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Hashida K, Lee J, Furutani TM, Tsushima W, Tamura K. TEST-RETEST RELIABILITY AND RELIABLE CHANGE INDEX OF MOBILE APPLICATION NEUROCOGNITIVE TEST AMONG MIDDLE AND HIGH SCHOOL ATHLETES. J Athl Train 2023; 2023:0. [PMID: 37459377 PMCID: PMC10895400 DOI: 10.4085/1062-6050-0018.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
CONTEXT A mobile application neurocognitive assessment has been used in place of equipment intensive computerized neurocognitive assessment protocol. A previous study reported high to very high test-retest reliability of neurocognitive assessment using the mobile application in healthy adults, but no studies have examined test-retest reliability, reliable change indices (RCIs), and sex effect in middle school and high school populations when conducted 1 year apart. OBJECTIVE The purpose of this study was to examine the test-retest reliability and RCIs of baseline data collected at 2-time points approximately 1 year apart using a mobile application neurocognitive rest in middle school and high school athletes. The secondary purpose of the study was to investigate the sex difference in neurocognitive measures. DESIGN Cross-sectional study. SETTING Institutional. PATIENTS OR OTHER PARTICIPANTS 172 middle school and high school healthy student-athletes (mean age=13.78±1.59 years old). MAIN OUTCOME MEASURE(S) Mobile application neurocognitive rest scores (reaction time, impulse control, inspection, and memory). RESULTS The result from the study demonstrated that neurocognitive measures had low test-retest reliability across a 1-year time period in middle and high school settings. Upon retesting, reaction time and inspection time improved significantly in both middle and high school athletes, and impulse control showed significant improvement in middle school athletes. More athletes in middle school showed more RCI improvements compared to high school athletes. While both males and females demonstrated improvements in neurocognitive measures throughout adolescence, males outperformed females on reaction time and impulse control. CONCLUSIONS Findings from the study indicate unacceptably low test-retest reliability of a mobile application neurocognitive test most likely due to cognitive development occurring throughout adolescence. Additionally, significant RCIs were noted. These naturally occurring improvements due to cognitive development could mask the post-concussion deficits. The findings warrant consideration of age and sex on the neurocognitive performance of middle and high school athletes.
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Affiliation(s)
- Kumiko Hashida
- *Department of Kinesiology and Rehabilitation Science College of Education, University of Hawai'i at Mānoa, Honolulu
| | - JongSoo Lee
- ‡ Department of Mathematical Science, Kennedy College of Sciences, University of Massachusetts
| | - Troy M Furutani
- *Department of Kinesiology and Rehabilitation Science College of Education, University of Hawai'i at Mānoa, Honolulu
- †Hawaii Concussion Awareness and Management Program, College of Education, University of Hawai'i at Mānoa, Honolulu
| | - William Tsushima
- §Department of Psychiatry and Psychology, Straub Medical Center, Honolulu
| | - Kaori Tamura
- *Department of Kinesiology and Rehabilitation Science College of Education, University of Hawai'i at Mānoa, Honolulu
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Tripathi S, Malhotra A, Qazi M, Chou J, Wang F, Barkan S, Hellmers N, Henchcliffe C, Sarva H. Clinical Review of Smartphone Applications in Parkinson's Disease. Neurologist 2022; 27:183-193. [PMID: 35051970 DOI: 10.1097/nrl.0000000000000413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Parkinson's disease (PD) is the second leading neurodegenerative disease worldwide. Important advances in monitoring and treatment have been made in recent years. This article reviews literature on utility of smartphone applications in monitoring PD symptoms that may ultimately facilitate improved patient care, and on movement modulation as a potential therapeutic. REVIEW SUMMARY Novel mobile phone applications can provide one-time and/or continuous data to monitor PD motor symptoms in person or remotely, that may support precise therapeutic adjustments and management decisions. Apps have also been developed for medication management and treatment. CONCLUSIONS Smartphone applications provide a wide array of platforms allowing for meaningful short-term and long-term data collection and are also being tested for intervention. However, the variability of the applications and the need to translate complicated sensor data may hinder immediate clinical applicability. Future studies should involve stake-holders early in the design process to promote usability and streamline the interface between patients, clinicians, and PD apps.
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Affiliation(s)
- Susmit Tripathi
- Department of Neurology, New York-Presbyterian Hospital/Weill Cornell Medical Center
- Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Ashwin Malhotra
- Department of Neurology, New York-Presbyterian Hospital/Weill Cornell Medical Center
- Department of Neurology, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Murtaza Qazi
- Weill Cornell Medicine Qatar, Education City, Qatar
| | - Jingyuan Chou
- Department of Neurology, New York-Presbyterian Hospital/Weill Cornell Medical Center
| | - Fei Wang
- Department of Neurology, New York-Presbyterian Hospital/Weill Cornell Medical Center
| | - Samantha Barkan
- Department of Neurology, New York-Presbyterian Hospital/Weill Cornell Medical Center
| | - Natalie Hellmers
- Department of Neurology, New York-Presbyterian Hospital/Weill Cornell Medical Center
| | - Claire Henchcliffe
- Department of Neurology, New York-Presbyterian Hospital/Weill Cornell Medical Center
- Department of Neurology, University of California, Irvine, Irvine, CA
| | - Harini Sarva
- Department of Neurology, New York-Presbyterian Hospital/Weill Cornell Medical Center
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Rodrigues LA, Santos EGR, Santos PSA, Igarashi Y, Oliveira LKR, Pinto GHL, Santos Lobato BL, Cabral AS, Belgamo A, Costa e Silva AA, Callegari B, Souza GS. Wearable Devices and Smartphone Inertial Sensors for Static Balance Assessment: A Concurrent Validity Study in Young Adult Population. J Pers Med 2022; 12:jpm12071019. [PMID: 35887516 PMCID: PMC9316197 DOI: 10.3390/jpm12071019] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Revised: 06/17/2022] [Accepted: 06/18/2022] [Indexed: 11/25/2022] Open
Abstract
Falls represent a public health issue around the world and prevention is an important part of the politics of many countries. The standard method of evaluating balance is posturography using a force platform, which has high financial costs. Other instruments, such as portable devices and smartphones, have been evaluated as low-cost alternatives to the screening of balance control. Although smartphones and wearables have different sizes, shapes, and weights, they have been systematically validated for static balance control tasks. Different studies have applied different experimental configurations to validate the inertial measurements obtained by these devices. We aim to evaluate the concurrent validity of a smartphone and a portable device for the evaluation of static balance control in the same group of participants. Twenty-six healthy and young subjects comprised the sample. The validity for static balance control evaluation of built-in accelerometers inside portable smartphone and wearable devices was tested considering force platform recordings as a gold standard for comparisons. A linear correlation (r) between the quantitative variables obtained from the inertial sensors and the force platform was used as an indicator of the concurrent validity. Reliability of the measures was calculated using Intraclass correlation in a subsample (n = 14). Smartphones had 11 out of 12 variables with significant moderate to very high correlation (r > 0.5, p < 0.05) with force platform variables in open eyes, closed eyes, and unipedal conditions, while wearable devices had 8 out of 12 variables with moderate to very high correlation (r > 0.5, p < 0.05) with force platform variables under the same task conditions. Significant reliabilities were found in closed eye conditions for smartphones and wearables. The smartphone and wearable devices had concurrent validity for the static balance evaluation and the smartphone had better validity results than the wearables for the static balance evaluation.
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Affiliation(s)
| | - Enzo Gabriel Rocha Santos
- Instituto de Ciências Exatas e Naturais, Universidade Federal do Pará, Belém 66050-540, Brazil; (E.G.R.S.); (G.H.L.P.)
| | | | - Yuzo Igarashi
- Núcleo de Medicina Tropical, Universidade Federal do Pará, Belém 66050-540, Brazil; (L.A.R.); (Y.I.)
| | - Luana Karine Resende Oliveira
- Instituto de Ciências da Saúde, Universidade Federal do Pará, Belém 66050-540, Brazil; (L.K.R.O.); (B.L.S.L.); (A.A.C.e.S.); (B.C.)
| | - Gustavo Henrique Lima Pinto
- Instituto de Ciências Exatas e Naturais, Universidade Federal do Pará, Belém 66050-540, Brazil; (E.G.R.S.); (G.H.L.P.)
| | - Bruno Lopes Santos Lobato
- Instituto de Ciências da Saúde, Universidade Federal do Pará, Belém 66050-540, Brazil; (L.K.R.O.); (B.L.S.L.); (A.A.C.e.S.); (B.C.)
| | - André Santos Cabral
- Centro de Ciências Biológicas e da Saúde, Universidade do Estado do Pará, Belém 66087-670, Brazil;
| | - Anderson Belgamo
- Departamento de Ciência da Computação, Instituto Federal de São Paulo, Piracicaba 08021-090, Brazil;
| | - Anselmo Athayde Costa e Silva
- Instituto de Ciências da Saúde, Universidade Federal do Pará, Belém 66050-540, Brazil; (L.K.R.O.); (B.L.S.L.); (A.A.C.e.S.); (B.C.)
- Instituto de Ciências da Educação, Universidade Federal do Pará, Belém 66050-540, Brazil
| | - Bianca Callegari
- Instituto de Ciências da Saúde, Universidade Federal do Pará, Belém 66050-540, Brazil; (L.K.R.O.); (B.L.S.L.); (A.A.C.e.S.); (B.C.)
| | - Givago Silva Souza
- Núcleo de Medicina Tropical, Universidade Federal do Pará, Belém 66050-540, Brazil; (L.A.R.); (Y.I.)
- Instituto de Ciências Biológicas, Universidade Federal do Pará, Belém 66050-540, Brazil;
- Correspondence: ; Tel.: +55-91-982653131
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Abou L, Peters J, Wong E, Akers R, Dossou MS, Sosnoff JJ, Rice LA. Gait and Balance Assessments using Smartphone Applications in Parkinson's Disease: A Systematic Review. J Med Syst 2021; 45:87. [PMID: 34392429 PMCID: PMC8364438 DOI: 10.1007/s10916-021-01760-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 08/04/2021] [Indexed: 01/21/2023]
Abstract
Gait dysfunctions and balance impairments are key fall risk factors and associated with reduced quality of life in individuals with Parkinson's Disease (PD). Smartphone-based assessments show potential to increase remote monitoring of the disease. This review aimed to summarize the validity, reliability, and discriminative abilities of smartphone applications to assess gait, balance, and falls in PD. Two independent reviewers screened articles systematically identified through PubMed, Web of Science, Scopus, CINAHL, and SportDiscuss. Studies that used smartphone-based gait, balance, or fall applications in PD were retrieved. The validity, reliability, and discriminative abilities of the smartphone applications were summarized and qualitatively discussed. Methodological quality appraisal of the studies was performed using the quality assessment tool for observational cohort and cross-sectional studies. Thirty-one articles were included in this review. The studies present mostly with low risk of bias. In total, 52% of the studies reported validity, 22% reported reliability, and 55% reported discriminative abilities of smartphone applications to evaluate gait, balance, and falls in PD. Those studies reported strong validity, good to excellent reliability, and good discriminative properties of smartphone applications. Only 19% of the studies formally evaluated the usability of their smartphone applications. The current evidence supports the use of smartphone to assess gait and balance, and detect freezing of gait in PD. More studies are needed to explore the use of smartphone to predict falls in this population. Further studies are also warranted to evaluate the usability of smartphone applications to improve remote monitoring in this population.Registration: PROSPERO CRD 42020198510.
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Affiliation(s)
- Libak Abou
- Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | - Joseph Peters
- Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | - Ellyce Wong
- Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | - Rebecca Akers
- Department of Rehabilitation Science, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
| | - Mauricette Sènan Dossou
- Centre National Hospitalier et Universitaire de Pneumo-Phtisiologie, Cotonou, Littoral, Benin
| | - Jacob J Sosnoff
- Department of Physical Therapy and Rehabilitation Science, School of Health Professions, Medical Center, University of Kansas, Kansas City, KS, USA
| | - Laura A Rice
- Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
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Does a Sway-Based Mobile Application Predict Future Falls in People With Parkinson Disease? Arch Phys Med Rehabil 2020; 101:472-478. [DOI: 10.1016/j.apmr.2019.09.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Revised: 07/29/2019] [Accepted: 09/18/2019] [Indexed: 12/27/2022]
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Passos-Monteiro E, Peyré-Tartaruga LA, Zanardi APJ, da Silva ES, Jimenez-Reyes P, Morin JB, Pagnussat AS. Sprint exercise for subjects with mild-to-moderate Parkinson's disease: Feasibility and biomechanical outputs. Clin Biomech (Bristol, Avon) 2020; 72:69-76. [PMID: 31838213 DOI: 10.1016/j.clinbiomech.2019.11.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2019] [Revised: 10/28/2019] [Accepted: 11/18/2019] [Indexed: 02/07/2023]
Abstract
BACKGROUND High-intensity training, a still unexplored exercise for individuals with Parkinson's disease, is positively related with increased functionality and aerobic profile in healthy individuals. The aim of this work was to evaluate the feasibility, safety, and acceptance of sprint running in individuals with mild-to-moderate Parkinson's. Additionally, we compared sprint biomechanical outputs of force, velocity and power between individuals with Parkinson's disease and healthy. METHODS Physically trained subjects with Parkinson's, men, (n = 16, 64:9.01 years, stage between 1 and 3 in the Hoehn and Yahr, 16.8:7.1 at Unified Parkinson's disease Rating Scales, and control group (n = 21, 65:9.27 years) performed 20 m sprint sessions. We analyzed the self-reported satisfaction and acceptance using a self-administered questionnaire, and the sprint biomechanics and performance based on high-speed video recordings. FINDINGS All participants completed the tests with high feasibility, acceptability and satisfaction scores. The sprint maximal force and maximal power outputs were higher in Parkinson's disease. Conversely, control group showed higher mechanical effectiveness values. Interestingly, no difference in velocity capabilities and overall 20-m sprint performance was observed between groups, possibly explained by different mechanical strategies in both groups over the sprint accelerations. Linear regression analyses showed that physical qualities are predictors of mechanical effectiveness, and mechanical variables are important determinants of sprint performance on Parkinson's disease. INTERPRETATION Sprint is a feasible exercise for people with mild-to-moderate Parkinson's disease. Even though differences in physical qualities and mechanical effectiveness exist between subjects with Parkinson's disease and healthy, there is no overall substantial impact on sprint running performance.
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Affiliation(s)
- Elren Passos-Monteiro
- Graduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Brazil; Laboratory of Locomotion PhysioMecanics, Faculty of Physical Education, Universidade Federal do Pará (UFPA), Brazil
| | | | - Ana P J Zanardi
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Brazil
| | - Edson S da Silva
- Exercise Research Laboratory, Universidade Federal do Rio Grande do Sul, Brazil
| | | | | | - Aline S Pagnussat
- Graduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil; Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil.
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