Freezing of gait is one of the most debilitating symptoms of Parkinson’s disease and is an important contributor to falls, leading to it being a major cause of hospitalization and nursing home admissions. When the management of freezing episodes cannot be achieved through medication or surgery, non-pharmacological methods such as cueing have received attention in recent years. Novel cueing systems were developed over the last decade and have been evaluated predominantly in laboratory settings. However, to provide benefit to people with Parkinson’s and improve their quality of life, these systems must have the potential to be used at home as a self-administer intervention. This paper aims to provide a technological review of the literature related to wearable cueing systems and it focuses on current auditory, visual and somatosensory cueing systems, which may provide a suitable intervention for use in home-based environments. The paper describes the technical operation and effectiveness of the different cueing systems in overcoming freezing of gait. The “What Works Clearinghouse (WWC)” tool was used to assess the quality of each study described. The paper findings should prove instructive for further researchers looking to enhance the effectiveness of future cueing systems.
This article explores older New Zealanders’ perceptions of the barriers to, benefits and negative consequences of computer-based information and communication technologies (ICTs) through the analysis of focus group discussions involving 98 respondents. Older people engage with computers in a context constituted by discourses positioning them as declining in the ability to learn skills such as computing, but creating a burden on society if they do not. In this paradoxical context, participants identified emotional and material barriers, as well as benefits and negative consequences to computer use that are shaped by age and gender. Significant gaps between the New Zealand Government’s identification of the benefits of computing for older people and the benefits identified by older people themselves are highlighted. The article argues for the need for a more balanced approach acknowledging potential negative consequences, promoting the ‘people-centred’ benefits of computer use over and above the national economic benefits emphasized in the government’s drive to encourage older people’s uptake of computer-based ICTs.
Objective: To investigate if community-based Irish set dancing is feasible in Irish adults with Parkinson's disease.
Methods:Over an eight week period, ten participants attended one set dancing class per week and completed a home programme in parallel. Feasibility was assessed by monitoring adverse effects, participants' verbal feedback, compliance rates and feedback from an exit questionnaire. Participants were assessed using the Berg balance scale, 6-min walk test, UPDRS-3 and PDQ-39, before and after the intervention.
Results:No adverse effects were detected. Attendance at classes was 86%. Compliance with the home programme was 67%. Findings from the exit questionnaire showed participants enjoyed participating and reported improvements in aspects of health including balance.Quality of life improved with the dance programme and there was a trend toward improvement on the UPDRS-3.
Conclusion:These findings suggest community-based Irish set dancing is a feasible form of exercise that can positively influence quality of life.
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