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Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
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Modernizing Daily Function Assessment in Parkinson's Disease Using Capacity, Perception, and Performance Measures.
Walter Maetzler1, Lynn Rochester2, Roongroj Bhidayasiri3
1Department of Neurology, Kiel University and University Hospital Schleswig-Holstein, Kiel, Germany.
Movement Disorders : Official Journal of the Movement Disorder Society
|November 16, 2020
Summary
Evaluating daily function in neurological diseases is crucial for assessing therapy success. New digital technologies enable performance measurement, complementing capacity and perception assessments for a comprehensive view.
Area of Science:
- Neurology
- Digital Health
- Rehabilitation Science
Background:
- Disease symptoms, particularly in neurological conditions, significantly impact patients' quality of life, often indirectly through impaired daily function.
- The International Classification of Function, Disability and Health model highlights the link between symptoms, daily function, and quality of life.
- Accurate evaluation of daily function is essential for assessing therapeutic efficacy and developing novel treatments.
Purpose of the Study:
- To discuss the differences and interdependencies between capacity, perception, and performance assessment of daily function.
- To introduce digital technologies as a novel method for measuring daily function performance in patients' home environments.
- To propose future study designs for a comprehensive and validated assessment of daily function in neurological disease patients, using Parkinson's disease as a model.
Main Methods:
- Review and discussion of existing assessment approaches: capacity (clinical assessments) and perception (surveys, patient-reported outcomes).
- Introduction of performance assessment using digital technologies in home settings.
- Analysis of assessment types using Parkinson's disease as a case study.
Main Results:
- Daily function is a complex construct, traditionally measured via capacity and perception.
- Digital technologies offer a new dimension for assessment: performance, capturing real-world daily function.
- Understanding the interplay between capacity, perception, and performance is key for holistic evaluation.
Conclusions:
- Future research protocols should integrate performance assessment alongside capacity and perception measures.
- Digital health technologies provide objective, real-world data on daily function.
- A multi-dimensional approach to assessing daily function is necessary for robust therapeutic evaluation in neurological disorders.
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