LabVIEW based monitoring and rehabilitation module for freezing of gait in Parkinson's disease

J Med Eng Technol. 2019 Jan;43(1):48-54. doi: 10.1080/03091902.2019.1609608. Epub 2019 May 15.

Abstract

Freezing of gait (FOG) is an episodic motor symptom that occurs in almost half of the patients having Parkinson's Disease (PD). Levodopa and other dopaminergic drugs, although quite effective for tremors and bradykinesia (dyskinesia) are not so effective in case of postural instability and freezing of gait. This establishes a need for a non-pharmacological intervention. It has been well established in research that PD patients who experience FOG respond positively to sensory cueing. In this paper, a complete modular system has been developed that has both: (i) biofeedback in the form of vibrational cueing, synchronised with gait (hardware), as well as (ii) real-time monitoring, and graph generation for offline analysis (software). To realise this, a force sensor fitted shoe is constructed to analyse gait and provide vibrations in sync with phases of gait, for rehabilitation therapy. The assembly is monitored on LabVIEW, where (i) a 5-level force heat map and a 3D pressure map qualitatively shows the force experienced by force sensing resistors (FSR), (ii) an indicator for each vibrational motor shows its on/off state, and (iii) a live voltage vs. time graph (separate for each foot) is generated.

Keywords: 3D pressure map; Force sensing resistor; K-means clustering; LabVIEW; heat map; orthotic; segment level vibrations; sensory cueing.

MeSH terms

  • Cues
  • Feedback, Physiological
  • Foot Orthoses*
  • Gait
  • Gait Disorders, Neurologic / rehabilitation*
  • Humans
  • Monitoring, Ambulatory / instrumentation*
  • Parkinson Disease / rehabilitation*
  • Vibration