Amplitude of Lower Limb Muscle Activation in Different Phases of the Illinois Test in Parkinson’s Disease Patients: A Pilot Study DOI Open Access
Carlos Villarón-Casales, N. Bernardo, Jorge Alarcón-Jiménez

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(19), P. 5792 - 5792

Published: Sept. 28, 2024

Background: Parkinson’s disease (PD) is a neurodegenerative disorder with high prevalence in men and characterized by symptoms such as tremors gait difficulties. This study aimed to determine muscle activation patients PD considering sex differences. Methods: pilot used analytical, quantitative, observational, case-control methods. Surface electromyography was assess activity during variant of the Illinois agility test. The population comprised an experimental group (N = 30) control healthy individuals without 10). Results: test revealed significant differences completion times between groups. took longer overall (p 0.004), especially for standing up < 0.001) sitting down 0.002), than group. In group, influenced gastrocnemius activation, women showing higher (rs −0.87). Women also had greater rectus femoris sitting, on right side when −0.66) left exhibited biceps 0.87). However, did not affect activation. Conclusions: Patients showed lower while up, down, walking.

Language: Английский

Application of Wearable Sensors in Parkinson’s Disease: State of the Art DOI Creative Commons
Anastasia Bougea

Journal of Sensor and Actuator Networks, Journal Year: 2025, Volume and Issue: 14(2), P. 23 - 23

Published: Feb. 20, 2025

(1) Background: Wearable sensors have emerged as a promising technology in the management of Parkinson’s disease (PD). These can provide continuous and real-time monitoring various motor non-motor symptoms PD, allowing for early detection intervention. In this paper, I review current research on application wearable focusing gait, tremor, bradykinesia, dyskinesia monitoring.(2) Methods: involved literature search that spanned 2000–2024 period included following keywords: “wearable sensors”, “Parkinson’s Disease”, “Inertial “accelerometers’’, ‘’gyroscopes’’, ‘’magnetometers”, “Smartphones”, “Smart homes”. (3) Results: Despite favorable outcomes from development inertial sensors, like gyroscopes accelerometers smartphones, is still restricted because there are no standards, harmonization, or consensus both clinical analytical validation. As result, several trials were created to compare effectiveness with conventional evaluation methods order track course enhance quality life results. (4) Conclusions: hold great promise PD likely play significant role future healthcare systems.

Language: Английский

Citations

1

Impact of Virtual Reality Alone and in Combination with Conventional Therapy on Balance in Parkinson’s Disease: A Systematic Review with a Meta-Analysis of Randomized Controlled Trials DOI Creative Commons
Giuseppina Natale, Erda Qorri, Jasemin Todri

et al.

Medicina, Journal Year: 2025, Volume and Issue: 61(3), P. 524 - 524

Published: March 17, 2025

Background and Objectives: Virtual reality (VR)-based interventions provide immersive interactive environments that can enhance motor learning deliver real-time feedback, offering potential advantages over conventional therapies. This systematic review evaluated the impact of non-immersive VR exergaming versus therapy on balance in Parkinson’s disease (PD) through a detailed analysis randomized controlled trials (RCTs). Materials Methods: A comprehensive search was conducted across PubMed, Lilacs, IBECS, CENTRAL, Web Science (WOS), EBSCOHost, SciELO databases. Article selection duplicate removal were managed using Rayyan QCRI. The quality evidence assessed GRADE system. Results: From an initial screening 100 studies, 58 underwent title abstract screening. After full-text evaluation, 11 RCTs met inclusion criteria, involving 518 participants with PD (average age: 67.3 years; 67.95% men). outcomes primarily measured Berg scale (BBS), employed most studies (n = 9). pooled demonstrated significant improvement scores for experimental groups compared to controls, standardized mean difference (SMD) 0.58 [95% CI: 0.07, 1.09, p 0.03]. However, heterogeneity substantial (I2 77%). six-minute walking test (6 MWT), as another outcome four articles, revealed 32.99 m −8.02, 74.00], but effect not statistically (p 0.11). this moderate 41%), indicating some variability studies. Alternative tools, such Tinetti Performance-Oriented Mobility Assessment (POMA) scale, UPDRS III, sensory organization (SOT), also where possible. Conclusions: VR-based offer promise improving disease, enhancing rehabilitation engagement. Their integration into clinical practice could complement therapy. further research is needed optimize protocols, standardize parameters, maximize their mobility, independence, life.

Language: Английский

Citations

1

Simplification of Mobility Tests and Data Processing to Increase Applicability of Wearable Sensors as Diagnostic Tools for Parkinson’s Disease DOI Creative Commons

Rana M. Khalil,

Lisa Shulman, Ann L. Gruber‐Baldini

et al.

Sensors, Journal Year: 2024, Volume and Issue: 24(15), P. 4983 - 4983

Published: Aug. 1, 2024

Quantitative mobility analysis using wearable sensors, while promising as a diagnostic tool for Parkinson's disease (PD), is not commonly applied in clinical settings. Major obstacles include uncertainty regarding the best protocol instrumented testing and subsequent data processing, well added workload complexity of this multi-step process. To simplify sensor-based diagnosing PD, we analyzed from 262 PD participants 50 controls performing several motor tasks wearing sensor on their lower back containing triaxial accelerometer gyroscope. Using ensembles heterogeneous machine learning models incorporating range classifiers trained set features, show that our effectively differentiate between with controls, both mixed-stage (92.6% accuracy) group selected mild only (89.4% accuracy). Omitting algorithmic segmentation complex decreased accuracy models, did inclusion kinesiological features. Feature importance revealed Timed Up Go (TUG) to contribute highest-yield predictive minor decreases based cognitive TUG single task. Our approach facilitates major simplification without compromising performance.

Language: Английский

Citations

5

Using machine learning to identify Parkinson’s disease severity subtypes with multimodal data DOI
Hwayoung Park, Changhong Youm, Sang‐Myung Cheon

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: April 21, 2025

Abstract Background Classifying and predicting Parkinson's disease (PD) is challenging because of its diverse subtypes based on severity levels. Currently, identifying objective biomarkers associated with that can distinguish PD in clinical trials necessary. This study aims to address the applicability heterogeneity using classification digital biomarker development by combining multimodal data machine learning (ML) approaches. Methods We analyzed datasets combine characteristics, physical function lifestyle data, gait parameters motion analysis systems, wearable sensors collected from persons (n = 102) perform clustering for subtype classification. Results identified three subtypes, each exhibiting different patterns severity, increasing as it progressed clusters 1 3. found significant mutual information between all/single modalities unified rating scale scores, potential high feature importance ML. Among all modalities, principal components derived were most indicators severity. A model utilizing first component left right ankle achieved perfect an area under curve 1.0, accurately distinguishing clinically severe mild PD. These findings suggest features both ankles reflect asymmetry factors which contributes performance. Conclusions Digital obtained attached bilaterally body segments demonstrate classifying tracking progression. Our emphasized value sensor-based management, suggested integration into personalized monitoring systems therapeutic interventions

Language: Английский

Citations

0

Considerations and Approaches to Establishing Estimates of Meaningful Change for Digital Endpoints as Drug Development Tools DOI
Marie Mc Carthy,

Joseph C. Cappelleri,

Bill Byrom

et al.

Therapeutic Innovation & Regulatory Science, Journal Year: 2025, Volume and Issue: unknown

Published: May 13, 2025

Language: Английский

Citations

0

Inertial Measurement Unit and Heart Rate Monitoring to Assess Cardiovascular Fitness of Manual Wheelchair Users during the Six-Minute Push Test DOI Creative Commons

Grace Fasipe,

Maja Goršič,

Erika V. Zabre

et al.

Sensors, Journal Year: 2024, Volume and Issue: 24(13), P. 4172 - 4172

Published: June 27, 2024

Manual wheelchair users (MWUs) are prone to a sedentary life that can negatively affect their physical and cardiovascular health, making regular assessment important identify appropriate interventions lifestyle modifications. One mean of assessing MWUs’ health is the 6 min push test (6MPT), where user propels themselves as far they in six minutes. However, reliance on observer input introduces subjectivity, while limited quantitative data inhibit comprehensive assessment. Incorporating sensors into 6MPT address these limitations. Here, ten MWUs performed with additional sensors: two inertial measurement units (IMUs)—one one wrist together heart rate wristwatch. The conventional measurements distance laps were recorded by observer, IMU used calculate laps, distance, speed, cadence. results demonstrated provide metrics traditional strong significant correlations between calculated lap counts (r = 0.947, p < 0.001) distances 0.970, 0.001). Moreover, during final minute was significantly correlated 0.762, 0.017). Enhanced objective, quantitative, for clinicians effectively inform rehabilitation.

Language: Английский

Citations

2

Walk Longer! Using Wearable Inertial Sensors to Uncover Which Gait Aspects Should Be Treated to Increase Walking Endurance in People with Multiple Sclerosis DOI Creative Commons
Ilaria Carpinella, Rita Bertoni, Denise Anastasi

et al.

Sensors, Journal Year: 2024, Volume and Issue: 24(22), P. 7284 - 7284

Published: Nov. 14, 2024

Reduced walking endurance is common in people with multiple sclerosis (PwMS), leading to reduced social participation and increased fall risk. This highlights the importance of identifying which gait aspects should be mostly targeted by rehabilitation maintain/increase this population. A total 56 PwMS 24 healthy subjects (HSs) executed 6 min walk test (6 MWT), a clinical measure endurance, wearing three inertial sensors (IMUs) on their shanks lower back. Five IMU-based digital metrics descriptive different domains, i.e., double support duration, trunk sway, regularity, symmetry, local dynamic instability, were computed. All demonstrated moderate-high ability discriminate between HSs (AUC: 0.79-0.91) able detect differences at minimal (PwMS

Language: Английский

Citations

2

The Role of the Six-Minute Walk Test in the Functional Evaluation of the Efficacy of Rehabilitation Programs After COVID-19 DOI Creative Commons

Diana-Lidia Tache-Codreanu,

Lucian Bobocea,

Iuliana David

et al.

Life, Journal Year: 2024, Volume and Issue: 14(11), P. 1514 - 1514

Published: Nov. 20, 2024

Patients with COVID-19 suffering in the acute phase from both sequelae of disease and prolonged immobilization require a rehabilitation for functional recovery comprehensive evaluation. This study proposes using 6-Minute Walk Test (6MWT) as global assessment tool to quantify outcomes post-COVID patients. Additionally, investigating effect High-Intensity Laser Therapy (HILT) on patients musculoskeletal comorbidities was another key research question. Two programs were retrospectively analyzed follows: one consisting kinesiotherapy combined other alone. Functional evaluation 6MWT conducted before after 10 daily therapeutic sessions 33 ambulatory divided into 2 groups (18 treated HILT vs. 15 only). The successfully completed by 32 out (96.96%), performance improvements ranging 3% 60% among Statistical differences also observed between groups, suggesting that is sensitive, objective, valuable rehabilitation, supporting potential benefits enhancing recovery.

Language: Английский

Citations

2

Digital biomarkers in Parkinson’s disease DOI
Anastasia Bougea

Advances in clinical chemistry, Journal Year: 2024, Volume and Issue: unknown, P. 221 - 253

Published: Jan. 1, 2024

Language: Английский

Citations

1

Convolutional neural network based detection of early stage Parkinson’s disease using the six minute walk test DOI Creative Commons
Hyejin Choi, Changhong Youm, Hwayoung Park

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Sept. 30, 2024

Language: Английский

Citations

1