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Validity and sensitivity of instrumented postural and gait assessment using low-cost devices in Parkinson's disease

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Validity and sensitivity of instrumented postural and gait assessment using low-cost devices in Parkinson's disease

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dc.contributor.author Álvarez, Ignacio es_ES
dc.contributor.author Latorre, Jorge es_ES
dc.contributor.author Aguilar, Miquel es_ES
dc.contributor.author Pastor, Pau es_ES
dc.contributor.author Llorens Rodríguez, Roberto es_ES
dc.date.accessioned 2021-05-27T03:34:17Z
dc.date.available 2021-05-27T03:34:17Z
dc.date.issued 2020-11-11 es_ES
dc.identifier.issn 1743-0003 es_ES
dc.identifier.uri http://hdl.handle.net/10251/166830
dc.description.abstract [EN] Background Accurate assessment of balance and gait is necessary to monitor the clinical progress of Parkinson's disease (PD). Conventional clinical scales can be biased and have limited accuracy. Novel interactive devices are potentially useful to detect subtle posture or gait-related impairments. Methods Posturographic and single and dual-task gait assessments were performed to 54 individuals with PD and 43 healthy controls with the Wii Balance Board and the Kinect v2 and the, respectively. Individuals with PD were also assessed with the Tinetti Performance Oriented Mobility Assessment, the Functional Gait Assessment and the 10-m Walking Test. The influence of demographic and clinical variables on the performance in the instrumented posturographic and gait tests, the sensitivity of these tests to the clinical condition and phenotypes, and their convergent validity with clinical scales were investigated. Results Individuals with PD in H&Y I and I.5 stages showed similar performance to controls. The greatest differences in posture and gait were found between subjects in H&Y II.5 and H&Y I-I.5 stage, as well as controls. Dual-tasking enhanced the differences among all groups in gait parameters. Akinetic/rigid phenotype showed worse postural control and gait than other phenotypes. High significant correlations were found between the limits of stability and most of gait parameters with the clinical scales. Conclusions Low-cost devices showed potential to objectively quantify posture and gait in established PD (H&Y >= II). Dual-tasking gait evaluation was more sensitive to detect differences among PD stages and compared to controls than free gait. Gait and posture were more impaired in akinetic/rigid PD. es_ES
dc.description.sponsorship This study has been funded by project VALORA, Grant 201701-10 of the Fundacio la Marato de la TV3 (Barcelona, Spain) and the European Union through the Operational Program of the European Regional Development Fund (ERDF) of the Valencian Community 2014-2020 (IDIFEDER/2018/029) to RL, and Alter Laboratories SA to PP. es_ES
dc.language Inglés es_ES
dc.publisher Springer (Biomed Central Ltd.) es_ES
dc.relation.ispartof Journal of NeuroEngineering and Rehabilitation es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject Parkinson's disease es_ES
dc.subject Gait es_ES
dc.subject Posture es_ES
dc.subject Kinect es_ES
dc.subject Wii balance board es_ES
dc.subject.classification TEORIA DE LA SEÑAL Y COMUNICACIONES es_ES
dc.title Validity and sensitivity of instrumented postural and gait assessment using low-cost devices in Parkinson's disease es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1186/s12984-020-00770-7 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/Fundació La Marató de TV3//201701-10/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/GVA//IDIFEDER%2F2018%2F029/ES/INTERFACES DE REALIDAD MIXTA APLICADA A SALUD Y TOMA DE DECISIONES/ es_ES
dc.rights.accessRights Abierto es_ES
dc.description.bibliographicCitation Álvarez, I.; Latorre, J.; Aguilar, M.; Pastor, P.; Llorens Rodríguez, R. (2020). Validity and sensitivity of instrumented postural and gait assessment using low-cost devices in Parkinson's disease. Journal of NeuroEngineering and Rehabilitation. 17(1):1-10. https://doi.org/10.1186/s12984-020-00770-7 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1186/s12984-020-00770-7 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 10 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 17 es_ES
dc.description.issue 1 es_ES
dc.identifier.pmid 33176833 es_ES
dc.identifier.pmcid PMC7656721 es_ES
dc.relation.pasarela S\424702 es_ES
dc.contributor.funder Laboratorios Alter, S.A. es_ES
dc.contributor.funder Fundació La Marató de TV3 es_ES
dc.contributor.funder European Regional Development Fund es_ES
dc.contributor.funder Generalitat Valenciana es_ES
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