Application of wearable devices in perioperative motor function detection in patients with Parkinson's disease
[Objective]To explore the role of wearable devices in the perioperative detection of motor function in Parkinson's disease(PD).[Methods]A retrospective study was conducted on 17 patients who underwent deep brain stimulation implantation in Taihe Hospital from December 1,2020 to December 31,2022,and the GraphPad Prism 9 statistical software was used to statistically analyze the patient's exercise data,and the data of the patient's preoperative and postoperative motion detection were t-tested.The indicators in the data of pre-and postoperative motion detection and the UPDRS-Ⅲ score before and after surgery were analyzed by linear regression analysis using Pearson's correlation coefficient.[Results]The UPDRS-Ⅲ score of patients decreased from preoperative 40.88±7.98 points to postoperative 22.65±3.84 points,the difference was statistically significant(P<0.001),and the step length increased from preoperative 32.25±6.25 cm to postoperative 51.88±7.38 cm,the difference between the two was statistically significant(P<0.001).The 5 m round-trip experimental time decreased from preoperative 17.14±3.61 s to postoperative 9.68±1.68 s,the difference was statistically significant(P<0.001),and the rotation experiment time was reduced from preoperative 35.00±7.69 s to postoperative 16.60±2.48 s,the difference was statistically significant(P<0.001).The oreoperative UPDRS-Ⅲ score of 17 PD patients was consistent and correlated with step length(r=-0.8843,P<0.001),5 m round-trip experimental time(r=0.8678,P<0.001),and rotation experimental time(r=0.9080,P<0.001),and postoperative UPDRS-Ⅲ score was consistent and correlated with step length(r=-0.9168,P<0.001)and 5 m round-trip experimental time(r=0.8695,P<0.001)and the experimental time of rotation(r=0.8744,P<0.001).[Conclusion]The data of wearable devices for motor function detection in PD patients have a consistent and strong correlation with the UPDRS-Ⅲ score,and wearable devices can be used as a supplementary item to the UPDRS-Ⅲ,and the motor function detection of PD patients in the perioperative period is more accurate,objective and quantitative.