Next Steps in Wearable Technology and Community Ambulation in Multiple Sclerosis

AbstractPurpose of ReviewWalking impairments are highly prevalent in persons with multiple sclerosis (PwMS) and are associated with reduced quality of life. Walking is traditionally quantified with various measures, including patient self-reports, clinical rating scales, performance measures, and advanced lab-based movement analysis techniques. Yet, the majority of these measures do not fully characterize walking (i.e., gait quality) nor adequately reflect walking in the real world (i.e., community ambulation) and have limited timescale (only measure walking at a single point in time). We discuss the potential of wearable sensors to provide sensitive, objective, and easy-to-use assessment of community ambulation in PwMS.Recent FindingsWearable technology has the ability to measure all aspects of gait in PwMS yet is under-studied in comparison with other populations (e.g., older adults). Within the studies focusing on PwMS, half that measure pace collected free-living data, while only one study explored gait variability in free-living conditions. No studies explore gait asymmetry or complexity in free-living conditions.SummaryWearable technology has the ability to provide objective, comprehensive, and sensitive measures of gait in PwMS. Future research should investigate this technology ’s ability to accurately assess free-living measures of gait quality, specifically gait asymmetry and complexity.
Source: Current Neurology and Neuroscience Reports - Category: Neuroscience Source Type: research

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Source: Medscape Psychiatry Headlines - Category: Psychiatry Tags: Neurology & Neurosurgery News Source Type: news
Conditions:   Multiple Sclerosis;   Menstrual Pain;   Anxiety;   Fatigue;   Neurologic Symptoms Interventions:   Other: pain;   Other: fatigue;   Other: anxiety;   Other: position sense;   Other: balance;   Other: dual task performance Sponsor:   Ankara Yildirim Beyazıt University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Multiple Sclerosis;   Traumatic Brain Injury Interventions:   Behavioral: Emotional Processing Training;   Behavioral: Placebo Control Sponsor:   Kessler Foundation Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Multiple Sclerosis;   Menstrual Pain;   Anxiety;   Fatigue;   Neurologic Symptoms Interventions:   Other: pain;   Other: fatigue;   Other: anxiety;   Other: position sense;   Other: balance;   Other: dual task performance Sponsor:   Ankara Yildirim Beyazıt University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 28 May 2020Source: Multiple Sclerosis and Related DisordersAuthor(s): Konstantin Balashov, Suhayl Dhib-Jalbut, Igor Rybinnik
Source: Multiple Sclerosis and Related Disorders - Category: Neurology Source Type: research
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