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使用智能手机和腕戴设备监测帕金森病运动症状:对商用技术的系统评价

Use of Smartphones and Wrist-Worn Devices for Motor Symptoms in Parkinson's Disease: A Systematic Review of Commercially Available Technologies.

作者信息

Triolo Gabriele, Ivaldi Daniela, Lombardo Roberta, Quartarone Angelo, Lo Buono Viviana

机构信息

IRCCS Centro Neurolesi Bonino Pulejo, 98124 Messina, Italy.

出版信息

Sensors (Basel). 2025 Jun 14;25(12):3732. doi: 10.3390/s25123732.

Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disorder characterized by motor symptoms such as tremors, rigidity, and bradykinesia. The accurate and continuous monitoring of these symptoms is essential for optimizing treatment strategies and improving patient outcomes. Traditionally, clinical assessments have relied on scales and methods that often lack the ability for continuous, real-time monitoring and can be subject to interpretation bias. Recent advancements in wearable technologies, such as smartphones, smartwatches, and activity trackers (ATs), present a promising alternative for more consistent and objective monitoring. This review aims to evaluate the use of smartphones and smart wrist devices, like smartwatches and activity trackers, in the management of PD, assessing their effectiveness in symptom evaluation and monitoring and physical performance improvement. Studies were identified by searching in PubMed, Scopus, Web of Science, and Cochrane Library. Only 13 studies of 1027 were included in our review. Smartphones, smartwatches, and activity trackers showed a growing potential in the assessment, monitoring, and improvement of motor symptoms in people with PD, compared to clinical scales and research-grade sensors. Their relatively low cost, accessibility, and usability support their integration into real-world clinical practice and exhibit validity to support PD management.

摘要

帕金森病(PD)是一种进行性神经退行性疾病,其特征为震颤、僵硬和运动迟缓等运动症状。对这些症状进行准确且持续的监测对于优化治疗策略和改善患者预后至关重要。传统上,临床评估依赖于量表和方法,这些方法往往缺乏持续、实时监测的能力,并且可能存在解释偏差。可穿戴技术的最新进展,如智能手机、智能手表和活动追踪器(AT),为更一致、客观的监测提供了一种有前景的替代方案。本综述旨在评估智能手机和智能腕部设备(如智能手表和活动追踪器)在帕金森病管理中的应用,评估它们在症状评估、监测以及身体性能改善方面的有效性。通过在PubMed、Scopus、科学网和考克兰图书馆中检索来确定研究。我们的综述仅纳入了1027项研究中的13项。与临床量表和研究级传感器相比,智能手机、智能手表和活动追踪器在评估、监测和改善帕金森病患者的运动症状方面显示出越来越大的潜力。它们相对较低的成本、可及性和易用性支持将其整合到实际临床实践中,并显示出对帕金森病管理的有效性。

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