Analysis of trunk rolling in Parkinson's disease patients using a mattress mobility detection system

Shang Lin Chiang, Chueh Ho Lin, Yaw Don Hsu, Shun Hwa Wei, Wen Hsu Sung, Liang Hsuan Lu, Shin Tsu Chang, Tsung Yen Ho, Yu Ping Shen, Liang Cheng Chen, Chia Huei Lin

Research output: Contribution to journalArticle

Abstract

Background and Objective: Parkinson's disease (PD) is a neurodegenerative condition characterized by motor dysfunction and various types of non-motor impairments. The reaction time and movement time are reported to become more severe delayed in worse PD patients. Most tools for evaluating motor impairment are limited by relying on subjective observations and being qualitative in design. The aim of this study was to investigate trunk rolling performance in PD patients by using a recently developed system to detect turning in bed. Methods: The study included 20 PD patients and 42 healthy controls. A mattress mobility detection system was employed for quantitative measurements. Each test session consisted of subjects starting by lying in a supine position on a bed and rolling 10 times onto their left side and 10 times onto their right side. Strain gauges mounted under the feet of the bed recorded changes in the center of pressure (CoP). Results: For turning back, the patients compared with the controls had significantly longer movement time (P = 0.017), longer time to peak counteraction (P = 0.001), larger ratio of peak counteraction to movement time (P = 0.006), shorter CoP displacement (P < 0.0001), slower turning speed (P = 0.000), weaker peak counteraction (P = 0.013), and smaller ratio of peak counteraction to weight (P = 0.032). Results for turning over were similar except there was no significant difference in the ratio of peak counteraction to weight. Conclusions: The mattress mobility detection system was useful for objectively assessing trunk rolling performance of PD patients. Improved assessment of trunk function in PD patients could lead to better treatments and improved rehabilitation procedures.

Original languageEnglish
Pages (from-to)157-163
Number of pages7
JournalComputer Methods and Programs in Biomedicine
Volume162
DOIs
Publication statusPublished - Aug 1 2018

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Parkinson Disease
Hospital beds
Pressure
Weights and Measures
Supine Position
Strain gages
Patient rehabilitation
Reaction Time
Foot
Rehabilitation

Keywords

  • Motor function
  • Parkinson's disease
  • Trunk muscles
  • Turning

ASJC Scopus subject areas

  • Software
  • Computer Science Applications
  • Health Informatics

Cite this

Analysis of trunk rolling in Parkinson's disease patients using a mattress mobility detection system. / Chiang, Shang Lin; Lin, Chueh Ho; Hsu, Yaw Don; Wei, Shun Hwa; Sung, Wen Hsu; Lu, Liang Hsuan; Chang, Shin Tsu; Ho, Tsung Yen; Shen, Yu Ping; Chen, Liang Cheng; Lin, Chia Huei.

In: Computer Methods and Programs in Biomedicine, Vol. 162, 01.08.2018, p. 157-163.

Research output: Contribution to journalArticle

Chiang, SL, Lin, CH, Hsu, YD, Wei, SH, Sung, WH, Lu, LH, Chang, ST, Ho, TY, Shen, YP, Chen, LC & Lin, CH 2018, 'Analysis of trunk rolling in Parkinson's disease patients using a mattress mobility detection system', Computer Methods and Programs in Biomedicine, vol. 162, pp. 157-163. https://doi.org/10.1016/j.cmpb.2018.04.029
Chiang, Shang Lin ; Lin, Chueh Ho ; Hsu, Yaw Don ; Wei, Shun Hwa ; Sung, Wen Hsu ; Lu, Liang Hsuan ; Chang, Shin Tsu ; Ho, Tsung Yen ; Shen, Yu Ping ; Chen, Liang Cheng ; Lin, Chia Huei. / Analysis of trunk rolling in Parkinson's disease patients using a mattress mobility detection system. In: Computer Methods and Programs in Biomedicine. 2018 ; Vol. 162. pp. 157-163.
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abstract = "Background and Objective: Parkinson's disease (PD) is a neurodegenerative condition characterized by motor dysfunction and various types of non-motor impairments. The reaction time and movement time are reported to become more severe delayed in worse PD patients. Most tools for evaluating motor impairment are limited by relying on subjective observations and being qualitative in design. The aim of this study was to investigate trunk rolling performance in PD patients by using a recently developed system to detect turning in bed. Methods: The study included 20 PD patients and 42 healthy controls. A mattress mobility detection system was employed for quantitative measurements. Each test session consisted of subjects starting by lying in a supine position on a bed and rolling 10 times onto their left side and 10 times onto their right side. Strain gauges mounted under the feet of the bed recorded changes in the center of pressure (CoP). Results: For turning back, the patients compared with the controls had significantly longer movement time (P = 0.017), longer time to peak counteraction (P = 0.001), larger ratio of peak counteraction to movement time (P = 0.006), shorter CoP displacement (P < 0.0001), slower turning speed (P = 0.000), weaker peak counteraction (P = 0.013), and smaller ratio of peak counteraction to weight (P = 0.032). Results for turning over were similar except there was no significant difference in the ratio of peak counteraction to weight. Conclusions: The mattress mobility detection system was useful for objectively assessing trunk rolling performance of PD patients. Improved assessment of trunk function in PD patients could lead to better treatments and improved rehabilitation procedures.",
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T1 - Analysis of trunk rolling in Parkinson's disease patients using a mattress mobility detection system

AU - Chiang, Shang Lin

AU - Lin, Chueh Ho

AU - Hsu, Yaw Don

AU - Wei, Shun Hwa

AU - Sung, Wen Hsu

AU - Lu, Liang Hsuan

AU - Chang, Shin Tsu

AU - Ho, Tsung Yen

AU - Shen, Yu Ping

AU - Chen, Liang Cheng

AU - Lin, Chia Huei

N1 - Copyright © 2018 Elsevier B.V. All rights reserved.

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Background and Objective: Parkinson's disease (PD) is a neurodegenerative condition characterized by motor dysfunction and various types of non-motor impairments. The reaction time and movement time are reported to become more severe delayed in worse PD patients. Most tools for evaluating motor impairment are limited by relying on subjective observations and being qualitative in design. The aim of this study was to investigate trunk rolling performance in PD patients by using a recently developed system to detect turning in bed. Methods: The study included 20 PD patients and 42 healthy controls. A mattress mobility detection system was employed for quantitative measurements. Each test session consisted of subjects starting by lying in a supine position on a bed and rolling 10 times onto their left side and 10 times onto their right side. Strain gauges mounted under the feet of the bed recorded changes in the center of pressure (CoP). Results: For turning back, the patients compared with the controls had significantly longer movement time (P = 0.017), longer time to peak counteraction (P = 0.001), larger ratio of peak counteraction to movement time (P = 0.006), shorter CoP displacement (P < 0.0001), slower turning speed (P = 0.000), weaker peak counteraction (P = 0.013), and smaller ratio of peak counteraction to weight (P = 0.032). Results for turning over were similar except there was no significant difference in the ratio of peak counteraction to weight. Conclusions: The mattress mobility detection system was useful for objectively assessing trunk rolling performance of PD patients. Improved assessment of trunk function in PD patients could lead to better treatments and improved rehabilitation procedures.

AB - Background and Objective: Parkinson's disease (PD) is a neurodegenerative condition characterized by motor dysfunction and various types of non-motor impairments. The reaction time and movement time are reported to become more severe delayed in worse PD patients. Most tools for evaluating motor impairment are limited by relying on subjective observations and being qualitative in design. The aim of this study was to investigate trunk rolling performance in PD patients by using a recently developed system to detect turning in bed. Methods: The study included 20 PD patients and 42 healthy controls. A mattress mobility detection system was employed for quantitative measurements. Each test session consisted of subjects starting by lying in a supine position on a bed and rolling 10 times onto their left side and 10 times onto their right side. Strain gauges mounted under the feet of the bed recorded changes in the center of pressure (CoP). Results: For turning back, the patients compared with the controls had significantly longer movement time (P = 0.017), longer time to peak counteraction (P = 0.001), larger ratio of peak counteraction to movement time (P = 0.006), shorter CoP displacement (P < 0.0001), slower turning speed (P = 0.000), weaker peak counteraction (P = 0.013), and smaller ratio of peak counteraction to weight (P = 0.032). Results for turning over were similar except there was no significant difference in the ratio of peak counteraction to weight. Conclusions: The mattress mobility detection system was useful for objectively assessing trunk rolling performance of PD patients. Improved assessment of trunk function in PD patients could lead to better treatments and improved rehabilitation procedures.

KW - Motor function

KW - Parkinson's disease

KW - Trunk muscles

KW - Turning

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