Technology-based Analysis of Movement Disorders
Study Details
Study Description
Brief Summary
Objectives: To generate pilot data to investigate the feasibility and the potential use in clinical practice of technology based objective measures of motor performances in patients affected by different movement disorders. To correlate kinematics findings with demographic and clinical details. Trial design and methods: Participants enrolled in prof. Bhatia's movement disorders clinic, will be classifies according to the main movement disorder, specifically, tremor, parkinsonism, dystonia, chorea, ataxia. In the study visit (one day only), they will undergo a clinical evaluation using the appropriate clinical scales (respectively, Fahn-Tolosa-Marin tremor rating scale, MDS-UPDRS Part III, Toronto Western Spasmodic Torticollis Rating Scale 2, Unified Hungtington Disease Rating scale and Scale for the Assessment and Rating of Ataxia) and a kinematic evaluation, using wearables and an infra-red and LED markers system. Then the protocol is concluded and they will continue the routine clinical follow-up
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: kinematic analysis each patient with a diagnosis of parkinsonism, ataxia, chorea, dystonia or tremor will be asked to perform some motor tasks routinely used in clinical evaluation wearing inertial sensors. |
Device: kinematic analysis
motor tasks appropriate for each diagnosis will be recorder with wearable inertial sensors
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Outcome Measures
Primary Outcome Measures
- gait metrics [up to 6 weeks after enrolment]
gait cycles measures (step length, phase duration, number of steps) practice of technology based objective measures of motor performances in patients affected by different movement disorders, to objectively evaluate the disease burden, the efficacy of therapeutic interventions and having a deeper phenotyping of motor disabilities.
- tremor peak frequence [up to 6 weeks after enrolment]
fourier analysis for peak frequence of tremor
- neck ROM [up to 6 weeks after enrolment]
range of motion of the neck in x,y and z axis
- bradykinesia evaluation [up to 6 weeks after enrolment]
amplitude of repeated limb movements over time
Secondary Outcome Measures
- correlation with UPDRS gait Item [up to 6 weeks after enrolment]
correlation of gait metrics with UPDRS gait score included.
Eligibility Criteria
Criteria
Inclusion Criteria:
- clinical diagnosis of parkinsonism and/or dystonia and/or tremor due to:
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idiopatic parkinson's disease
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atypical parkinsonism
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sporadic or inherited/genetic dystonia
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young-onset Parkinson's disease
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Ataxia syndrome
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Choereic syndrome
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Essential tremor
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Dystonic tremor
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18 to 80 years of age
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Willing and able to provide informed consent
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able to walk unassisted
Exclusion Criteria:
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Change in pharmacological therapy in the last 3 months.
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Participated in a clinical drug trial up to 3 months before inclusion into the present study
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Orthopaedical comorbidities affecting gait or posture.
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Cognitive deficit
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University College, London
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 130175