Impact of motor fluctuations on real-life gait in Parkinson's patients.
Gait Posture
; 62: 388-394, 2018 05.
Article
en En
| MEDLINE
| ID: mdl-29627498
ABSTRACT
BACKGROUND:
People with PD (PWP) have an increased risk of becoming inactive. Wearable sensors can provide insights into daily physical activity and walking patterns. RESEARCH QUESTIONS (1) Is the severity of motor fluctuations associated with sensor-derived average daily walking quantity? (2) Is the severity of motor fluctuations associated with the amount of change in sensor-derived walking quantity after levodopa intake?METHODS:
304 Dutch PWP from the Parkinson@Home study were included. At baseline, all participants received a clinical examination. During the follow-up period (median 97â¯days; 25-Interquartile range-IQR 91â¯days, 75-IQR 188â¯days), participants used the Fox Wearable Companion app and streamed smartwatch accelerometer data to a cloud platform. The first research question was assessed by linear regression on the sensor-derived mean time spent walking/day with the severity of fluctuations (MDS-UPDRS item 4.4) as independent variable, controlled for age and MDS-UPDRS part-III score. The second research question was assessed by linear regression on the sensor-derived mean post-levodopa walking quantity, with the sensor-derived mean pre-levodopa walking quantity and severity of fluctuations as independent variables, controlled for mean time spent walking per day, age and MDS-UPDRS part-III score.RESULTS:
PWP spent most time walking between 8am and 1pm, summing up to 72⯱â¯39 (mean⯱â¯standard deviation) minutes of walking/day. The severity of motor fluctuations did not influence the mean time spent walking (Bâ¯=â¯2.4⯱â¯1.9, pâ¯=â¯0.20), but higher age (Bâ¯=â¯-1.3⯱â¯0.3, pâ¯=â¯<â¯0.001) and greater severity of motor symptoms (Bâ¯=â¯-0.6⯱â¯0.2, pâ¯<â¯0.001) was associated with less time spent walking (F(3216)â¯=â¯14.6, pâ¯<â¯.001, R2â¯=â¯.17). The severity of fluctuations was not associated with the amount of change in time spent walking in relation to levodopa intake in any part of the day.SIGNIFICANCE:
Analysis of sensor-derived gait quantity suggests that the severity of motor fluctuations is not associated with changes in real-life walking patterns in mildly to moderate affected PWP.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Enfermedad de Parkinson
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Caminata
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Marcha
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Actividad Motora
Tipo de estudio:
Clinical_trials
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Diagnostic_studies
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Observational_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Gait Posture
Asunto de la revista:
ORTOPEDIA
Año:
2018
Tipo del documento:
Article