Freezing of Gait Detection Using Gramian Angular Fields and Federated Learning from Wearable Sensors

Abstract

Freezing of gait (FOG) is a debilitating symp- tom of Parkinson’s disease that impairs mobility and safety by increasing the risk of falls. An effective FOG detection system must be accurate, real-time, and deployable in free- living environments to enable timely interventions. However, existing detection methods face challenges due to (1) intra- inter patient variability, (2) subject-specific training, (3) using multiple sensors in FOG dominant locations (e.g., ankles) leading to high failure points, (4) centralized, non-adaptive learning frameworks that sacrifice patient privacy and prevent collaborative model refinement across populations and disease progression, and (5) most systems are tested in controlled set- tings, limiting their real-world applicability for continuous in- home monitoring. Addressing these gaps, we present FOGSense, a real-world deployable FOG detection system designed for uncontrolled, free-living conditions using only a single sensor. It uses Gramian Angular Field (GAF) transformations and privacy-preserving federated deep learning to capture temporal and spatial gait patterns missed by traditional methods with a low false positive rate. We evaluated our system using a public PD dataset collected in a free-living environment. FOGSense improves accuracy by 10.4% over a single-axis accelerometer, reduces failure points compared to multi-sensor systems, and demonstrates robustness to missing values. The federated ar- chitecture allows personalized model adaptation and efficient smartphone synchronization during off-peak hours, making it effective for long-term monitoring as symptoms evolve. Overall, FOGSense achieved a 22.2% improvement in F1-score and a 74.53% reduction in false positive rate compared to state-of-the- art methods, along with enhanced sensitivity for FOG episode detection, empowering preventive care and long-term symptom management as Parkinson’s progresses.

Publication
The 47th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), July 14–17, 2025, Copenhagen, Denmark
Shovito Barua Soumma
Shovito Barua Soumma
Graduate Research Associate
PhD Student

Currently I am working on building and optimizing deep learning models for wearable sensors data.

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