4.5 Article

The prevention of falls in patients with Parkinson's disease with in-home monitoring using a wearable system: a pilot study protocol

Journal

AGING CLINICAL AND EXPERIMENTAL RESEARCH
Volume 34, Issue 12, Pages 3017-3024

Publisher

SPRINGER
DOI: 10.1007/s40520-022-02238-1

Keywords

Fall prevention; Wearable device; Homecare; Parkinson's disease; Telemedicine; e-health technology

Funding

  1. Universita degli Studi del Piemonte Orientale Amedeo Avogrado within the CRUI-CARE Agreement
  2. talian Ministry of Education, University and Research (MIUR) program Departments of Excellence 2018-2022
  3. AGING Project -Department of Translational Medicine, University of Oriental Piedmont

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The study aims to investigate the feasibility of using the TED bracelet to identify the risk of falls in individuals with Parkinson's disease. The data collected from the bracelet will be compared to a paper-based fall diary. This study could further contribute to the development of gait monitoring systems for Parkinson's disease and other neurodegenerative diseases.
Background Parkinson's disease (PD) is a chronic, progressive neurodegenerative condition that gradually worsens motor function and leads to postural instability and, eventually, falls. Several factors may influence the frequency of future falls, such as slowness, freezing of gait, loss of balance, and mobility problems, cognitive impairments, and the number of previous falls. The TED bracelet is an advanced technological wearable device able to predict falls. Aims This principal aim is to investigate the feasibility of a full-scale research project that uses the TED bracelet to identify whether individuals with PD are at risk of falling. Methods This study will involve a pilot prospective observational study design; the subjects will include 26 patients suffering from mild PD and 26 others with no PD and no gait problems. Data will be collected from the TED bracelet and then compared to a paper-based fall diary. The enrolled participants will have a scheduled outpatient evaluation to collect both clinical and instrumental data as well as biological samples. Discussion This pilot study could then be implemented in a larger form to further evaluate the effectiveness of the TED device. Finally, it will help further develop gait monitoring systems for people with Parkinson's disease and other neurodegenerative diseases that can affect physical function and mobility, such as dementia and Alzheimer's. Conclusions Preventing falls and their complications could lead to major advancements in the quality of home care for patients with PD, which would significantly impact the quality of life of both these patients and their caregivers.

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