Long-term monitoring of gait in Parkinson's disease

被引:144
作者
Moore, Steven T.
MacDougall, Hamish G.
Gracies, Jean-Michel
Cohen, Helen S.
Ondo, William G.
机构
[1] Mt Sinai Sch Med, Dept Neurol, New York, NY 10029 USA
[2] Baylor Coll Med, Bobby R Alford Dept Otolaryngol Head & Neck Surg, Houston, TX 77030 USA
[3] Baylor Coll Med, Dept Neurol, Houston, TX 77030 USA
关键词
stride length; levodopa; parkinsonian; locomotion; accelerometer;
D O I
10.1016/j.gaitpost.2006.09.011
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
A new system for long-term monitoring of gait in Parkinson's disease (PD) has been developed and validated. The characteristics of every stride taken over 10-h epochs were acquired using a lightweight ankle-mounted sensor array that transmitted data wirelessly to a small pocket PC at a rate of 100 Hz. Stride was calculated from the vertical linear acceleration and pitch angular velocity of the leg with an accuracy of 5 cm. Results from PD patients (5) demonstrate the effectiveness of long-term monitoring of gait in a natural environment. The small, variable stride length characteristic of Parkinsonian gait, and fluctuations of efficacy associated with levodopa therapy, such as delayed onset, wearing off, and the 'off/on' effect, could reliably be detected from long-term changes in stride length. (c) 2006 Elsevier B.V. All rights reserved.
引用
收藏
页码:200 / 207
页数:8
相关论文
共 31 条
[11]   Accuracy of objective ambulatory accelerometry in detecting motor complications in patients with Parkinson disease [J].
Hoff, JI ;
van der Meer, V ;
van Hilten, JJ .
CLINICAL NEUROPHARMACOLOGY, 2004, 27 (02) :53-57
[12]  
Hoff JI, 2001, MOVEMENT DISORD, V16, P58, DOI 10.1002/1531-8257(200101)16:1<58::AID-MDS1018>3.0.CO
[13]  
2-9
[14]   Ambulatory motor assessment in Parkinson's disease [J].
Keijsers, NLW ;
Horstink, MWIM ;
Gielen, SCAM .
MOVEMENT DISORDERS, 2006, 21 (01) :34-44
[15]   Automatic assessment of levodopa-induced dyskinesias in daily life by neural networks [J].
Keijsers, NLW ;
Horstink, MWIM ;
Gielen, SCAM .
MOVEMENT DISORDERS, 2003, 18 (01) :70-80
[16]  
Levenberg K., 1944, Quart. Appl. Math, V2, P164, DOI [10.1090/QAM/10666, 10.1090/qam/10666, DOI 10.1090/QAM/10666]
[17]   Marching to the beat of the same drummer: the spontaneous tempo of human locomotion [J].
MacDougall, HG ;
Moore, ST .
JOURNAL OF APPLIED PHYSIOLOGY, 2005, 99 (03) :1164-1173
[18]   Variability in spatiotemporal gait characteristics over the course of the L-dopa cycle in people with advanced Parkinson disease [J].
MacKay-Lyons, M .
PHYSICAL THERAPY, 1998, 78 (10) :1083-1094
[19]  
Marquardt D. W., 1963, SIAM J APPL MATH, V11, P431, DOI [10.1137/0111030, DOI 10.1137/0111030]
[20]   Patterns of outcome measurement in Parkinson's disease clinical trials [J].
Mitchell, SL ;
Harper, DW ;
Lau, A ;
Bhalla, R .
NEUROEPIDEMIOLOGY, 2000, 19 (02) :100-108