Technology-based assessment of motor and non-motor phenomena in Parkinson disease.

Technology-based assessment of motor and non-motor phenomena in Parkinson disease. Expert Rev Neurother. 2018 Sep 29;: Authors: Merola A, Sturchio A, Hacker S, Serna S, Vizcarra JA, Marsili L, Fasano A, Espay AJ Abstract INTRODUCTION: The increasing development and availability of portable and wearable technologies is rapidly expanding the field of technology-based objective measures (TOMs) in neurological disorders, including Parkinson disease (PD). Substantial challenges remain in the recognition of disease phenomena relevant to patients and clinicians, as well as in the identification of the most appropriate devices to carry out these measurements. Areas Covered: The authors systematically reviewed PubMed for studies employing technology as outcome measures in the assessment of PD-associated motor and non-motor abnormalities. Expert Commentary: TOMs minimize intra- and inter-rater variability in clinical assessments of motor and non-motor phenomena in PD, improving the accuracy of clinical endpoints. Critical unmet needs for the integration of TOMs into clinical and research practice are the identification and validation of relevant endpoints for individual patients, the capture of motor and non-motor activities from an ecologically-valid environment, the integration of various sensor data into an open-access, common-language platforms, and the definition of a regulatory pathway for approval of TOMs. The current lack of multi-domain, multi-sensor, sma...
Source: Expert Review of Neurotherapeutics - Category: Neurology Tags: Expert Rev Neurother Source Type: research