scholarly journals Sensory Electrical Stimulation Cueing May Reduce Freezing of Gait Episodes in Parkinson’s Disease

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Lois Rosenthal ◽  
Dean Sweeney ◽  
Anne-Louise Cunnington ◽  
Leo R. Quinlan ◽  
Gearóid ÓLaighin
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Electrical Stimulation ◽  
Freezing Of Gait ◽  
The Self ◽  
Home Based ◽  
Walking Activity ◽  
Guidance Technique ◽  
Positive Effect

Introduction. Freezing of gait (FoG) is a movement abnormality that presents with advancing Parkinson’s disease (PD) and is one of the most debilitating symptoms of the disease. The mainstay of nonpharmacological management of FoG is typically through external cueing techniques designed to relieve or prevent the freezing episode. Previous work shows that electrical stimulation may prove useful as a gait guidance technique, but further evidence is required. The main objective of this study was to determine whether a “fixed” rhythmic sensory electrical stimulation (sES) cueing strategy would significantly (i) reduce the time taken to complete a walking task and (ii) reduce the number of FoG episodes occurring when performing the task. Methods. 9 participants with idiopathic PD performed a self-identified walking task during both control (no cue) and cueing conditions. The self-identified walking task was a home-based daily walking activity, which was known to result in FoG for that person. A trained physiotherapist recorded the time taken to complete the walking task and the number of FoG episodes which occurred during the task. Data were analyzed by paired t-tests for both the time to complete a walking task and the number of FoG episodes occurring. Results. sES cueing resulted in a reduction in the time taken to complete a walking task and in the number of FoG episodes occurring during performance of this task by 14.23 ± 11.15% (p=0.009) and 58.28 ± 33.89% (p=0.002), respectively. Conclusions. This study shows a positive effect of “fixed” rhythmic sES on the time taken to complete a walking task and on the number of FoG episodes occurring during the task. Our results provide evidence that sES cueing delivered in a “fixed” rhythmic manner has the potential to be an effective cueing mechanism for FoG prevention.

The impact of functional electrical stimulation (FES) on freezing of gait (FOG) in patients with Parkinson’s disease

2013 ◽  
Vol 124 (7) ◽  
pp. e11 ◽  
Author(s):  
M. Djurić-Jovičić ◽  
S. Radovanović ◽  
I. Petrović ◽  
C. Azevedo ◽  
G. Mann ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Freezing Of Gait ◽  
The Impact

scholarly journals A Technological Review of Wearable Cueing Devices Addressing Freezing of Gait in Parkinson’s Disease

Sensors ◽  
2019 ◽  
Vol 19 (6) ◽  
pp. 1277 ◽  
Author(s):  
Dean Sweeney ◽  
Leo Quinlan ◽  
Patrick Browne ◽  
Margaret Richardson ◽  
Pauline Meskell ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Freezing Of Gait ◽  
Review Of The Literature ◽  
What Works ◽  
Home Based ◽  
What Works Clearinghouse ◽  
Technical Operation

Freezing of gait is one of the most debilitating symptoms of Parkinson’s disease and is an important contributor to falls, leading to it being a major cause of hospitalization and nursing home admissions. When the management of freezing episodes cannot be achieved through medication or surgery, non-pharmacological methods such as cueing have received attention in recent years. Novel cueing systems were developed over the last decade and have been evaluated predominantly in laboratory settings. However, to provide benefit to people with Parkinson’s and improve their quality of life, these systems must have the potential to be used at home as a self-administer intervention. This paper aims to provide a technological review of the literature related to wearable cueing systems and it focuses on current auditory, visual and somatosensory cueing systems, which may provide a suitable intervention for use in home-based environments. The paper describes the technical operation and effectiveness of the different cueing systems in overcoming freezing of gait. The “What Works Clearinghouse (WWC)” tool was used to assess the quality of each study described. The paper findings should prove instructive for further researchers looking to enhance the effectiveness of future cueing systems.

Home-based exercise monitored with telehealth is feasible and acceptable compared to centre-based exercise in Parkinson’s disease: A randomised pilot study

2020 ◽  
pp. 026921552097626
Author(s):  
Allyson Flynn ◽  
Elisabeth Preston ◽  
Sarah Dennis ◽  
Colleen G Canning ◽  
Natalie E Allen
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Freezing Of Gait ◽  
Management Program ◽  
Self Management ◽  
Randomised Control Trial ◽  
Secondary Outcome ◽  
Mixed Response ◽  
Home Based ◽  
At Home

Objectives: To investigate the feasibility and acceptability of a home-based exercise program monitored using telehealth for people with Parkinson’s disease. Design: Pilot randomised control trial. Setting: University physiotherapy clinic, participants’ homes. Participants: Forty people with mild to moderate Parkinson’s disease, mean age 72 (6.9). Intervention: In Block 1 (5 weeks) all participants completed predominantly centre-based exercise plus a self-management program. Participants were then randomised to continue the centre-based exercise ( n = 20) or to a home-based program with telehealth ( n = 20) for Block 2 (5 weeks). The exercises targeted balance and gait. Outcomes: The primary outcomes were the feasibility and acceptability of the intervention. Secondary outcomes were balance, gait speed and freezing of gait. Results: Adherence was high in Block 1 (93%), and Block 2 (centre-based group = 93%, home-based group = 84%). In Block 2, the physiotherapist spent 6.4 hours providing telehealth to the home-based group (mean 10 (4) minutes per participant) and 32.5 hours delivering the centre-based exercise classes (98 minutes per participant). Participants reported that exercise was helpful, they could follow the home program and they would recommend exercising at home or in a group. However, exercising at home was less satisfying and there was a mixed response to the acceptability of the self-management program. There was no difference between groups in any of the secondary outcome measures (preferred walking speed mean difference −0.04 (95% CI: −0.12 to 0.05). Conclusion: Home-based exercise monitored using telehealth for people with Parkinson’s disease is feasible and acceptable.

Stay mindfully active during the coronavirus pandemic: a feasibility study of a mHealth-delivered home-based mindfulness yoga program for people with Parkinson’s disease (Preprint)

2020 ◽  
Author(s):  
Jojo Y. Y. Kwok ◽  
Jung Jae Lee ◽  
Edmond Pui Hang Choi ◽  
Pui Hing Chau ◽  
Man Auyueng
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Feasibility Study ◽  
Freezing Of Gait ◽  
Motor Symptoms ◽  
Balance Confidence ◽  
Functional Balance ◽  
Home Based ◽  
Neurological Conditions

BACKGROUND Patients with long-term neurological conditions, such as Parkinson’s disease (PD), are particularly vulnerable to the public health measures taken to combat the COVID-19 pandemic. The inaccessibility of center-based rehabilitation further aggravated their motor dysfunctions as well as mental distress, leading to exacerbation of motor and non-motor symptoms, high utilization of healthcare and worsened health-related quality of life (HRQOL). OBJECTIVE This study aimed to evaluate the feasibility, safety, and preliminary effects of the mHealth-delivered home-based mindfulness yoga program for physio-psycho-spiritual wellbeing in patients with PD. METHODS For this prospective, single-arm, nonrandomized feasibility study, a sequential explanatory mixed-method design was used. Ten patients with PD experiencing impaired balance and mobility were invited to participate in the mHealth-delivered home-based mindfulness yoga program, which was delivered through eight biweekly 90 min doses with purely online components. Functional balance, motor symptoms, perceived balance confidence, perceived freezing of gait symptoms, anxiety and depression, mindfulness and HRQOL were measured. All outcomes were assessed online at baseline and 1 week post-intervention. All participants were invited to attend qualitative individual interviews to explore their experience of using online mindfulness yoga program as a lifestyle intervention for PD rehabilitation. RESULTS Of the 10 patients, 80% completed the program with an adherence rate of 98.4%. After the completion of the intervention, the participants showed significant improvement in overall functional balance (P≤0.01), motor symptoms (P=0.002), as well as reduced anxiety (P=0.002) and depressive symptoms (P=0.036). Insignificant improvement regarding perceived balance confidence during ‘off’ state, freezing of gait symptoms, non-judgement of inner experience and HRQOL was noted. Qualitative interviews revealed participants had a high preference of using the tele-rehabilitation approach to stay mindful and being active, both physically and socially, while confronting the changes brought by COVID-19 pandemic. CONCLUSIONS The mHealth-delivered home-based mindfulness yoga intervention was feasible, safe, and well-accepted among people with PD to relieve the burden brought by COVID-19 pandemic. Future studies should adopt a design with enhanced rigor, a comparison group, and enlarged sample size to evaluate the efficacy of the program in patients with long-term neurological conditions and/or physical impairments. The intervention dose should be increased to twice a week for a duration of at least 8 weeks to enhance psychophysiological effects. CLINICALTRIAL ChiCTR200003377, Chinese Clinical Trial Register (ChiCTR) - WHO

scholarly journals Effects of sensitive electrical stimulation based cueing in Parkinson's disease: a preliminary study

2016 ◽  
Vol 26 (2) ◽  
Author(s):  
Benoît Sijobert ◽  
Christine Azevedo-Coste ◽  
David Andreu ◽  
Claudia Verna ◽  
Christian Geny
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Electrical Stimulation ◽  
Freezing Of Gait ◽  
Electrical Stimulus ◽  
Measurement Unit ◽  
Global Effect ◽  
Before And After ◽  
Preliminary Study ◽  
Electrical Stimulator

This study aims to investigate the effect of a sensitive cueing on Freezing of Gait (FOG) and gait disorders in subjects suffering from Parkinson’s disease (PD). 13 participants with Parkinson’s disease were equipped with an electrical stimulator and a foot mounted inertial measurement unit (IMU). An IMU based algorithm triggered in real time an electrical stimulus applied on the arch of foot at heel off detection. Starting from standing, subjects were asked to walk at their preferred speed on a path comprising 5m straight, u-turn and walk around tasks. Cueing globally decreased the time to achieve the different tasks in all the subjects. In “freezer” subjects, the time to complete the entire path was reduced by 19%. FOG events occurrence was lowered by 12% compared to baseline before and after cueing. This preliminary work showed a positive global effect of an electrical stimulation based cueing on gait and FOG in PD.

scholarly journals Multifaceted Sensory Electrical Stimulation cueing for Freezing of Gait in Parkinson's disease

2021 ◽  
Vol 82 ◽  
pp. 106-108
Author(s):  
Dean Sweeney ◽  
Leo R. Quinlan ◽  
Margaret Richardson ◽  
Pauline Meskell ◽  
Anne-Louise Cunnington ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Electrical Stimulation ◽  
Freezing Of Gait

scholarly journals Effects of Sensitive Electrical Stimulation-Based Somatosensory Cueing in Parkinson's Disease Gait and Freezing of Gait Assessment

2017 ◽  
Vol 41 (11) ◽  
pp. E222-E232 ◽  
Author(s):  
Benoît Sijobert ◽  
Christine Azevedo ◽  
David Andreu ◽  
Claudia Verna ◽  
Christian Geny
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Electrical Stimulation ◽  
Freezing Of Gait ◽  
Gait Assessment
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