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Usability of Three-dimensional Augmented Visual Cues Delivered by Smart Glasses on (Freezing of) Gait in Parkinson's Disease.

作者信息

Janssen Sabine, Bolte Benjamin, Nonnekes Jorik, Bittner Marian, Bloem Bastiaan R, Heida Tjitske, Zhao Yan, van Wezel Richard J A

机构信息

Biomedical Signal and Systems Group, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, Netherlands.

Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, Netherlands.

出版信息

Front Neurol. 2017 Jun 13;8:279. doi: 10.3389/fneur.2017.00279. eCollection 2017.


DOI:10.3389/fneur.2017.00279
PMID:28659862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5468397/
Abstract

External cueing is a potentially effective strategy to reduce freezing of gait (FOG) in persons with Parkinson's disease (PD). Case reports suggest that three-dimensional (3D) cues might be more effective in reducing FOG than two-dimensional cues. We investigate the usability of 3D augmented reality visual cues delivered by smart glasses in comparison to conventional 3D transverse bars on the floor and auditory cueing a metronome in reducing FOG and improving gait parameters. In laboratory experiments, 25 persons with PD and FOG performed walking tasks while wearing custom-made smart glasses under five conditions, at the end-of-dose. For two conditions, augmented visual cues (bars/staircase) were displayed the smart glasses. The control conditions involved conventional 3D transverse bars on the floor, auditory cueing a metronome, and no cueing. The number of FOG episodes and percentage of time spent on FOG were rated from video recordings. The stride length and its variability, cycle time and its variability, cadence, and speed were calculated from motion data collected with a motion capture suit equipped with 17 inertial measurement units. A total of 300 FOG episodes occurred in 19 out of 25 participants. There were no statistically significant differences in number of FOG episodes and percentage of time spent on FOG across the five conditions. The conventional bars increased stride length, cycle time, and stride length variability, while decreasing cadence and speed. No effects for the other conditions were found. Participants preferred the metronome most, and the augmented staircase least. They suggested to improve the comfort, esthetics, usability, field of view, and stability of the smart glasses on the head and to reduce their weight and size. In their current form, augmented visual cues delivered by smart glasses are not beneficial for persons with PD and FOG. This could be attributable to distraction, blockage of visual feedback, insufficient familiarization with the smart glasses, or display of the visual cues in the central rather than peripheral visual field. Future smart glasses are required to be more lightweight, comfortable, and user friendly to avoid distraction and blockage of sensory feedback, thus increasing usability.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d554/5468397/b818709724ac/fneur-08-00279-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d554/5468397/8a74916ddf75/fneur-08-00279-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d554/5468397/e4cebbbbaaf6/fneur-08-00279-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d554/5468397/aac709c7cfc9/fneur-08-00279-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d554/5468397/b818709724ac/fneur-08-00279-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d554/5468397/8a74916ddf75/fneur-08-00279-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d554/5468397/e4cebbbbaaf6/fneur-08-00279-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d554/5468397/aac709c7cfc9/fneur-08-00279-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d554/5468397/b818709724ac/fneur-08-00279-g004.jpg

相似文献

[1]
Usability of Three-dimensional Augmented Visual Cues Delivered by Smart Glasses on (Freezing of) Gait in Parkinson's Disease.

Front Neurol. 2017-6-13

[2]
The Beneficial Effects of Conventional Visual Cues Are Retained When Augmented Reality Glasses Are Worn.

Parkinsons Dis. 2020-4-7

[3]
Feasibility of external rhythmic cueing with the Google Glass for improving gait in people with Parkinson's disease.

J Neurol. 2016-6

[4]
The Effects of Augmented Reality Visual Cues on Turning in Place in Parkinson's Disease Patients With Freezing of Gait.

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[5]
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[6]
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[7]
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[8]
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[9]
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J Neurol. 2023-7

[10]
One cue does not fit all: A systematic review with meta-analysis of the effectiveness of cueing on freezing of gait in Parkinson's disease.

Neurosci Biobehav Rev. 2023-7

引用本文的文献

[1]
Effects of augmented reality cueing strategies on freezing of gait: The ELIMINATE FoG trial.

Clin Park Relat Disord. 2025-4-29

[2]
Better Understanding Rehabilitation of Motor Symptoms: Insights from the Use of Wearables.

Pragmat Obs Res. 2025-3-19

[3]
Effects of different exercises on improving gait performance in patients with Parkinson's disease: a systematic review and network meta-analysis.

Front Aging Neurosci. 2025-2-26

[4]
Gait Parameters Can Be Derived Reliably and Validly from Augmented Reality Glasses in People with Parkinson's Disease Performing 10-m Walk Tests at Comfortable and Fast Speeds.

Sensors (Basel). 2025-2-18

[5]
The effect of tactile cueing on dual task performance in Parkinson's disease. A systematic review and meta-analysis.

Clin Park Relat Disord. 2024-11-17

[6]
A larger augmented-reality field of view improves interaction with nearby holographic objects.

PLoS One. 2024

[7]
Extended Reality in Revolutionizing Neurological Disease: A New Era for Chronic Condition Treatment.

Cureus. 2024-8-23

[8]
Vibrotactile Foot Device for Freezing of Gait in Parkinson's Disease: A Pilot Study.

Mov Disord Clin Pract. 2024-10

[9]
Gait-modifying effects of augmented-reality cueing in people with Parkinson's disease.

Front Neurol. 2024-4-9

[10]
Assisted technology in Parkinson's disease gait: what's up?

Arq Neuropsiquiatr. 2024-6

本文引用的文献

[1]
Ocular and visual disorders in Parkinson's disease: Common but frequently overlooked.

Parkinsonism Relat Disord. 2017-7

[2]
Smart Gait-Aid Glasses for Parkinson's Disease Patients.

IEEE Trans Biomed Eng. 2017-10

[3]
A painted staircase illusion to alleviate freezing of gait in Parkinson's disease.

J Neurol. 2016-8

[4]
Feasibility of external rhythmic cueing with the Google Glass for improving gait in people with Parkinson's disease.

J Neurol. 2016-6

[5]
Freezing of Gait in Parkinson's Disease: An Overload Problem?

PLoS One. 2015-12-17

[6]
Neurorehabilitation for Parkinson's disease: Future perspectives for behavioural adaptation.

Parkinsonism Relat Disord. 2016-1

[7]
Dysrhythmia of timed movements in Parkinson's disease and freezing of gait.

Brain Res. 2015-10-22

[8]
Freezing of gait: a practical approach to management.

Lancet Neurol. 2015-5-24

[9]
Specific Attentional Disorders and Freezing of Gait in Parkinson's Disease.

J Parkinsons Dis. 2015

[10]
E-health Support in People with Parkinson's Disease with Smart Glasses: A Survey of User Requirements and Expectations in the Netherlands.

J Parkinsons Dis. 2015

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