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测量步态冻结的技术:当前技术水平与建议

Technology for measuring freezing of gait: Current state of the art and recommendations.

作者信息

Mancini Martina, McKay J Lucas, Cockx Helena, D'Cruz Nicholas, Esper Christine D, Filtjens Benjamin, Heimler Benedetta, MacKinnon Colum D, Palmerini Luca, Roerdink Melvyn, Young William R, Hausdorff Jeffrey M

机构信息

Department of Neurology, Oregon Health & Science University, Portland, OR, USA.

Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

J Parkinsons Dis. 2025 Feb;15(1):19-40. doi: 10.1177/1877718X241301065. Epub 2025 Jan 14.

Abstract

This report summarizes the existing literature on the use of technology for the assessment of freezing of gait (FOG) as well as the use of technology to provide insights into the mechanisms of FOG in people with Parkinson's disease. Specifically, this work was carried out for the 3rd International Workshop on Freezing of Gait in Jerusalem in 2023. This review focuses on the most used technologies to quantitatively assess FOG in a laboratory environment and describes the technologies that hold promise for assessing FOG in daily life. Examples of implementation of machine learning algorithms are provided as well as algorithmic biases. Lastly, a standardized assessment using inertial measurement units during a clinical protocol is proposed and a 5-year outlook is discussed. We anticipate this review will help move the field forward in the coming years.

摘要

本报告总结了关于利用技术评估步态冻结(FOG)以及利用技术深入了解帕金森病患者步态冻结机制的现有文献。具体而言,这项工作是为2023年在耶路撒冷举行的第三届国际步态冻结研讨会开展的。本综述重点关注在实验室环境中最常用于定量评估步态冻结的技术,并描述有望在日常生活中评估步态冻结的技术。提供了机器学习算法的实施示例以及算法偏差。最后,提出了在临床方案中使用惯性测量单元进行标准化评估,并讨论了未来五年的展望。我们预计本综述将有助于在未来几年推动该领域的发展。

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