Patients and Health Professional's Perspective of Functional Mobility in Parkinson's Disease

Bouça‐Machado, Raquel; Gonçalves, Nilza; Lousada, Inês; Patriarca, Maria A; Costa, Patrícia; Nunes, Raquel; Dias, Susana; Caldas, Ana Castro; Valadas, Anabela; Lobo, Patrı́cia Pita; Guedes, Leonor Correia; Rosa, Mário Miguel; Coelho, Miguel; Ferreira, Joaquim J.

doi:10.3389/fneur.2020.575811

Cited by 11 publications

(13 citation statements)

References 11 publications

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“…The previous literature showed that patients valued functional mobility for being a meaningful outcome that is easy to describe. Health professionals find it a useful outcome to facilitate patients’ abilities to describe their disability and to help clinicians adopt a more patient-centered approach and to provide individualized care [ 38 ]. The TUG test is the gold-standard outcome measure to evaluate functional mobility in PD [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a Mobile-Based System for Unsupervised Monitoring in Parkinson’s Disease

Bouça‐Machado

Pona‐Ferreira²,

Leitão³

et al. 2021

Sensors

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Mobile health (mHealth) has emerged as a potential solution to providing valuable ecological information about the severity and burden of Parkinson’s disease (PD) symptoms in real-life conditions. Objective: The objective of our study was to explore the feasibility and usability of an mHealth system for continuous and objective real-life measures of patients’ health and functional mobility, in unsupervised settings. Methods: Patients with a clinical diagnosis of PD, who were able to walk unassisted, and had an Android smartphone were included. Patients were asked to answer a daily survey, to perform three weekly active tests, and to perform a monthly in-person clinical assessment. Feasibility and usability were explored as primary and secondary outcomes. An exploratory analysis was performed to investigate the correlation between data from the mKinetikos app and clinical assessments. Results: Seventeen participants (85%) completed the study. Sixteen participants (94.1%) showed a medium-to-high level of compliance with the mKinetikos system. A 6-point drop in the total score of the Post-Study System Usability Questionnaire was observed. Conclusions: Our results support the feasibility of the mKinetikos system for continuous and objective real-life measures of a patient’s health and functional mobility. The observed correlations of mKinetikos metrics with clinical data seem to suggest that this mHealth solution is a promising tool to support clinical decisions.

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Section: Discussionmentioning

confidence: 99%

Feasibility of a Mobile-Based System for Unsupervised Monitoring in Parkinson’s Disease

Bouça‐Machado

Pona‐Ferreira²,

Leitão³

et al. 2021

Sensors

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“…Exercise therapies have shown good results in PD, as rehabilitation and maintenance of physical and functional capacities are crucial aspects in these patients [6]. In PD management, physiotherapy is mainly an exercise-based intervention that addresses five core areas: physical fitness, transfers, manual activities, balance, and gait [7].…”

Section: Introductionmentioning

confidence: 99%

Wearable Immersive Virtual Reality Device for Promoting Physical Activity in Parkinson’s Disease Patients

Campo-Prieto

Carral

Fuentes

2022

Sensors

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Parkinson’s disease (PD) is a neurological disorder that usually appears in the 6th decade of life and affects up to 2% of older people (65 years and older). Its therapeutic management is complex and includes not only pharmacological therapies but also physiotherapy. Exercise therapies have shown good results in disease management in terms of rehabilitation and/or maintenance of physical and functional capacities, which is important in PD. Virtual reality (VR) could promote physical activity in this population. We explore whether a commercial wearable head-mounted display (HMD) and the selected VR exergame could be suitable for people with mild–moderate PD. In all, 32 patients (78.1% men; 71.50 ± 11.80 years) were a part of the study. Outcomes were evaluated using the Simulator Sickness Questionnaire (SSQ), the System Usability Scale (SUS), the Game Experience Questionnaire (GEQ post-game module), an ad hoc satisfaction questionnaire, and perceived effort. A total of 60 sessions were completed safely (without adverse effects (no SSQ symptoms) and with low scores in the negative experiences of the GEQ (0.01–0.09/4)), satisfaction opinions were positive (88% considered the training “good” or “very good”), and the average usability of the wearable HMD was good (75.16/100). Our outcomes support the feasibility of a boxing exergame combined with a wearable commercial HMD as a suitable physical activity for PD and its applicability in different environments due to its safety, usability, low cost, and small size. Future research is needed focusing on postural instability, because it seems to be a symptom that could have an impact on the success of exergaming programs aimed at PD.

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“…However, the focus on functional mobility as an outcome of interest in KAFO therapy is the originality of this review, since the previous review study reported walking ability in an experimental setting, using a motion capture system or electromyography, as an outcome of KAFO therapy ( 8 ). Functional mobility is important for patients, to enable participation in ADL in the real-life setting by addressing orthotic therapy ( 2 , 8 ).…”

Section: Discussionmentioning

confidence: 99%

“…Improving functional mobility and activities of daily living (ADL) in patients with stroke are important aims of rehabilitation ( 1 ). Functional mobility is the capacity of a person to move from one place to another in order to participate in ADL, which includes movements such as standing, walking, and transferring ( 2 ). Ankle–foot orthosis (AFO) ( 3 , 4 ), functional electrical stimulation (FES) ( 5 ), trunk training ( 6 ), and physical fitness training ( 7 ) are considered useful interventions to improve functional mobility in patients with stroke.…”

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confidence: 99%

Efficacy of Knee–Ankle–Foot Orthosis on Functional Mobility and Activities of Daily Living in Patients with Stroke: A Systematic Review of Case Reports

Kobayashi¹,

Hiratsuka²,

Haruna

et al. 2022

JRM

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Objective: To synthesize available evidence from case reports regarding the efficacy of knee–ankle–foot orthosis (KAFO) on functional mobility and activities of daily living (ADL) in patients with stroke.Methods: The following databases were searched, based on the Population Intervention Comparison Outcome (PICO) model: PubMed, CINAHL, Scopus, Cochrane Central Register of Controlled Trials, PEDro, Web of Science, and Igaku Chuo Zassi (in Japanese). Methodological quality was assessed using the CARE checklist.Results: A total of 14 articles, including 15 cases, were selected. Clinically meaningful improvement in functional mobility was reported in 10 of 15 cases, measured using the Functional Ambulatory Category, Trunk Control Test, walking speed, and Berg Balance Scale. Clinically meaningful improvement in ADL was reported in 9 of 15 cases, measured using the Barthel Index and Functional Independent Measure. However, the methodological quality of the reviewed articles was low, with missing information on limitations of management, adverse events, and patient-reported outcomes.Conclusion: This systematic review of case reports found limited evidence of the efficacy of KAFO in terms of improvement in functional mobility and ADL. Of value, this study revealed the optimal outcomes for measuring the efficacy of KAFO.

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Patients and Health Professional's Perspective of Functional Mobility in Parkinson's Disease

Cited by 11 publications

References 11 publications

Feasibility of a Mobile-Based System for Unsupervised Monitoring in Parkinson’s Disease

Feasibility of a Mobile-Based System for Unsupervised Monitoring in Parkinson’s Disease

Wearable Immersive Virtual Reality Device for Promoting Physical Activity in Parkinson’s Disease Patients

Efficacy of Knee–Ankle–Foot Orthosis on Functional Mobility and Activities of Daily Living in Patients with Stroke: A Systematic Review of Case Reports

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