian language, and we collected data from 22 healthy subjects and 9 PD patients. Using the collected signals and data from a preexisting database, we developed a machine-learning model to automatically discriminate PD patients from healthy control subjects with an accuracy of 77.5%.