Exergaming in Upper Extremities for Persons With Parkinson's Disease
Exergaming in Upper Extremities for Persons With Parkinson's Disease
The purpose of the PD_manager project is to explore and develop innovative ecosystem
 management for people with Parkinson's disease. The research part contains expert analysis of
 diagnostic tests and decomposition of activity, accompanied by modern IT. The results of the
 analysis will be compared with the results of clinical trials that fall under the routine
 clinical pathways in monitoring a patient with Parkinson's disease. The primary motor
 symptoms, such as tremor, bradykinesia and impaired balance, and other symptoms, such as
 sleep disturbances, speech and cognitive perception, will be assessed by unobtrusive sensors
 (shoe insoles, bracelets) and sensors embedded in a mobile phone. The collected data will be
 analyzed using data mining methods and a platform for clinical decision support will be
 developed. This way, dependency of the patients on other persons will be reduced and the
 patients' quality of life improved. The patients will be motivated to follow the prescribed
 diet and take regular medication; the patients' activities will be monitored by occupational
 therapists and physiotherapists. A technical system will be designed as a computing platform
 in the open architecture cloud (FI-WARE), which will allow the use of commercially available
 sensors.
The application of tasks in virtual reality and computer games for motoric exercise in
 patients with neurologic impairment is already quite widespread. It allows controlled workout
 and flexible gradation of difficulty of the task, which is essential for rehabilitation. Even
 in patients with Parkinson's disease, it allows for the gradual physiotherapy to improve
 range of mobility and improve fine motor skills of upper extremities. Within the project,
 existing games (Microsoft Xbox, Kinect) will be used and a special application for the
 Microsoft Kinect and Leap Motion systems will be developed, both for the movement of upper
 extremities as well as fine motor skills (plugs, 9 hole, labyrinth). Both systems will allow
 data storage, overview of the results, and the algorithm will also adapt the difficulty level
 of the tasks. This will allow creation of scenarios, as well as monitoring the gradual
 progress in rehabilitation. The study will begin with treatment in a hospital (URI-Soca),
 testing three platforms (Kinect, Leap Motion, plate). The most appropriate and most scalable
 solution will be further developed to the stage where it can be installed in the patient's
 home. The control of the system and data access will be performed remotely via the Internet
 and/or mobile phone. When the system is tested and evaluated at the patient's home, a
 user-friendly application will be developed for the patient to set the desired functions, for
 the therapist to set difficulty levels and provide instructions to the patient, and for the
 physician to examine the data and clinically evaluate the patient's condition.

 The participants will test the application for up to 4 weeks and then report on the user
 experience. A standardized questionnaire (NRS 2002) will be used for this purpose. URI-Soca
 will recruit at least 7 patients, inpatients or outpatients for motor rehabilitation of upper
 extremities. The tasks will be carried out at the occupational therapy and physiotherapy
 units of URI-Soca for up to 4 weeks, 3 times a week. At the same time, expert analysis
 (neurologist, physiotherapist, occupational therapist, engineer) of the measured data
 (kinematics, the results achieved) will be performed and clinical tests (Unified Parkinson's
 Disease Rating Scale - UPDRS, Jebsen Tailor Functional Test and PD Questionnaire 39) will be
 carried out before and after the exercise program. At the same time, the system will be
 adapted for home use (by at least 1 patient), and then a study will be conducted with other
 patients. These participants will receive the system for home use for up to 60 days. The data
 will be accessed remotely over the Internet, so the objective evaluation can be carried out
 promptly. The clinical test will be conducted before exercise and after exercise, i.e., at
 the beginning and at the end of the observation period.
Inclusion Criteria:

 -  Parkinson disease or Parkinsonism (characteristic symptoms such as rigidity,
 extrapyramidal symptoms), with functional disorders in upper extremities and minor
 problems at daily activities;

 -  Level 2-3 in the Hoehn and Yahr Scale.

 Exclusion Criteria:

 -  Any communicable disease;

 -  Severe vision impairment.