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http://hdl.handle.net/1942/36251
Title: | Impaired Touchscreen Skills in Parkinson's Disease and Effects of Medication | Authors: | De Vleeschhauwer, J Broeder, S Janssens, L HEREMANS, Elke Nieuwboer, A Nackaerts, E |
Issue Date: | 2021 | Publisher: | WILEY | Source: | MOVEMENT DISORDERS CLINICAL PRACTICE, 8 (4) , p. 546 -554 | Abstract: | Background: Deficits in fine motor skills may impair device manipulation including touchscreens in people with Parkinson's disease (PD).Objectives: To investigate the impact of PD and anti-parkinsonian medication on the ability to use touchscreens.Methods: Twelve PD patients (H&Y II-III), OFF and ON medication, and 12 healthy controls (HC) performed tapping, single and multi-direction sliding tasks on a touchscreen and a mobile phone task (MPT). Task performance was compared between patients (PD-OFF, PD-ON) and HC and between medication conditions.Results: Significant differences were found in touchscreen timing parameters, while accuracy was comparable between groups. PD-OFF needed more time than HC to perform single (P = 0.048) and multi-direction (P = 0.004) sliding tasks and to grab the dot before sliding (i.e., transition times) (P = 0.040; P = 0.004). For tapping, dopaminergic medication significantly increased performance times (P = 0.046) to comparable levels as those of HC. However, for the more complex multi-direction sliding, movement times remained slower in PD than HC irrespective of medication intake (P < 0.050 during ON and OFF). The transition times for the multi-direction sliding task was also higher in PD-ON than HC (P = 0.048). Touchscreen parameters significantly correlated with MPT performance, supporting the ecological validity of the touchscreen tool.Conclusions: PD patients show motor problems when manipulating touchscreens, even when optimally medicated. This hinders using mobile technology in daily life and has implications for developing adequate E-health applications for this group. Future work needs to establish whether touchscreen training is effective in PD. | Keywords: | Parkinson's disease;touchscreen skills;dopaminergic medication;upper limb | Document URI: | http://hdl.handle.net/1942/36251 | ISSN: | 2330-1619 | e-ISSN: | 2330-1619 | DOI: | 10.1002/mdc3.13179 | ISI #: | 000627861700001 | Rights: | 2021 International Parkinson and Movement Disorder SocietyRESEARCH ARTICLECLINICAL PRACTICE | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2023 |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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DeVleeschhauwer_2021_MDCP.pdf | Peer-reviewed author version | 990.76 kB | Adobe PDF | View/Open |
1.pdf Restricted Access | Published version | 413.5 kB | Adobe PDF | View/Open Request a copy |
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