Parkinson Disease A Progressive Disorder That Affects - amazonia.fiocruz.br

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Metrics details. However, there are only a few commercial wearable devices available, which, in addition, have had very limited adoption and implementation. This study aims to identify the perspectives of healthcare professionals and patients linked to current assessment methods and to identify preferences, and requirements of wearable devices.

Associated Data

This was a qualitative study using semi-structured interviews followed by focus groups. Transcripts from sessions were analysed using an inductive thematic approach. Participants suggested that objective assessment methods are needed to increase the chance of effective treatment.

Patients emphasized that the devices should be comfortable, but they did not have any concerns regarding device visibility or data privacy transmitted over the internet when it comes to their health. In terms of wearing a monitor, the preferable part of the body for all participants was the wrist.

Healthcare professionals stated a need for an economical solution that is easy to interpret. Some design aspects identified by patients included clasps, material choice, and form factor. The study concluded that current assessment methods are limited.

This includes the provision of additional functions to Pagkinson wearable device, such as fall Tgat and medication reminders, which could be attractive features for https://amazonia.fiocruz.br/scdp/blog/culture-and-selfaeesteem/the-global-economy-as-a-positive-sum.php. Peer Review reports.

It mainly affects the motor system, and the cardinal motor symptoms are rest tremor, bradykinesia, rigidity, and postural instability [ 1 — 3 ]. PD prevalence varies from 41 people perin the fourth decade of life to over people perin people over 80 years of age [ 1 ]. In the United Kingdom, the estimated number in was around ,; that is approximately one adult in every [ 5 ]. PD is linked with morbidity, mortality, high economic burden, and a decreased quality of life. However, studies show that Progressivve results can be achieved in the management of motor symptoms in the early stages. Clinical rating scales are essential to quantify neurological disorders symptoms, impairment and disability [ 9 ]. Clinical rating scales in PD enable researchers and clinicians to evaluate disease symptoms, severity, progression, Parkinson Disease A Progressive Disorder That Affects efficiency, response and side effects as well as The Incidents Involving Police Brutality and their caregiver [ 9 — 11 ].

Several clinical rating scales have been developed since the s. The PD rating scales can be categorised into impairment scales, disability scales and multi-modular scales impairment scales and disability scales [ 10 ]. Hoehn and Yahr HY scale was designed originally in to estimate the disease severity combining deficiency and disability based on bilateral motor involvement and compromised balance and gait [ 14 ]. It is a simple scale describes the stage Parkinson Disease A Progressive Disorder That Affects PD from 1 to 5 based on motor impairment severity and disability.

Background

The HY scale has been used widely and has universal acceptance as a scale to describe PD stages due to it is simplicity and ability to group PD patients based on motor and functionality severity and progress [ 15 ]. The main advantage of the HY scale is its ease of use, but it is a classification scale and not a rank order [ 16 ], i. The Movement Disorder Society MDS has identified some of the limitations, including ambiguities in questions, poor instructions and the absence of important aspects of non-motor symptoms. Each element scored from 0 to 4 where 0: normal, 1: slight, 2: mild, 3: moderate, and 4: severesome elements are self-administrated by patients without any help, and some elements are completed with or without help from a caregiver, but independently from the examiner, and some elements are rated by the examiner based on observation and physical examination.

In this situation, it is difficult to interpret these two different scores, whether symptoms Importance Of Free Education or due to subjectivity. The MDS-UPDRS scale is time-consuming and requires lengthy administration time, approximately 30 minutes, besides it requires specialised official training to improve the coherence of data acquisition and interpretation, these make it unhandy for routine clinical practice [ 1323 ]. Another time burden that many elements in MDS-UPDRS need to be completed by patients, so additional time is required besides the time required to review these elements by the examiner. Additionally, many elements in MDS-UPDRS scale depends on patients memory, which is unreliable and limited by recall bias [ 17 — 19 ] due to that fact that most patients are elderly, they exhibit Parkinson Disease A Progressive Disorder That Affects and dementia issues.

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PD can also cause cognitive dysfunction even in early stages which affect patients recall capabilities [ 2425 ]. Also, long time between appointments makes it difficult to remember symptoms during this period, besides it is an inconvenience for patients to travel to the clinic due to the weather conditions, transportation, distance, and their conditions, particularly in advanced stages of the disease [ 26 ].

Therefore, an early objective and more detailed, accurate, and reliable diagnosis and assessment could be a contributing factor to help increase the chance of effective treatment. This could decrease disability over time, thus cutting down on direct and indirect healthcare costs [ 327 ]. Wearable technologies have been increasingly introduced for more accurate motor assessment. They have shown promising results in research and clinical trials to objectively measure and monitor symptoms, both on-site and remotely [ 1828 — 32 ].]