Rodríguez-Martín D, Pérez-López C
Sense4Care SL, Cornellà de Llobregat, España.
Consorci Sanitari Alt Penedès-Garraf, Vilanova i la Geltrú, España.
Rev Neurol. 2024 Oct 16;79(8):229-237. doi: 10.33588/rn.7908.2024253.
Parkinson's disease (PD) is a neurodegenerative disorder that significantly affects patients' quality of life. Treatment of PD requires accurate assessment of motor and non-motor symptoms, which is often complicated by subjectivity in reporting symptoms, and the limited availability of neurologists. Commercial wearable devices, which monitor PD symptoms continuously and outside the clinical setting, have appeared to address these challenges. These devices include PKG™, Kinesia 360™, Kinesia U™, PDMonitor™ and STAT-ON™. These devices use advanced technologies, including accelerometers, gyroscopes and specific algorithms to provide objective data on motor symptoms, such as tremor, dyskinesia and bradykinesia. Despite their potential, the adoption of these devices has been limited, due to concerns about their accuracy, complexity of use and the lack of independent validation. The correlation between the measurements obtained from these devices and traditional clinical observations varies, and their usability and patient adherence are critical areas for improvement. Validation and usability studies with a sufficient number of patients, standardised protocols and integration with hospitals' IT systems are essential to optimise their usefulness and improve patient outcomes.
帕金森病(PD)是一种神经退行性疾病,严重影响患者的生活质量。帕金森病的治疗需要准确评估运动和非运动症状,而症状报告的主观性以及神经科医生数量有限常常使这一过程变得复杂。能够在临床环境之外持续监测帕金森病症状的商用可穿戴设备似乎可以应对这些挑战。这些设备包括PKG™、Kinesia 360™、Kinesia U™、PDMonitor™和STAT-ON™。这些设备使用先进技术,包括加速度计、陀螺仪和特定算法,以提供有关震颤、运动障碍和运动迟缓等运动症状的客观数据。尽管它们具有潜力,但由于对其准确性、使用复杂性以及缺乏独立验证的担忧,这些设备的采用率一直很低。这些设备获得的测量结果与传统临床观察结果之间的相关性各不相同,其可用性和患者依从性是需要改进的关键领域。进行足够数量患者参与的验证和可用性研究、采用标准化方案并与医院的信息技术系统集成,对于优化其效用和改善患者治疗效果至关重要。