2017
DOI: 10.1159/000475801
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Telehealth Management of Parkinson’s Disease Using Wearable Sensors: An Exploratory Study

Abstract: Background: Parkinson’s disease (PD) motor symptoms can fluctuate and may not be accurately reflected during a clinical evaluation. In addition, access to movement disorder specialists is limited for many people with PD. The objective of this study was to assess the impact of motion sensor-based telehealth diagnostics on PD clinical care and management. Methods: Eighteen adults with PD were randomized to control or experimental groups. All participants were instructed to use a motion sensor-based monitoring sy… Show more

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Cited by 57 publications
(41 citation statements)
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“…An alternative strategy might be to rely on video recordings and their off-line inspection by PD specialists. This is of interest in the context of a telehealth management of PD 13,14,26 , and can be implemented by instructing patients to videotape themselves at set intervals of times (e.g., every 30 min) during a single or multiple motor fluctuation cycles. 21 Our results showed that MDS-UPDRS part III scores generated via visual inspection of video recordings (i.e., video rating) of participants with PD experiencing motor fluctuations are marked by a significant bias.…”
Section: Discussionmentioning
confidence: 99%
“…An alternative strategy might be to rely on video recordings and their off-line inspection by PD specialists. This is of interest in the context of a telehealth management of PD 13,14,26 , and can be implemented by instructing patients to videotape themselves at set intervals of times (e.g., every 30 min) during a single or multiple motor fluctuation cycles. 21 Our results showed that MDS-UPDRS part III scores generated via visual inspection of video recordings (i.e., video rating) of participants with PD experiencing motor fluctuations are marked by a significant bias.…”
Section: Discussionmentioning
confidence: 99%
“…Now, blood glucose levels are measured continuously and dosing of medication is tailored to these data in real time, resulting in greater potential for optimal disease control. Future objective assessments of PD (e.g., of gait) could enable tailoring of medical or surgical treatments to the individual [120,121]. Deep brain stimulation parameters, for example, could be automatically adjusted based on continuous, realworld assessments from implanted, sensing leads, a process that is underway [122][123][124].…”
Section: Future Directionsmentioning
confidence: 99%
“…The saved time can improve efficiency as a result of RPM and allows healthcare providers to allocate more time to educate RPM to patients (3). The findings of studies reveal a correlation among telehealth, prevention, and treatment of a variety of diseases such as diabetes, post-discharge complications of surgical patients, the Parkinson, and colorectal diseases (4)(5)(6)(7)(8). In addition, the investigations present a relationship between telehealth and nervous system diseases, and technology advancements can make the caring more convenient and economical in such patients by easy accessibility (9-11).…”
Section: Contextmentioning
confidence: 99%