TY  - JOUR
A1  - Odin, Per
A1  - Chaudhuri, K. Ray
A1  - Volkmann, Jens
A1  - Antonini, Angelo
A1  - Storch, Alexander
A1  - Dietrichs, Espen
A1  - Pirtošek, Zvezdan
A1  - Henriksen, Tove
A1  - Horne, Malcolm
A1  - Devos, David
A1  - Bergquist, Filip
T1  - Viewpoint and practical recommendations from a movement disorder specialist panel on objective measurement in the clinical management of Parkinson’s disease
T2  - npj Parkinson's Disease
N2  - Motor aspects of Parkinson’s disease, such as fluctuations and dyskinesia, can be reliably evaluated using a variety of “wearable” technologies, but practical guidance on objective measurement (OM) and the optimum use of these devices is lacking. Therefore, as a first step, a panel of movement disorder specialists met to provide guidance on how OM could be assessed and incorporated into clinical guidelines. A key aspect of the incorporation of OM into the management of Parkinson’s disease (PD) is defining cutoff values that separate “controlled” from “uncontrolled” symptoms that can be modified by therapy and that relate to an outcome that is relevant to the person with PD (such as quality of life). Defining cutoffs by consensus, which can be subsequently tested and refined, is the first step to optimizing OM in the management of PD. OM should be used by all clinicians that treat people with PD but the least experienced may find the most value, but this requires guidance from experts to allow non-experts to apply guidelines. While evidence is gained for devices that produce OM, expert opinion is needed to supplement the evidence base.
KW  - Parkinson's disease
Y1  - 2018
UR  - https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/23443
UR  - https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-234435
VL  - 4
ER  -