Preprint Article Version 1 This version is not peer-reviewed

Gait-and-Balance Assessments with Augmented-Reality Glasses in People with Parkinson’s Disease: Concurrent Validity and Test-Retest Reliability

Version 1 : Received: 1 July 2024 / Approved: 1 July 2024 / Online: 2 July 2024 (13:36:54 CEST)

How to cite: van Bergem, J. S.; van Doorn, P. F.; Hoogendoorn, E. M.; Geerse, D. J.; Roerdink, M. Gait-and-Balance Assessments with Augmented-Reality Glasses in People with Parkinson’s Disease: Concurrent Validity and Test-Retest Reliability. Preprints 2024, 2024070142. https://doi.org/10.20944/preprints202407.0142.v1 van Bergem, J. S.; van Doorn, P. F.; Hoogendoorn, E. M.; Geerse, D. J.; Roerdink, M. Gait-and-Balance Assessments with Augmented-Reality Glasses in People with Parkinson’s Disease: Concurrent Validity and Test-Retest Reliability. Preprints 2024, 2024070142. https://doi.org/10.20944/preprints202407.0142.v1

Abstract

State-of-the-art augmented-reality (AR) glasses record their position and orientation in space, enabling measurements and analyses of clinical gait-and-balance tests. This study’s objective was to evaluate concurrent validity and test-retest reliability for common clinical gait-and-balance tests in people with Parkinson’s disease: the Five Times Sit-To-Stand (FTSTS) and Timed Up-and-Go (TUG) tests. Position and orientation data was collected in 22 participants with Parkinson's disease using HoloLens 2 and Magic Leap 2 AR glasses, from which test-completion durations and durations of distinct sub-parts (e.g., sit-to-stand, turning) were derived and compared to reference systems and over test repetitions. Regarding concurrent validity, for both tests an excellent between-systems agreement was found for position and orientation time series and test-completion durations. Between-systems agreement for FTSTS (sub-)durations were all excellent, while TUG turning sub-durations were excellent (turn 1) and moderate (turn 2). Regarding test-retest reliability, the within-system test-retest variation in test-completion times and sub-durations was always much greater than the between-systems variation, implying that these (sub-)durations may be derived interchangeably from AR and reference-system data. In conclusion, AR data are of sufficient quality to evaluate gait and balance in people with Parkinson's disease, with valid quantification of test-completion durations and sub-durations of distinct FTSTS and TUG sub-parts.

Keywords

augmented reality; Parkinson’s disease; gait-and-balance tests; concurrent validity; test-retest reliability

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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