TY - JOUR
T1 - Sensor assisted self-management in Parkinson's disease
T2 - A feasibility study of ambulatory posture detection and feedback to treat stooped posture
AU - Van Wegen, Erwin E H
AU - de Goede, C. J.T.
AU - Kwakkel, G.
AU - van Kordelaar, J.
PY - 2018
Y1 - 2018
N2 - Introduction: A stooped posture is one of the characteristic motor symptoms of patients with Parkinson's disease, and has been linked to impairments in daily activities and quality of life. We aimed to test the efficacy, safety, practical utility and user-friendliness of a posture correction and vibrotactile trunk angle feedback device (the UpRight) in the home setting of patients with Parkinson's disease with a stooped posture. It was hypothesized that ambulatory use of the UpRight would be safe, feasible and result in a less stooped posture, i.e. a lower trunk angle during daily activities. Methods: 15 patients wore the UpRight during a baseline period of 1 week (no feedback), followed by an intervention period of 1 week (feedback). Results: We found a significant decrease (average -5,4°) in trunk angle from baseline period to intervention period without the occurrence of adverse events. In addition, patients found the device usable and beneficial to posture. Conclusion: Use of the feedback and correction device has a positive effect on ambulatory trunk angles. The device appears to be both safe and useful for self-management of stooped posture in patients with Parkinson's Disease.
AB - Introduction: A stooped posture is one of the characteristic motor symptoms of patients with Parkinson's disease, and has been linked to impairments in daily activities and quality of life. We aimed to test the efficacy, safety, practical utility and user-friendliness of a posture correction and vibrotactile trunk angle feedback device (the UpRight) in the home setting of patients with Parkinson's disease with a stooped posture. It was hypothesized that ambulatory use of the UpRight would be safe, feasible and result in a less stooped posture, i.e. a lower trunk angle during daily activities. Methods: 15 patients wore the UpRight during a baseline period of 1 week (no feedback), followed by an intervention period of 1 week (feedback). Results: We found a significant decrease (average -5,4°) in trunk angle from baseline period to intervention period without the occurrence of adverse events. In addition, patients found the device usable and beneficial to posture. Conclusion: Use of the feedback and correction device has a positive effect on ambulatory trunk angles. The device appears to be both safe and useful for self-management of stooped posture in patients with Parkinson's Disease.
KW - Ambulatory
KW - Cueing
KW - Parkinson's disease
KW - Rehabilitation
KW - Self-management
KW - Sensor
KW - Stooped posture
UR - http://www.scopus.com/inward/record.url?scp=85028328967&partnerID=8YFLogxK
U2 - 10.1016/j.parkreldis.2017.07.024
DO - 10.1016/j.parkreldis.2017.07.024
M3 - Article
AN - SCOPUS:85028328967
SN - 1353-8020
VL - 46
SP - S57-S61
JO - Parkinsonism & Related Disorders
JF - Parkinsonism & Related Disorders
IS - Supplement 1
ER -