Feasibility of a Novel Therapist-Assisted Feedback System for Gait Training in Parkinson’s Disease

Silva-Batista, Carla, Harker, Graham, Vitorio, Rodrigo, Horak, Fay B., Carlson-Kuhta, Patricia, Pearson, Sean, VanDerwalker, Jess, El-Gohary, Mahmoud and Mancini, Martina (2022) Feasibility of a Novel Therapist-Assisted Feedback System for Gait Training in Parkinson’s Disease. Sensors, 23 (1). p. 128. ISSN 1424-3210

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Official URL: https://doi.org/10.3390/s23010128


We tested the feasibility of one session of treadmill training using a novel physical therapist assisted system (Mobility Rehab) using wearable sensors on the upper and lower limbs of 10 people with Parkinson’s disease (PD). Participants performed a 2-min walk overground before and after 15 min of treadmill training with Mobility Rehab, which included an electronic tablet (to visualize gait metrics) and five Opal sensors placed on both the wrists and feet and on the sternum area to measure gait and provide feedback on six gait metrics (foot-strike angle, trunk coronal range-of-motion (ROM), arm swing ROM, double-support duration, gait-cycle duration, and step asymmetry). The physical therapist used Mobility Rehab to select one or two gait metrics (from the six) to focus on during the treadmill training. Foot-strike angle (effect size (ES) = 0.56, 95% Confidence Interval (CI) = 0.14 to 0.97), trunk coronal RoM (ES = 1.39, 95% CI = 0.73 to 2.06), and arm swing RoM (ES = 1.64, 95% CI = 0.71 to 2.58) during overground walking showed significant and moderate-to-large ES following treadmill training with Mobility Rehab. Participants perceived moderate (60%) and excellent (30%) effects of Mobility Rehab on their gait. No adverse events were reported. One session of treadmill training with Mobility Rehab is feasible for people with mild-to-moderate PD.

Item Type: Article
Additional Information: Funding information: National Institute on Aging of the National Institutes of Health under Award Number R44AG056012 (ME-G). Oregon Health & Science University Fellowship for Diversity in Research (OHSU-OFDIR; CSB).
Uncontrolled Keywords: Article, Parkinson’s disease, visual feedback, wearable technology
Subjects: B100 Anatomy, Physiology and Pathology
C600 Sports Science
Department: Faculties > Health and Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Rachel Branson
Date Deposited: 04 Jan 2023 14:15
Last Modified: 04 Jan 2023 14:15
URI: https://nrl.northumbria.ac.uk/id/eprint/51048

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