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Main Authors: Sukmana, Septian Enggar, Bae, Sang Won, Shibata, Tomohiro
Format: Preprint
Published: 2026
Subjects:
Online Access:https://arxiv.org/abs/2603.03651
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author Sukmana, Septian Enggar
Bae, Sang Won
Shibata, Tomohiro
author_facet Sukmana, Septian Enggar
Bae, Sang Won
Shibata, Tomohiro
contents Freezing of Gait (FOG) is a debilitating motor symptom commonly experienced by individuals with Parkinson's Disease (PD) which often leads to falls and reduced mobility. Timely and accurate prediction of FOG episodes is essential for enabling proactive interventions through assistive technologies. This study presents a reinforcement learning-based framework designed to identify optimal pre-FOG onset points, thereby extending the prediction horizon for anticipatory cueing systems. The model implements a Double Deep Q-Network (DDQN) architecture enhanced with Prioritized Experience Replay (PER) allowing the agent to focus learning on high-impact experiences and refine its policy. Trained over 9000 episodes with a reward shaping strategy that promotes cautious decision-making, the agent demonstrated robust performance in both subject-dependent and subject-independent evaluations. The model achieved a prediction horizon of up to 8.72 seconds prior to FOG onset in subject-independent scenarios and 7.89 seconds in subject-dependent settings. These results highlight the model's potential for integration into wearable assistive devices, offering timely and personalized interventions to mitigate FOG in PD patients.
format Preprint
id arxiv_https___arxiv_org_abs_2603_03651
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Freezing of Gait Prediction using Proactive Agent that Learns from Selected Experience and DDQN Algorithm
Sukmana, Septian Enggar
Bae, Sang Won
Shibata, Tomohiro
Machine Learning
Freezing of Gait (FOG) is a debilitating motor symptom commonly experienced by individuals with Parkinson's Disease (PD) which often leads to falls and reduced mobility. Timely and accurate prediction of FOG episodes is essential for enabling proactive interventions through assistive technologies. This study presents a reinforcement learning-based framework designed to identify optimal pre-FOG onset points, thereby extending the prediction horizon for anticipatory cueing systems. The model implements a Double Deep Q-Network (DDQN) architecture enhanced with Prioritized Experience Replay (PER) allowing the agent to focus learning on high-impact experiences and refine its policy. Trained over 9000 episodes with a reward shaping strategy that promotes cautious decision-making, the agent demonstrated robust performance in both subject-dependent and subject-independent evaluations. The model achieved a prediction horizon of up to 8.72 seconds prior to FOG onset in subject-independent scenarios and 7.89 seconds in subject-dependent settings. These results highlight the model's potential for integration into wearable assistive devices, offering timely and personalized interventions to mitigate FOG in PD patients.
title Freezing of Gait Prediction using Proactive Agent that Learns from Selected Experience and DDQN Algorithm
topic Machine Learning
url https://arxiv.org/abs/2603.03651