Ihana Thaís Guerra de Oliveira Gondim1, Caroline de Cássia Batista de Souza2, Marco Aurélio Benedetti Rodrigues2, Izaura Muniz Azevedo3, Maria das Graças Wanderley de Sales Coriolano3, Otávio Gomes Lins4. 1. Programa de Pós-Graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco, Avenida da Engenharia, S/N, Prédio dos Programas de Pós-Graduação do Centro de Ciências da Saúde, Cidade Universitária, Recife, PE, CEP 50740-600, Brazil. Electronic address: ihanafisio@hotmail.com. 2. Programa de Pós-Graduação em Engenharia Biomédica, Universidade Federal de Pernambuco, Av. da Arquitetura, s/nº - Cidade Universitária, Prédio da Coordenação da Área II, Recife, PE, CEP: 50.740-550, Brazil. 3. Programa de Pós-Graduação em Gerontologia, Universidade Federal de Pernambuco, Av. Prof. Moraes Rego S/N, Cidade Universitária, Recife, PE, CEP: 50.739.970, Brazil. 4. Programa de Pós-Graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco, Avenida da Engenharia, S/N, Prédio dos Programas de Pós-Graduação do Centro de Ciências da Saúde, Cidade Universitária, Recife, PE, CEP 50740-600, Brazil.
Abstract
PURPOSE: The progression of Parkinson's disease causes an increase in motor dysfunctions, which makes it necessary to evaluate and monitor these changes. This integrative review aimed to gather studies - without any language restrictions - on the use, advantages and disadvantages of portable accelerometers for the evaluation of spatio-temporal gait parameters in people with Parkinson's disease published between 2014 and 2019. METHODS: Articles were selected from the PubMed, Web of Science and Science Direct databases by combining descriptors from the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH) - "accelerometry", "accelerometer", "ActiGraph", "gait", "gait analysis", "gait rehabilitation", "walking inertial sensors", "Parkinson disease", "Parkinson" and "Parkinson's disease" - using OR and AND. The adapted Critical Appraisal Skill Program was used to analyze the methodological quality. RESULTS: All the studies used portable wearable and wireless triaxial accelerometers. Among all types of accelerometers discussed, commercial wearable devices not based on smartphones and prototypes of wearable devices based and not based on smartphones can be pointed out. There was no standardization for the protocols of use, but the sensors were more often attached to the lower back (L3/L4/L5 vertebrae). The advantages included lower cost, possibility of use in outdoor environments and less complexity of data reading for non-specialized users. However, they still seem to show reduced precision and accuracy. CONCLUSIONS: Due to the still insufficient number of articles published on the subject, we consider the need for further research, which should detail protocols of evaluation, advantages and disadvantages in stages of disease.
PURPOSE: The progression of Parkinson's disease causes an increase in motor dysfunctions, which makes it necessary to evaluate and monitor these changes. This integrative review aimed to gather studies - without any language restrictions - on the use, advantages and disadvantages of portable accelerometers for the evaluation of spatio-temporal gait parameters in people with Parkinson's disease published between 2014 and 2019. METHODS: Articles were selected from the PubMed, Web of Science and Science Direct databases by combining descriptors from the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH) - "accelerometry", "accelerometer", "ActiGraph", "gait", "gait analysis", "gait rehabilitation", "walking inertial sensors", "Parkinson disease", "Parkinson" and "Parkinson's disease" - using OR and AND. The adapted Critical Appraisal Skill Program was used to analyze the methodological quality. RESULTS: All the studies used portable wearable and wireless triaxial accelerometers. Among all types of accelerometers discussed, commercial wearable devices not based on smartphones and prototypes of wearable devices based and not based on smartphones can be pointed out. There was no standardization for the protocols of use, but the sensors were more often attached to the lower back (L3/L4/L5 vertebrae). The advantages included lower cost, possibility of use in outdoor environments and less complexity of data reading for non-specialized users. However, they still seem to show reduced precision and accuracy. CONCLUSIONS: Due to the still insufficient number of articles published on the subject, we consider the need for further research, which should detail protocols of evaluation, advantages and disadvantages in stages of disease.