Electrical & Electronic Engineering, School of Engineering and Informatics, NUI Galway, University Road, H91 TK33 Galway, Ireland.
Human Movement Laboratory, CÚRAM Centre for Research in Medical Devices, NUI Galway, University Road, H91 TK33 Galway, Ireland.
Sensors (Basel). 2019 Mar 13;19(6):1277. doi: 10.3390/s19061277.
Freezing of gait is one of the most debilitating symptoms of Parkinson's disease and is an important contributor to falls, leading to it being a major cause of hospitalization and nursing home admissions. When the management of freezing episodes cannot be achieved through medication or surgery, non-pharmacological methods such as cueing have received attention in recent years. Novel cueing systems were developed over the last decade and have been evaluated predominantly in laboratory settings. However, to provide benefit to people with Parkinson's and improve their quality of life, these systems must have the potential to be used at home as a self-administer intervention. This paper aims to provide a technological review of the literature related to wearable cueing systems and it focuses on current auditory, visual and somatosensory cueing systems, which may provide a suitable intervention for use in home-based environments. The paper describes the technical operation and effectiveness of the different cueing systems in overcoming freezing of gait. The "What Works Clearinghouse (WWC)" tool was used to assess the quality of each study described. The paper findings should prove instructive for further researchers looking to enhance the effectiveness of future cueing systems.
冻结步态是帕金森病最具致残性的症状之一，也是导致跌倒的重要原因，因此成为导致住院和入住疗养院的主要原因。当通过药物或手术无法控制冻结发作时，近年来人们开始关注非药物治疗方法，如提示。过去十年开发了新型提示系统，并主要在实验室环境中进行了评估。然而，为了使帕金森病患者受益并提高他们的生活质量，这些系统必须有在家中作为自我管理干预措施的应用潜力。本文旨在对与可穿戴提示系统相关的文献进行技术综述，重点介绍当前的听觉、视觉和体感提示系统，这些系统可能为在基于家庭的环境中使用提供合适的干预措施。本文描述了不同提示系统克服冻结步态的技术操作和有效性。使用“有效实践中心 (What Works Clearinghouse, WWC)”工具评估了所描述的每项研究的质量。本文的研究结果应该对进一步研究人员提高未来提示系统的有效性具有启示意义。
