Wearable sensor use for assessing standing balance and walking stability in people with Parkinson's disease: a systematic review.
Wearable sensor use for assessing standing balance and walking stability in people with Parkinson's disease: a systematic review.
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DOI：
10.1371/journal.pone.0123705
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Cole MH
中科院分区：
文献类型：
--
作者：
Hubble RP;Naughton GA;Silburn PA;Cole MH
姿势不稳和步态残疾威胁着帕金森氏症患者的独立性和幸福感，并增加了跌倒和跌倒相关伤害的风险。前瞻性研究表明，常用的平衡和行走临床评估缺乏敏感度，无法准确和一致地识别出哪些帕金森氏症患者摔倒的风险更高。可穿戴传感器为研究人员和临床医生提供了一种便携式且负担得起的替代方案，他们正在寻求客观地评估临床环境中的运动和跌倒风险。然而，目前还没有就传感器的最佳位置和用于评估帕金森病患者站立平衡和行走稳定性的最佳结果测量方法达成共识。因此，这项系统性综述旨在研究现有文献，以确定最佳传感器类型、位置和结果，以评估该人群的站立平衡和行走稳定性。按标题和摘要搜索三个电子数据库中列出的文章，以确定在诊断为帕金森病的成年人中使用任何类型的可穿戴传感器测量站立平衡或行走稳定性的文章。要符合纳入条件，论文必须是1994年1月至2014年12月期间发表的英文全文文章，这些文章评估了帕金森氏症患者使用可穿戴传感器进行站立平衡或行走稳定性的测量。符合以下条件的文章被排除在外：i)没有使用任何形式的可穿戴传感器来测量与站立平衡或行走稳定性相关的变量；ii)没有包括对照组或对照条件；iii)是摘要和/或包括在会议记录中；或iv)是综述文章或案例研究。对三个电子数据库的有针对性的搜索确定了340篇有可能符合纳入条件的文章，但在标题、摘要和全文审查之后，只有26篇文章被认为符合纳入标准。对纳入的文献进行方法学质量评价，并从文献中提取和综合相关数据。对这些纳入文章的质量评估表明，31%的文章方法学质量较低，58%的文章方法学质量中等，11%的文章方法学质量较高。所有研究都采用横断面设计，并使用各种传感器类型和结果测量来评估帕金森氏症患者的站立平衡或行走稳定性。尽管方法学质量一般为低到中等，但81%的研究报告称，不同组的帕金森病患者和/或健康对照组在基于传感器的站立平衡或行走稳定性测量方面存在差异。这些数据支持使用可穿戴传感器来检测帕金森病患者和对照组之间站立平衡和行走稳定性的差异。需要进一步的高质量研究，以更好地了解可穿戴传感器在早期识别帕金森氏症症状和评估该人群跌倒风险方面的效用。CRD42014010838
Postural instability and gait disability threaten the independence and well-being of people with Parkinson’s disease and increase the risk of falls and fall-related injuries. Prospective research has shown that commonly-used clinical assessments of balance and walking lack the sensitivity to accurately and consistently identify those people with Parkinson’s disease who are at a higher risk of falling. Wearable sensors provide a portable and affordable alternative for researchers and clinicians who are seeking to objectively assess movements and falls risk in the clinical setting. However, no consensus currently exists on the optimal placements for sensors and the best outcome measures to use for assessing standing balance and walking stability in Parkinson’s disease patients. Hence, this systematic review aimed to examine the available literature to establish the best sensor types, locations and outcomes to assess standing balance and walking stability in this population. Papers listed in three electronic databases were searched by title and abstract to identify articles measuring standing balance or walking stability with any kind of wearable sensor among adults diagnosed with PD. To be eligible for inclusion, papers were required to be full-text articles published in English between January 1994 and December 2014 that assessed measures of standing balance or walking stability with wearable sensors in people with PD. Articles were excluded if they; i) did not use any form of wearable sensor to measure variables associated with standing balance or walking stability; ii) did not include a control group or control condition; iii) were an abstract and/or included in the proceedings of a conference; or iv) were a review article or case study. The targeted search of the three electronic databases identified 340 articles that were potentially eligible for inclusion, but following title, abstract and full-text review only 26 articles were deemed to meet the inclusion criteria. Included articles were assessed for methodological quality and relevant data from the papers were extracted and synthesized. Quality assessment of these included articles indicated that 31% were of low methodological quality, while 58% were of moderate methodological quality and 11% were of high methodological quality. All studies adopted a cross-sectional design and used a variety of sensor types and outcome measures to assess standing balance or walking stability in people with Parkinson’s disease. Despite the typically low to moderate methodological quality, 81% of the studies reported differences in sensor-based measures of standing balance or walking stability between different groups of Parkinson’s disease patients and/or healthy controls. These data support the use of wearable sensors for detecting differences in standing balance and walking stability between people with PD and controls. Further high-quality research is needed to better understand the utility of wearable sensors for the early identification of Parkinson’s disease symptoms and for assessing falls risk in this population. CRD42014010838
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影响因子：
2.4
作者：
Mancini M;Carlson-Kuhta P;Zampieri C;Nutt JG;Chiari L;Horak FB
通讯作者：
Horak FB
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2
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Hirasaki, E;Moore, ST;Cohen, B
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Cohen, B
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8.6
作者：
Lowry, Kristin A.;Smiley-Oyen, Ann L.;Kerr, John P.
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影响因子：
6
作者：
Herman, Talia;Weiss, Aner;Hausdorff, Jeffrey M.
通讯作者：
Hausdorff, Jeffrey M.
DOI：
10.1093/gerona/56.7.m438
发表时间：
2001-07-01
影响因子：
5.1
作者：
Gill, J;Allum, JHJ;Pierchala, K
通讯作者：
Pierchala, K