Next Steps in Wearable Technology and Community Ambulation in Multiple Sclerosis.

Curr Neurol Neurosci Rep

Motor Control Research Lab, Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, 301 Freer Hall 906 S Goodwin Ave, Urbana, IL, 61801, USA.

Published: September 2019

AI Article Synopsis

  • Walking issues are common in people with multiple sclerosis (PwMS), impacting their quality of life and typically measured using self-reports and clinical tests that may not capture real-world walking fully.
  • Wearable sensors, which can objectively assess various aspects of walking and provide data from everyday life, are under-researched in PwMS compared to other populations like older adults.
  • Current studies have begun to use wearable tech but have mostly focused on pace, with limited exploration of important gait characteristics like variability, asymmetry, and complexity during daily activities, indicating a need for further research in this area.*

Article Abstract

Purpose Of Review: Walking impairments are highly prevalent in persons with multiple sclerosis (PwMS) and are associated with reduced quality of life. Walking is traditionally quantified with various measures, including patient self-reports, clinical rating scales, performance measures, and advanced lab-based movement analysis techniques. Yet, the majority of these measures do not fully characterize walking (i.e., gait quality) nor adequately reflect walking in the real world (i.e., community ambulation) and have limited timescale (only measure walking at a single point in time). We discuss the potential of wearable sensors to provide sensitive, objective, and easy-to-use assessment of community ambulation in PwMS.

Recent Findings: Wearable technology has the ability to measure all aspects of gait in PwMS yet is under-studied in comparison with other populations (e.g., older adults). Within the studies focusing on PwMS, half that measure pace collected free-living data, while only one study explored gait variability in free-living conditions. No studies explore gait asymmetry or complexity in free-living conditions. Wearable technology has the ability to provide objective, comprehensive, and sensitive measures of gait in PwMS. Future research should investigate this technology's ability to accurately assess free-living measures of gait quality, specifically gait asymmetry and complexity.

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Source
http://dx.doi.org/10.1007/s11910-019-0997-9DOI Listing

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