Alves Camille Marques, Rezende Andressa Rastrelo, Marques Isabela Alves, Mendes Luanne Cardoso, de Sá Angela Abreu Rosa, Vieira Marcus Fraga, Júnior Edgard Afonso Lamounier, Pereira Adriano Alves, Oliveira Fábio Henrique Monteiro, de Souza Luciane Pascucci Sande, Bourhis Guy, Pino Pierre, Andrade Adriano de Oliveira, Morère Yann, Naves Eduardo Lázaro Martins
Assistive Technology Laboratory (NTA), Faculty of Electrical Engineering, Federal University of Uberlândia, Uberlândia 38400-902, Brazil.
Laboratoire de Conception, d'Optimisation et de Modélisation des Systèmes (LCOMS), Université de Lorraine, 57070 Metz, France.
Healthcare (Basel). 2022 Oct 31;10(11):2178. doi: 10.3390/healthcare10112178.
(1) Background: One of the main cardinal signs of Parkinson's disease (PD) is rigidity, whose assessment is important for monitoring the patient's recovery. The wrist is one of the joints most affected by this symptom, which has a great impact on activities of daily living and consequently on quality of life. The assessment of rigidity is traditionally made by clinical scales, which have limitations due to their subjectivity and low intra- and inter-examiner reliability. (2) Objectives: To compile the main methods used to assess wrist rigidity in PD and to study their validity and reliability, a scope review was conducted. (3) Methods: PubMed, IEEE/IET Electronic Library, Web of Science, Scopus, Cochrane, Bireme, Google Scholar and Science Direct databases were used. (4) Results: Twenty-eight studies were included. The studies presented several methods for quantitative assessment of rigidity using instruments such as force and inertial sensors. (5) Conclusions: Such methods present good correlation with clinical scales and are useful for detecting and monitoring rigidity. However, the development of a standard quantitative method for assessing rigidity in clinical practice remains a challenge.
(1) 背景：帕金森病（PD）的主要基本体征之一是僵硬，其评估对于监测患者的恢复情况很重要。手腕是受此症状影响最严重的关节之一，这对日常生活活动有很大影响，进而影响生活质量。传统上，僵硬程度是通过临床量表进行评估的，但由于其主观性以及检查者内部和检查者之间的可靠性较低，这些量表存在局限性。(2) 目的：为了汇总用于评估帕金森病手腕僵硬程度的主要方法，并研究其有效性和可靠性，进行了一项范围综述。(3) 方法：使用了PubMed、IEEE/IET电子图书馆、科学网、Scopus、考克兰图书馆、Bireme、谷歌学术和科学Direct数据库。(4) 结果：纳入了28项研究。这些研究提出了几种使用力传感器和惯性传感器等仪器对僵硬程度进行定量评估的方法。(5) 结论：这些方法与临床量表具有良好的相关性，有助于检测和监测僵硬程度。然而，开发一种用于临床实践中评估僵硬程度的标准定量方法仍然是一项挑战。
