Rhythmic cueing with the Google Glass for patients with Parkinson's disease

Yan Zhao, Tjitske Heida, Johan Hendrik Nonnekes, Richard Jack Anton van Wezel

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademic

3 Citations (Scopus)

Abstract

Objective: To develop and test applications for rhythmic cueing in the Google Glass to improve gait in patients with Parkinson's disease (PD). Background: Smartglasses, a type of wearable computer that possesses the features of a smart phone but can be worn like conventional glasses, offer new possibilities for therapy and continuous monitoring during activities of daily living. In particular, smartglasses like the Google Glass can provide visual and auditory cues that have long been used to improve gait disturbances in people with PD. Using motion and feature tracking, smartglasses can personalize cues based on the state of the user and/or the user environment. Methods: To approach the design of cueing applications (app) for smartglasses in a user­centered way, we conducted an online survey in the Netherlands on the attitudes, needs, and preferences of people with PD with respect to this new technology. We then developed a mobile app for the Google Glass, using visual (e.g. flashing square and optical flow) and auditory (e.g. metro­nome) cues to modulate gait. In a pilot study with 10 patients with PD, the effectiveness of the app was tested to investigate 1) the feasibility of using the Google Glass as a cueing device and 2) which cueing modalities (e.g. audio, visual, or optic flow) were most effective in improving gait. The subjects were asked to navigate obstacle courses that simulate real life situations, including those known to induce freezing of gait (FOG). The temporal frequency of the cues were specified by the user according to their preferred walking speed. Various kinematic parameters were measured. Results: The respondents of the survey were overall very enthusiastic about smartglasses' potential to help them self­manage their motor symptoms. Preliminary results with the custom cueing app for the Google Glass showed that temporal variability in gait and the frequency of FOG was reduced. Gait velocity and stride length need not necessarily be increased to improve the quality of gait. Consequently, patients gained more confidence in walking. In descending order, patients preferred the use of the metronome, followed by visual cues and optic flow. Conclusions: Patients with PD were generally positive about the prospect of using smartglasses to facilitate activities of daily living. Smartglasses like the Google Glass have potential as a rhythmic cueing device.
Original languageUndefined
Title of host publication19th International Congress of Parkinson's Disease and Movement Disorders
Place of PublicationMalden
PublisherWiley
Pages138-138
Number of pages1
DOIs
Publication statusPublished - 2015
Event19th International Congress of Parkinson's Disease and Movement Disorders 2015 - San Diego, United States
Duration: 14 Jun 201518 Jun 2015
Conference number: 19

Publication series

Name
PublisherWiley
NumberS1
Volume30
ISSN (Print)0885-3185
ISSN (Electronic)1531-8257

Conference

Conference19th International Congress of Parkinson's Disease and Movement Disorders 2015
CountryUnited States
CitySan Diego
Period14/06/1518/06/15

Keywords

  • cueing
  • EWI-26464
  • METIS-315037
  • Parkinson's Disease
  • IR-98257
  • BSS-Biomechatronics and rehabilitation technology

Cite this

Zhao, Y., Heida, T., Nonnekes, J. H., & van Wezel, R. J. A. (2015). Rhythmic cueing with the Google Glass for patients with Parkinson's disease. In 19th International Congress of Parkinson's Disease and Movement Disorders (pp. 138-138). Malden: Wiley. https://doi.org/10.1002/mds.26295
Zhao, Yan ; Heida, Tjitske ; Nonnekes, Johan Hendrik ; van Wezel, Richard Jack Anton. / Rhythmic cueing with the Google Glass for patients with Parkinson's disease. 19th International Congress of Parkinson's Disease and Movement Disorders. Malden : Wiley, 2015. pp. 138-138
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abstract = "Objective: To develop and test applications for rhythmic cueing in the Google Glass to improve gait in patients with Parkinson's disease (PD). Background: Smartglasses, a type of wearable computer that possesses the features of a smart phone but can be worn like conventional glasses, offer new possibilities for therapy and continuous monitoring during activities of daily living. In particular, smartglasses like the Google Glass can provide visual and auditory cues that have long been used to improve gait disturbances in people with PD. Using motion and feature tracking, smartglasses can personalize cues based on the state of the user and/or the user environment. Methods: To approach the design of cueing applications (app) for smartglasses in a user­centered way, we conducted an online survey in the Netherlands on the attitudes, needs, and preferences of people with PD with respect to this new technology. We then developed a mobile app for the Google Glass, using visual (e.g. flashing square and optical flow) and auditory (e.g. metro­nome) cues to modulate gait. In a pilot study with 10 patients with PD, the effectiveness of the app was tested to investigate 1) the feasibility of using the Google Glass as a cueing device and 2) which cueing modalities (e.g. audio, visual, or optic flow) were most effective in improving gait. The subjects were asked to navigate obstacle courses that simulate real life situations, including those known to induce freezing of gait (FOG). The temporal frequency of the cues were specified by the user according to their preferred walking speed. Various kinematic parameters were measured. Results: The respondents of the survey were overall very enthusiastic about smartglasses' potential to help them self­manage their motor symptoms. Preliminary results with the custom cueing app for the Google Glass showed that temporal variability in gait and the frequency of FOG was reduced. Gait velocity and stride length need not necessarily be increased to improve the quality of gait. Consequently, patients gained more confidence in walking. In descending order, patients preferred the use of the metronome, followed by visual cues and optic flow. Conclusions: Patients with PD were generally positive about the prospect of using smartglasses to facilitate activities of daily living. Smartglasses like the Google Glass have potential as a rhythmic cueing device.",
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Zhao, Y, Heida, T, Nonnekes, JH & van Wezel, RJA 2015, Rhythmic cueing with the Google Glass for patients with Parkinson's disease. in 19th International Congress of Parkinson's Disease and Movement Disorders. Wiley, Malden, pp. 138-138, 19th International Congress of Parkinson's Disease and Movement Disorders 2015, San Diego, United States, 14/06/15. https://doi.org/10.1002/mds.26295

Rhythmic cueing with the Google Glass for patients with Parkinson's disease. / Zhao, Yan; Heida, Tjitske; Nonnekes, Johan Hendrik; van Wezel, Richard Jack Anton.

19th International Congress of Parkinson's Disease and Movement Disorders. Malden : Wiley, 2015. p. 138-138.

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademic

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AU - Heida, Tjitske

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AU - van Wezel, Richard Jack Anton

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N2 - Objective: To develop and test applications for rhythmic cueing in the Google Glass to improve gait in patients with Parkinson's disease (PD). Background: Smartglasses, a type of wearable computer that possesses the features of a smart phone but can be worn like conventional glasses, offer new possibilities for therapy and continuous monitoring during activities of daily living. In particular, smartglasses like the Google Glass can provide visual and auditory cues that have long been used to improve gait disturbances in people with PD. Using motion and feature tracking, smartglasses can personalize cues based on the state of the user and/or the user environment. Methods: To approach the design of cueing applications (app) for smartglasses in a user­centered way, we conducted an online survey in the Netherlands on the attitudes, needs, and preferences of people with PD with respect to this new technology. We then developed a mobile app for the Google Glass, using visual (e.g. flashing square and optical flow) and auditory (e.g. metro­nome) cues to modulate gait. In a pilot study with 10 patients with PD, the effectiveness of the app was tested to investigate 1) the feasibility of using the Google Glass as a cueing device and 2) which cueing modalities (e.g. audio, visual, or optic flow) were most effective in improving gait. The subjects were asked to navigate obstacle courses that simulate real life situations, including those known to induce freezing of gait (FOG). The temporal frequency of the cues were specified by the user according to their preferred walking speed. Various kinematic parameters were measured. Results: The respondents of the survey were overall very enthusiastic about smartglasses' potential to help them self­manage their motor symptoms. Preliminary results with the custom cueing app for the Google Glass showed that temporal variability in gait and the frequency of FOG was reduced. Gait velocity and stride length need not necessarily be increased to improve the quality of gait. Consequently, patients gained more confidence in walking. In descending order, patients preferred the use of the metronome, followed by visual cues and optic flow. Conclusions: Patients with PD were generally positive about the prospect of using smartglasses to facilitate activities of daily living. Smartglasses like the Google Glass have potential as a rhythmic cueing device.

AB - Objective: To develop and test applications for rhythmic cueing in the Google Glass to improve gait in patients with Parkinson's disease (PD). Background: Smartglasses, a type of wearable computer that possesses the features of a smart phone but can be worn like conventional glasses, offer new possibilities for therapy and continuous monitoring during activities of daily living. In particular, smartglasses like the Google Glass can provide visual and auditory cues that have long been used to improve gait disturbances in people with PD. Using motion and feature tracking, smartglasses can personalize cues based on the state of the user and/or the user environment. Methods: To approach the design of cueing applications (app) for smartglasses in a user­centered way, we conducted an online survey in the Netherlands on the attitudes, needs, and preferences of people with PD with respect to this new technology. We then developed a mobile app for the Google Glass, using visual (e.g. flashing square and optical flow) and auditory (e.g. metro­nome) cues to modulate gait. In a pilot study with 10 patients with PD, the effectiveness of the app was tested to investigate 1) the feasibility of using the Google Glass as a cueing device and 2) which cueing modalities (e.g. audio, visual, or optic flow) were most effective in improving gait. The subjects were asked to navigate obstacle courses that simulate real life situations, including those known to induce freezing of gait (FOG). The temporal frequency of the cues were specified by the user according to their preferred walking speed. Various kinematic parameters were measured. Results: The respondents of the survey were overall very enthusiastic about smartglasses' potential to help them self­manage their motor symptoms. Preliminary results with the custom cueing app for the Google Glass showed that temporal variability in gait and the frequency of FOG was reduced. Gait velocity and stride length need not necessarily be increased to improve the quality of gait. Consequently, patients gained more confidence in walking. In descending order, patients preferred the use of the metronome, followed by visual cues and optic flow. Conclusions: Patients with PD were generally positive about the prospect of using smartglasses to facilitate activities of daily living. Smartglasses like the Google Glass have potential as a rhythmic cueing device.

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Zhao Y, Heida T, Nonnekes JH, van Wezel RJA. Rhythmic cueing with the Google Glass for patients with Parkinson's disease. In 19th International Congress of Parkinson's Disease and Movement Disorders. Malden: Wiley. 2015. p. 138-138 https://doi.org/10.1002/mds.26295