Cervical motion alterations and brain functional connectivity in cervical dystonia
Parkinsonism & Related Disorders,
Journal Year:
2024,
Volume and Issue:
unknown, P. 106015 - 106015
Published: Jan. 1, 2024
Language: Английский
Reliability of average daily steps measured through a consumer smartwatch in Parkinson’s disease phenotypes, stages and severities: a cross-sectional study. (Preprint)
Published: June 16, 2024
BACKGROUND
Average
daily
steps
(avDS)
could
be
a
valuable
indicator
of
real-world
ambulation
in
people
with
Parkinson’s
disease
(PwPD)
and
previous
studies
reported
the
validity
reliability
this
measure.
Nonetheless,
no
study
to
date
has
considered
phenotype,
stage
severity
when
assessing
consumer
wrist-worn
devices
estimate
step
count
unsupervised,
free-living
conditions
PwPD.
OBJECTIVE
To
assess
compare
smartwatch
(Garmin
Vivosmart
4)
counting
avDS
PwPD
among
phenotypes,
stages,
groups.
METHODS
One-hundred-four
were
monitored
through
Garmin
4
for
5
consecutive
days.
Total
each
day
recorded
calculated.
dichotomized
into
tremor
dominant
(TD)
(N=39)
or
postural
instability
gait
disorder
(PIGD)
(N=65),
presence
(N=57)
absence
(N=47)
tremor,
mild
(N=65)
moderate
severity.
Based
on
modified
Hoeh
Yahr
scale
(mHY),
further
earlier
(mHY
1-2)
(N=68)
intermediate
2.5-3)
(N=36)
stage.
Intraclass
correlation
coefficient
(ICC)
(3,
k),
standard
error
measurement
(SEM)
minimum
detectable
change
(MDC)
used
evaluate
subgroup.
The
threshold
acceptability
was
set
at
an
ICC
≥
0.8
lower
bound
95%
confidence
interval
(CI)
0.75.
Student’s
t-tests
independent
groups
analysis
83.4%
CI
overlap
between
group
pair.
RESULTS
Reliability
measured
days
acceptable
overall
population
0.89
(0.85-0.92),
SEM%
below
10%
MDC
1580
steps/day
(27%
criterion).
In
all
investigated
subgroups,
also
(ICC
range
0.84-0.94).
However,
ICCs
significantly
(P=.030),
(P=.040)
(P=.003).
Moreover,
PIGD
without
stage,
ranging
from
1148
1687
(18-25%
Conversely,
TD
SEM
>10%
criterion
values
ranged
1401
2263
(30-
33%
CONCLUSIONS
mild-to-moderate
PwPD,
are
reliable
irrespective
lower.
These
findings
facilitate
broader
informed
implementation
as
index
ambulatory
activity
Language: Английский
Reliability of average daily steps measured through a consumer smartwatch in Parkinson’s disease phenotypes, stages and severities: a cross-sectional study. (Preprint)
JMIR Formative Research,
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 16, 2024
Average
daily
steps
(avDS)
could
be
a
valuable
indicator
of
real-world
ambulation
in
people
with
Parkinson
disease
(PD),
and
previous
studies
have
reported
the
validity
reliability
this
measure.
Nonetheless,
no
study
has
considered
phenotype,
stage,
severity
when
assessing
consumer
wrist-worn
devices
to
estimate
step
count
unsupervised,
free-living
conditions
PD.
This
aims
assess
compare
smartwatch
(Garmin
Vivosmart
4)
counting
avDS
PD
among
phenotypes,
stages,
groups.
A
total
104
were
monitored
through
Garmin
4
for
5
consecutive
days.
Total
recorded
calculated.
Participants
dichotomized
into
tremor
dominant
(TD;
n=39)
or
postural
instability
gait
disorder
(PIGD;
n=65),
presence
(n=57)
absence
(n=47)
tremor,
mild
(n=65)
moderate
(n=39)
severity.
Based
on
modified
Hoehn
Yahr
scale
(mHY),
participants
further
earlier
(mHY
1-2;
n=68)
intermediate
2.5-3;
n=36)
stages.
Intraclass
correlation
coefficient
(ICC;
3,k),
standard
error
measurement
(SEM),
minimal
detectable
change
(MDC)
used
evaluate
each
subgroup.
The
threshold
acceptability
was
set
at
an
ICC
≥0.8
lower
bound
95%
CI
≥0.75.
2-tailed
Student
t
tests
independent
groups
analysis
83.4%
overlap
between
group
pair.
Reliability
measured
days
acceptable
overall
population
0.89
(95%
0.85-0.92),
SEM
below
10%,
MDC
1580
per
day
(27%
criterion).
In
all
investigated
subgroups,
also
(ICC
range
0.84-0.94).
However,
ICCs
significantly
(P=.03),
(P=.04),
stage
(P=.003).
Moreover,
10%
PIGD
without
severity,
ranging
from
1148
1687
(18%-25%
Conversely,
TD
>10%
criterion
values
ranged
1401
2263
(30%-33%
mild-to-moderate
PD,
are
reliable
irrespective
individuals
lower.
These
findings
facilitate
broader
informed
implementation
as
index
ambulatory
activity
Language: Английский