Diagnosis and Treatment of Tremor in Parkinson's Disease Using Mechanical Devices

Parkinsonian tremors are sometimes confused with essential tremors or other conditions. Recently, researchers conducted several studies on tremor evaluation using wearable sensors and devices, which may support accurate diagnosis. Mechanical devices are also commonly used to treat tremors and have b...

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Bibliographic Details
Published in:Life (Basel, Switzerland) Switzerland), 2022-12, Vol.13 (1), p.78
Main Authors: Fujikawa, Joji, Morigaki, Ryoma, Yamamoto, Nobuaki, Nakanishi, Hiroshi, Oda, Teruo, Izumi, Yuishin, Takagi, Yasushi
Format: Article
Language:English
Subjects:
Accuracy
Akinesia
Algorithms
Care and treatment
Clinical trials
Complications and side effects
Deep brain stimulation
Diagnosis
Effectiveness
essential tremor
Literature reviews
Machine learning
Mechanical devices
medical devices
Medical equipment
Movement disorders
Muscles
Neural networks
Neurodegenerative diseases
Neuromuscular electrical stimulation
Optimization
Parkinson's disease
Patients
Physiological apparatus
Posture
Researchers
Review
Risk factors
Sensors
Smartphones
Smartwatches
Stimulation
Tremor
Tremor (Muscular contraction)
Tremors
Wearable computers
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Summary:Parkinsonian tremors are sometimes confused with essential tremors or other conditions. Recently, researchers conducted several studies on tremor evaluation using wearable sensors and devices, which may support accurate diagnosis. Mechanical devices are also commonly used to treat tremors and have been actively researched and developed. Here, we aimed to review recent progress and the efficacy of the devices related to Parkinsonian tremors. The PubMed and Scopus databases were searched for articles. We searched for "Parkinson disease" and "tremor" and "device". Eighty-six articles were selected by our systematic approach. Many studies demonstrated that the diagnosis and evaluation of tremors in patients with PD can be done accurately by machine learning algorithms. Mechanical devices for tremor suppression include deep brain stimulation (DBS), electrical muscle stimulation, and orthosis. In recent years, adaptive DBS and optimization of stimulation parameters have been studied to further improve treatment efficacy. Due to developments using state-of-the-art techniques, effectiveness in diagnosing and evaluating tremor and suppressing it using these devices is satisfactorily high in many studies. However, other than DBS, no devices are in practical use. To acquire high-level evidence, large-scale studies and randomized controlled trials are needed for these devices.
ISSN:2075-1729
2075-1729
DOI:10.3390/life13010078