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IEEE Trans Biomed Eng ; 60(1): 155-8, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23268531

RESUMO

Assessment of locomotion through simple tests such as timed up and go (TUG) or walking trials can provide valuable information for the evaluation of treatment and the early diagnosis of people with Parkinson's disease (PD). Common methods used in clinics are either based on complex motion laboratory settings or simple timing outcomes using stop watches. The goal of this paper is to present an innovative technology based on wearable sensors on-shoe and processing algorithm, which provides outcome measures characterizing PD motor symptoms during TUG and gait tests. Our results on ten PD patients and ten age-matched elderly subjects indicate an accuracy ± precision of 2.8 ± 2.4 cm/s and 1.3 ± 3.0 cm for stride velocity and stride length estimation compared to optical motion capture, with the advantage of being practical to use in home or clinics without any discomfort for the subject. In addition, the use of novel spatio-temporal parameters, including turning, swing width, path length, and their intercycle variability, was also validated and showed interesting tendencies for discriminating patients in ON and OFF states and control subjects.


Assuntos
Marcha/fisiologia , Monitorização Ambulatorial/instrumentação , Doença de Parkinson/fisiopatologia , Sapatos , Processamento de Sinais Assistido por Computador , Idoso , Algoritmos , Humanos , Pessoa de Meia-Idade , Monitorização Ambulatorial/métodos , Reprodutibilidade dos Testes , Caminhada/fisiologia
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