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可穿戴式行走辅助设备用于冻结步态的环境物联网监测:对讨论的贡献。

Wearable Walking Assistant for Freezing of Gait With Environmental IoT Monitoring: A Contribution to the Discussion.

机构信息

The Health Sciences Research Unit: Nursing (UICISA:E), The Nursing School of Coimbra, Coimbra, Portugal.

出版信息

Front Public Health. 2022 Jun 20;10:861621. doi: 10.3389/fpubh.2022.861621. eCollection 2022.

DOI:10.3389/fpubh.2022.861621
PMID:35795702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9251205/
Abstract

Parkinson's disease (PD) is the second most common neurodegenerative disease, significantly increasing in the last three decades. Worldwide, seven to ten million people are affected by PD. In people living with PD, freezing of gait (FoG) significantly impacts activities of daily living, potentially leading to falls, injuries, and loss of autonomy. FoG prevalence rates vary widely, reaching at least 50% of patients with PD. Current therapeutic options have limited effectiveness, and their complement with innovative technology-based solutions in the real world is demanded to enhance daily functioning for people living with PD. This article provides a narrative review of current technological developments for people living with PD and, derived from that evidence, presents a perspective on integrating wearable technology and IoT to support telemonitoring and self-management of people living with PD in their daily living environment. Complementing current therapeutic options with technology-based solutions in PD patients' real-world environment is crucial to enhancing the quality of life of people living with PD. In that way, wearable technology and IoT might constitute resources of excellence in seamless monitoring and self-management in people's home environments.

摘要

帕金森病(PD)是第二常见的神经退行性疾病,在过去三十年中显著增加。在全球范围内,有 700 万至 1000 万人受到 PD 的影响。在 PD 患者中,冻结步态(FoG)严重影响日常生活活动,可能导致跌倒、受伤和丧失自主性。FoG 的患病率差异很大,至少有 50%的 PD 患者受到影响。目前的治疗选择效果有限,需要将创新的基于技术的解决方案与现实世界中的治疗方法相结合,以提高 PD 患者的日常功能。本文对当前用于 PD 患者的技术发展进行了叙述性综述,并根据该证据,提出了将可穿戴技术和物联网集成到 PD 患者的日常生活环境中,以支持他们的远程监测和自我管理的观点。在 PD 患者的现实环境中,用基于技术的解决方案补充当前的治疗方案对于提高 PD 患者的生活质量至关重要。在这种情况下,可穿戴技术和物联网可能成为人们在家中环境中进行无缝监测和自我管理的卓越资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c021/9251205/cb009917c2ae/fpubh-10-861621-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c021/9251205/f656e63c149d/fpubh-10-861621-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c021/9251205/cb009917c2ae/fpubh-10-861621-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c021/9251205/f656e63c149d/fpubh-10-861621-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c021/9251205/cb009917c2ae/fpubh-10-861621-g0002.jpg

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NPJ Parkinsons Dis. 2021 Dec 20;7(1):119. doi: 10.1038/s41531-021-00262-y.
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Effect of Foot Orthoses and Shoes in Parkinson's Disease Patients: A PRISMA Systematic Review.足部矫形器和鞋子对帕金森病患者的影响:一项PRISMA系统评价
J Pers Med. 2021 Nov 2;11(11):1136. doi: 10.3390/jpm11111136.
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Patient-Centered Identification of Meaningful Regulatory Endpoints for Medical Devices to Treat Parkinson's Disease.
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MDM Policy Pract. 2021 Jul 2;6(1):23814683211021380. doi: 10.1177/23814683211021380. eCollection 2021 Jan-Jun.
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Treatment Options for Motor and Non-Motor Symptoms of Parkinson's Disease.帕金森病运动和非运动症状的治疗选择。
Biomolecules. 2021 Apr 20;11(4):612. doi: 10.3390/biom11040612.
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Early Detection of Freezing of Gait during Walking Using Inertial Measurement Unit and Plantar Pressure Distribution Data.使用惯性测量单元和足底压力分布数据早期检测行走中的步态冻结。
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