Skip to main content
Article
Digital Biomarkers of Mobility in Parkinson's Disease During Daily Living
Journal of Parkinson's Disease
  • Vrutangkumar Shah, Oregon Health & Science University
  • James McNames, Portland State University
  • Martina Mancini, Oregon Health & Science University
  • Patricia Carlson-Kuhta, Oregon Health & Science University
  • John G. Nutt, Oregon Health & Science Univeristy
  • Mahmoud Ahmed El-Gohary, APDM, Inc.
  • Jodi Lapidus, Oregon Health and Science University-Portland State University School of Public Health
  • Fay Horak, Oregon Health & Science University
  • Carolin Curtze, Oregon Health & Science University
Document Type
Citation
Publication Date
5-1-2020
Abstract

Background:Identifying digital biomarkers of mobility is important for clinical trials in Parkinson’s disease (PD). Objective:To determine which digital outcome measures of mobility discriminate mobility in people with PD from healthy control (HC) subjects over a week of continuous monitoring. Methods:We recruited 29 people with PD, and 27 age-matched HC subjects. Subjects were asked to wear three inertial sensors (Opal by APDM) attached to both feet and to the lumbar region, and a subset of subjects also wore two wrist sensors, for a week of continuous monitoring. We derived 43 digital outcome measures of mobility grouped into five domains. An Area Under Curve (AUC) was calculated for each digital outcome measures of mobility, and logistic regression employing a ‘best subsets selection strategy’ was used to find combinations of measures that discriminated mobility in PD from HC. Results:Duration of recordings was 66±14 hours in the PD and 59±16 hours in the HC. Out of a total of 43 digital outcome measures of mobility, we found six digital outcome measures of mobility with AUC  >  0.80. Turn angle (AUC  =  0.89, 95% CI: 0.79–0.97) and swing time variability (AUC  =  0.87, 95% CI: 0.75–0.96) were the most discriminative individual measures. Turning measures were most consistently selected via the best subsets strategy to discriminate people with PD from HC, followed by gait variability measures. Conclusion:Clinical studies and clinical practice with digital biomarkers of daily life mobility in PD should include turning and variability measures.

Description

Copyright ©2020 IOS Press All rights reserved.

Locate the Document

http://doi.org/10.3233/JPD-201914

DOI
10.3233/JPD-201914
Persistent Identifier
https://archives.pdx.edu/ds/psu/33264
Citation Information
Shah, V. V., McNames, J., Mancini, M., Carlson-Kuhta, P., Nutt, J. G., El-Gohary, M., Lapidus, J. A., Horak, F. B., & Curtze, C. (2020). Digital Biomarkers of Mobility in Parkinson’s Disease During Daily Living. Journal of Parkinson’s Disease. https://doi.org/10.3233/JPD-201914