The role of PKG in patients' care during the pandemic
This project was awarded runner-up .View more projects
To assess the feasibility and limitations of the Parkinson’s KinetiGraph (PKG) service in the remote assessment of people with Parkinson’s disease (PD).
The PKG is a small device worn on the wrist that collects data on motor symptoms and complications over six to 10 days. It provides healthcare teams with a report on how symptoms such as slowness of movement, stiffness, tremor, and dyskinesias vary throughout the day.
This poster said:
- Although face-to-face clinics are more people with complex PD, combining video calls and PKG allow this vulnerable group to be monitored remotely when necessary
- Studies have shown concordance between objective face-to-face assessments and self-reporting when the patient has the appropriate tools
- Clinicians can miss the “bigger picture” of PD symptoms during an in-person appointment, particularly in more advanced disease. PKG can accurately reflect motor symptom control and inform management strategies
- Since March 2020, 88 people have had a telephone appointment and 27 have been seen face to face
- Among these, 22 PKGs were requested, 15 were completed, and 13 reported with reliable data
- Of those who reported with reliable data, eight have had subsequent consultations which have had a significant impact on management
- Five are awaiting review. Of these, two sadly have died.
PKG has the potential to close the gap between the variable approaches to symptom monitoring and treatment. It is non-invasive and can potentially provide a reliable remote monitoring model that eradicates arduous trips to the hospital.
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Parkinson's Academy, our original and longest running Academy, houses 19 years of inspirational projects, resources, and evidence for improving outcomes for people with Parkinson's. Led by co-founder and educational director Dr Peter Fletcher, the Academy has a truly collegiate feel and prides itself on delivering 'the things you can't get from books' - a practical learning model which inspires all Neurology Academy courses.