Gait and Balance Assessments using Smartphone Applications in Parkinson's Disease: A Systematic Review.

Gait dysfunctions and balance impairments are key fall risk factors and associated with reduced quality of life in individuals with Parkinson's Disease (PD). Smartphone-based assessments show potential to increase remote monitoring of the disease. This review aimed to summarize the validity, reliabi...

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Publicado en:Journal of Medical Systems Vol. 45; no. 9; pp. 1 - 21
Autores principales: Abou, Libak, Peters, Joseph, Wong, Ellyce, Akers, Rebecca, Dossou, Mauricette Sènan, Sosnoff, Jacob J., Rice, Laura A.
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature Sep2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2021
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      pub: Springer Nature
      place: New York, New York
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        atl: Gait and Balance Assessments using Smartphone Applications in Parkinson's Disease: A Systematic Review.
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          Abou, Libak
          Peters, Joseph
          Wong, Ellyce
          Akers, Rebecca
          Dossou, Mauricette Sènan
          Sosnoff, Jacob J.
          Rice, Laura A.
        affil: Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA
      sug:
        subj:
          Reliability and Validity Evaluation
          Smartphone
          Mobile Applications
          Gait Analysis
          Balance, Postural Evaluation
          Accidental Falls Evaluation
          Parkinson Disease Physiopathology
          Human
          PubMed
          CINAHL Database
          SportDiscus
          Bias (Research)
          Telehealth
          Clinical Assessment Tools
          Male
          Female
          Middle Age
          Aged
          Sensitivity and Specificity
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Gait dysfunctions and balance impairments are key fall risk factors and associated with reduced quality of life in individuals with Parkinson's Disease (PD). Smartphone-based assessments show potential to increase remote monitoring of the disease. This review aimed to summarize the validity, reliability, and discriminative abilities of smartphone applications to assess gait, balance, and falls in PD. Two independent reviewers screened articles systematically identified through PubMed, Web of Science, Scopus, CINAHL, and SportDiscuss. Studies that used smartphone-based gait, balance, or fall applications in PD were retrieved. The validity, reliability, and discriminative abilities of the smartphone applications were summarized and qualitatively discussed. Methodological quality appraisal of the studies was performed using the quality assessment tool for observational cohort and cross-sectional studies. Thirty-one articles were included in this review. The studies present mostly with low risk of bias. In total, 52% of the studies reported validity, 22% reported reliability, and 55% reported discriminative abilities of smartphone applications to evaluate gait, balance, and falls in PD. Those studies reported strong validity, good to excellent reliability, and good discriminative properties of smartphone applications. Only 19% of the studies formally evaluated the usability of their smartphone applications. The current evidence supports the use of smartphone to assess gait and balance, and detect freezing of gait in PD. More studies are needed to explore the use of smartphone to predict falls in this population. Further studies are also warranted to evaluate the usability of smartphone applications to improve remote monitoring in this population. Registration: PROSPERO CRD 42020198510
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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