Sensors Measure Parkinson’s Fluctuations, Guide Therapy for Improved Quality of Life

Published on March 23, 2022

Imagine your body is a roller coaster, and Parkinson’s Disease is the track. Sensor measurements act like the control panel, helping us understand and manage the ups and downs of the ride. In a recent study, researchers used clinical scales and wearable sensors to identify and treat fluctuations in bradykinesia (slowness of movement) in Parkinson’s patients. They found that using sensor data to guide therapy significantly improved motor function, non-motor symptoms, and quality of life scores. By converting fluctuators into controlled non-fluctuators, patients experienced even greater improvements. The sensor measurements provided valuable information for clinicians to make informed decisions about treatment. These findings highlight the importance of objective measurements in managing Parkinson’s Disease effectively. Now, it’s time for you to take a ride through the research! Explore the full article linked below for a deeper understanding of how sensors are revolutionizing Parkinson’s care.

ObjectivesThe aim was to examine the role of sensor measurement in identifying and managing fluctuations in bradykinesia of Parkinson’s Disease.MethodClinical scales and data from wearable sensors obtained before and after optimization of treatment from 107 participants who participated in a previous study was used. Fluctuators were identified by a levodopa response or wearing off in their sensor data and were subdivided according to whether the sensor’s bradykinesia scores were in target range, representing acceptable bradykinesia for part of the dose (Controlled Fluctuator: n = 22) or above target for the whole dose period (Uncontrolled Fluctuator; n = 28). Uncontrolled Non-fluctuators (n = 24) were cases without a levodopa response or wearing-off and sensor bradykinesia scores above target throughout the day (un-controlled). Controlled Non-fluctuators (n = 33) were below target throughout the day (controlled) and used as a reference for good control (MDS-UPDRS III = 33 ± 8.6 and PDQ39 = 28 ± 18).ResultsTreating Fluctuators significantly improved motor and quality of life scores. Converting fluctuators into Controlled Non-fluctuators significantly improved motor, non-motor and quality of life scores and a similar but less significant improvement was obtained by conversion to a Controlled Fluctuator. There was a significantly greater likelihood of achieving these changes when objective measurement was used to guide management.ConclusionsThe sensor’s classification of fluctuators bore a relation to severity of clinical scores and treatment of fluctuation improved clinical scores. The sensor measurement aided in recognizing and removing fluctuations with treatment and resulted in better clinical scores, presumably by assisting therapeutic decisions.

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