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Comparative Analysis of Task-Specific and Combined Upper-Limb EMG Features for Early Parkinson's Disease Classification

Rey Vilches, J.; Gorlini, C.; Tolu, S.; Thomsen, T. H.; Biering-Sorensen, B.; Puthusserypady, S.

2026-03-18 neurology
10.64898/2026.03.16.26348216 medRxiv
Show abstract

Early-stage Parkinsons disease (PD) presents motor impairments that are difficult to detect clinically. Surface EMG (sEMG) offers an objective alternative, yet many studies rely on non-standardized tasks and provide limited task- and symptom-specific interpretability. This study analyzes sEMG recorded during standardized MDS-UPDRS-III upper-limb tasks--pronation-supination and postural tremor--performed by individuals with early-stage PD (Hoehn and Yahr 1-3, n=31) and healthy controls (n=30). Time-, frequency-, and nonlinear features were extracted and evaluated using a two-stage framework combining filter-based ranking and wrapper-based methods to support feature selection across multiple classifiers and interpretability. Pronation-supination showed the strongest single-task discrimination (balanced accuracy 0.79{+/-}0.181), driven by rhythm and nonlinear features reflecting impaired rhythmicity, reduced neuromuscular complexity, and unstable muscle deactivation, consistent with bradykinesia and rigidity. The postural tremor task highlighted tremor-specific spectral changes and reduced signal complexity during sustained posture (balanced accuracy 0.75{+/-}0.18), capturing low-frequency oscillations typical of PD tremor. Combining both tasks further improved classification without increasing feature dimensionality (balanced accuracy 0.83{+/-}0.186), indicating complementary diagnostic information. Filter-guided selection enhanced robustness and consistency across models. Beyond classification, this study highlights the value of interpretable, task-aligned motor quantification, showing that standardized clinical movements combined with targeted sEMG analysis can support explainable assessment of early-stage PD motor symptoms.

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