Sensor‐Based Assessment of Asymmetry in Upper Limb Bradykinesia Among Patients With Parkinson's Disease and Scans Without Evidence of Dopaminergic Deficit (SWEDD).

Background: Bilateral motor asymmetry is a hallmark feature of Parkinson's disease (PD). However, few studies have quantitatively examined this feature in patients with scans without evidence of dopaminergic deficit (SWEDD). This study aimed to investigate upper limb asymmetry in bradykinesia among...

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Publicado en:Parkinson's Disease (20420080) Vol. 2026; pp. 1 - 9
Autores principales: Kwon, Do Young, Ko, Junghyuk, Kwon, Yuri, Kim, Ji-Won, Witt, Karsten
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 4/1/2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/1/2026
      vid: 2026
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/padi/6400390
        192690450
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        atl: Sensor‐Based Assessment of Asymmetry in Upper Limb Bradykinesia Among Patients With Parkinson's Disease and Scans Without Evidence of Dopaminergic Deficit (SWEDD).
      aug:
        au:
          Kwon, Do Young
          Ko, Junghyuk
          Kwon, Yuri
          Kim, Ji-Won
          Witt, Karsten
        affil: Department of Neurology,, Korea University College of Medicine,, Ansan-City, South Korea, korea.ac.kr
      sug:
        subj:
          Wearable Sensors Utilization
          Hypokinesia
          Upper Extremity Physiopathology
          Parkinson Disease Physiopathology
          Dopaminergic Imaging
          Funding Source
          Human
          Matched Case Control
          Comparative Studies
          Spearman's Rank Correlation Coefficient
          Rotation
          Forearm Physiology
          Task Performance and Analysis
          Neuropsychological Tests
          Male
          Female
          Middle Age
          Aged
          Parkinson Disease Diagnosis
          Positron-Emission Tomography
          Descriptive Statistics
          Data Analysis Software
          One-Way Analysis of Variance
          Two-Way Analysis of Variance
          Post Hoc Analysis
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Bilateral motor asymmetry is a hallmark feature of Parkinson's disease (PD). However, few studies have quantitatively examined this feature in patients with scans without evidence of dopaminergic deficit (SWEDD). This study aimed to investigate upper limb asymmetry in bradykinesia among PD and SWEDD patients using gyro sensors, focusing on finger tapping and forearm rotation task. Methods: We recruited 23 early‐stage, drug‐naïve PD patients, 23 SWEDD patients, and 20 age‐matched healthy controls. We recorded gyro sensor signals during 15‐s finger tapping and forearm rotation tasks. Bilateral asymmetry indices were calculated and compared among groups. In addition, repeated measure analysis of variance (ANOVA) was used to examine the interaction of task and group, and Spearman correlation analysis was conducted with clinical motor scores. Results: No significant group differences were found during finger tapping. However, during forearm rotation, PD patients exhibited significantly greater asymmetry than SWEDD patients in several indices, including RMS angular velocity, peak angular displacement, peak power, and total power. Task × group interaction effects were significant only in forearm rotation, and asymmetry indices from forearm rotation showed significant correlations with clinical motor scores. Conclusions: Forearm rotation is a sensitive task for detecting motor asymmetry in PD and for differentiating PD from SWEDD. These results suggest that quantitative motor asymmetry indices using wearable sensors could aid clinicians in the identification of potential SWEDD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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