Análise do monitoramento dos sinais motores da doença de Parkinson: uma revisão sistemática

Abstract

Parkinson’s Disease (PD) is a chronic degenerative disease that causes a motor disorder affecting the individual’s routine tasks and destabilizing their quality of life. The most notable motor signs make up a tetrad: rigidity, bradykinesia, postural and gait changes, and resting tremor. Thus, the medical examination requires an assessment of motor movements, emphasizing the speed, amplitude and rhythm of each movement, in order to monitor the symptoms and improve the clinical diagnosis. In order to distinguish improvements or evolutions of PD, motor assessment methods become increasingly indispensable, and in the literature, systems or mechanisms for quantifying these symptoms are found, the most recurrent being for the signs of bradykinesia, aided by the most well-known skill test, the Finger-Tapping Test (FTT). However, none of them is yet able to prove a definitive diagnosis, therefore relying on the interpretation of a neurologist. This research presents a Systematic Literature Review (SLR) with academic artifacts produced, which demonstrate relevant data on motor movements and their quantification, using mostly the MDS UPDRS part III scale as a guide, in order to extract a set of requirements to be developed in a system for monitoring the progress of Parkinson’s motor signs, using the finger tapping test (FTT) as a technique. As a result, the RSL aimed to identify the most current techniques and approaches that quantify motor assessments, in addition to clarifying whether these methods demonstrate positive interference in the assessment process with the FTT technique.