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Quantitative Measurement of Akinesia in Parkinson's Disease
Author(s) -
Lalvay Lissette,
Lara Miguel,
Mora Andrea,
Alarcón Fernando,
Fraga Manuel,
Pancorbo Jesús,
Marina José Luis,
Mena María Ángeles,
Lopez Sendón Jose Luis,
García de Yébenes Justo
Publication year - 2016
Publication title -
movement disorders clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.754
H-Index - 18
ISSN - 2330-1619
DOI - 10.1002/mdc3.12410
Subject(s) - finger tapping , parkinsonism , parkinson's disease , physical medicine and rehabilitation , movement disorders , medicine , motor symptoms , tapping , disease , physical therapy , audiology , pathology , management , economics
Background There is great interest in developing simple, user‐friendly, and inexpensive tools for the quantification and elucidation of motor deficits in patients with Parkinson's disease ( PD ). These systems could help to monitor the clinical status of patients with PD , to develop better treatments, and to identify individuals who have subtle motor signs that might pass unnoticed in the conventional neurological examination. Methods Mememtum, a smartphone application that allows for the quantification of several parameters of movement, such as regularity, rhythm, and changes in the number of taps while taping with a single finger and with alternating fingers, was developed and then tested in a pilot study in Madrid and in an extensive study in Quito, Ecuador. Results Almost all patients could successfully perform single‐finger tapping, but approximately 10% of patients with severe parkinsonism had problems taping with alternating fingers. The results revealed changes in the regularity of the pressure applied while tapping and a reduction in the number of taps on the device screen when alternating tapping among patients who had idiopathic PD and vascular parkinsonism compared with controls and individuals who had prediagnostic motor abnormalities of PD . Conclusion Applications available in smartphones could be used for investigation and treatment of patients with PD , but much research is needed to optimize the ideal parameters to be investigated and the potential usefulness of this technique for patients with PD in different stages of the disease.