Method for diagnosing ADHD and related behavioral disorders

• US 9,005,142 B2
• Filed: 06/19/2013
• Issued: 04/14/2015
• Est. Priority Date: 04/04/2006
• Status: Expired due to Fees

• Current Assignee: Mclean Hospital (Mass General Brigham, Inc.)
• Original Assignee: Mclean Hospital (Mass General Brigham, Inc.)
• Inventors: Teicher, Martin H., Ohashi, Kyoko
• Primary Examiner(s): Szmal, Brian
• Assistant Examiner(s): NGUYEN, HUONG Q
• Application Number:
  US13/921,764
• Publication Number:
  US 20140058290A1
• Time in Patent Office: 664 Days
• Field of Search: 600/595
• US Class Current: 600/595
• CPC Class Codes: A61B 5/11 Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb for measuring pulse A61B5/02 ;A61B5/1038 takes precedence; motion detection to correct for motion artifacts in physiological signals A61B5/721
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/168 Evaluating attention deficit, hyperactivity
• CPC Class Codes: A61B 5/7282 Event detection, e.g. detecting unique waveforms indicative of a medical condition A61B5/4094, A61B5/4818, A61B5/349, A61B5/0823 take precedence

Abstract

The invention features methods and systems for the diagnosis of ADHD and related disorders. The methods and systems of the invention can also be used to ascertain how much benefit an individual would derive from a particular therapy.

Claims

1. A method of diagnosing ADHD or a related disorder in a subject comprising the steps of:

(i) providing motion data for said subject, wherein said motion data has been collected by using a motion analysis device to record movements of said subject to produce said motion data;

(ii) using a computer to perform an analysis of said motion data, wherein said analysis comprises calculating from said motion data the power spectral density of the oscillations in said movements over a frequency range between 0.01 and 0.5 Hz; and

(iii) on the basis of said spectral density, diagnosing whether said subject has ADHD or a related disorder.

2. The method of claim 1, wherein said spectral density is calculated over a frequency range between 0.01 and 0.3 Hz.

3. The method of claim 2, wherein said spectral density is calculated over a frequency range between 0.01 and 0.1 Hz.

4. The method of claim 2, wherein said spectral density is calculated over a frequency range between 0.05 and 0.2 Hz.

5. The method of claim 1, wherein said disorder is ADD, ADHD, or Hyperkinetic Disorder.

6. A method of diagnosing ADHD or a related disorder in a subject comprising the steps of:

(i) providing motion data for said subject, wherein said motion data has been collected by using a motion analysis device to record movements of said subject to produce said motion data;

(ii) using a computer to perform an analysis of said motion data, wherein said analysis comprises calculating from said motion data the number of spikes in said movements, wherein said spikes are bursts in the rate of said movements by said subject exceeding a threshold amplitude of greater than 1 mm/second; and

(iii) on the basis of said number, diagnosing said whether subject has ADHD or a related disorder.

7. The method of claim 6, wherein said spikes have an amplitude of greater than 3 mm/second.

8. The method of claim 6, wherein said number of spikes is calculated for two or more different amplitudes.

9. The method of claim 6, wherein said disorder is ADD, ADHD, or Hyperkinetic Disorder.

10. A method of diagnosing ADHD or a related disorder in a subject comprising the steps of:

(i) providing motion data for said subject, wherein said motion data has been collected by using a motion analysis device to record movements of said subject to produce said motion data;

(ii) using a computer to perform an analysis of said motion data, wherein said analysis comprises calculating from said motion data the time intervals between spikes in said movements, wherein said spikes are bursts in the rate of said movements by said subject exceeding a threshold amplitude of greater than 1 mm/second; and

(iii) on the basis of said time intervals, diagnosing whether said subject has ADHD or a related disorder.

11. The method of claim 10, wherein said spikes have an amplitude of greater than 3 mm/second.

12. The method of claim 10, wherein said number of spikes is calculated for two or more different amplitudes.

13. The method of claim 10, wherein said disorder is ADD, ADHD, or Hyperkinetic Disorder.

14. A method for assessing the efficacy of a medicament for the treatment of ADHD or a related disorder in a subject diagnosed with said disorder, said method comprising:

(i) providing medicated motion data for said subject, wherein following administration of said medicament to said subject said medicated motion data has been collected by using a motion analysis device to record movements of said subject while medicated to produce said medicated motion data;

(ii) using a computer to perform an analysis of said medicated motion data, wherein said analysis comprises calculating from said medicated motion data the power spectral density of the oscillations in said movements over a frequency range between 0.01 and 0.5 Hz; and

(iii) on the basis of said spectral density, determining the effect of said medicament on said subject diagnosed with said disorder.

15. The method of claim 14, further comprising:

(iv) providing unmedicated motion data for said subject, wherein said unmedicated motion data has been collected by using a motion analysis device to record movements of said subject while unmedicated to produce said unmedicated motion data;

(v) using a computer to perform an analysis of said unmedicated motion data, wherein said analysis comprises calculating from said unmedicated motion data the power spectral density of the oscillations in said movements over a frequency range between 0.01 and 0.5 Hz; and

(vi) on the basis of said spectral density for step (ii) and said spectral density for step (v), determining the effect of said medicament on said subject.

16. A method for assessing the efficacy of a medicament for the treatment of ADHD or a related disorder in a subject diagnosed with said disorder, said method comprising:

(i) providing medicated motion data for said subject, wherein following administration of said medicament to said subject said medicated motion data has been collected by using a motion analysis device to record movements of said subject while medicated to produce said medicated motion data;

(ii) using a computer to perform an analysis of said medicated motion data, wherein said analysis comprises calculating from said medicated motion data the number of spikes in said movements, wherein said spikes are bursts in the rate of said movements by said subject exceeding a threshold amplitude of greater than 1 mm/second; and

(iii) on the basis of said number, determining the effect of said medicament on said subject diagnosed with said disorder.

17. The method of claim 16, further comprising:

(iv) providing unmedicated motion data for said subject, wherein said unmedicated motion data has been collected by using a motion analysis device to record movements of said subject while unmedicated to produce said unmedicated motion data;

(v) using a computer to perform an analysis of said unmedicated motion data, wherein said analysis comprises calculating from said unmedicated motion data the number of spikes in said movements, wherein said spikes are bursts in the rate of said movements by said subject exceeding a threshold amplitude of greater than 1 mm/second; and

(vi) on the basis of said number for step (ii) and said number for step (v), determining the effect of said medicament on said subject.

18. A method for assessing the efficacy of a medicament for the treatment of ADHD or a related disorder in a subject diagnosed with said disorder, said method comprising:

(i) providing medicated motion data for said subject, wherein following administration of said medicament to said subject said medicated motion data has been collected by using a motion analysis device to record movements of said subject while medicated to produce said medicated motion data;

(ii) using a computer to perform an analysis of said medicated motion data, wherein said analysis comprises calculating from said medicated motion data the time intervals between spikes in said movements, wherein said spikes are bursts in the rate of said movements by said subject exceeding a threshold amplitude of greater than 1 mm/second; and

(iii) on the basis of said time intervals, determining the effect of said medicament on said subject diagnosed with said disorder.

19. The method of claim 18, further comprising:

(iv) providing unmedicated motion data for said subject, wherein said unmedicated motion data has been collected by using a motion analysis device to record movements of said subject while unmedicated to produce said unmedicated motion data;

(v) using a computer to perform an analysis of said unmedicated motion data, wherein said analysis comprises calculating from said unmedicated motion data the time intervals between spikes in said movements, wherein said spikes are bursts in the rate of said movements by said subject exceeding a threshold amplitude of greater than 1 mm/second; and

(vi) on the basis of said time intervals for step (ii) and said time intervals for step (v), determining the effect of said medicament on said subject.