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Truly, a video is worth a thousand words when it comes to treating Parkinson's patients at the Parkinson's Disease & Movement Disorders Institute at Weill Cornell Medicine, the biomedical research unit and medical school of Ithaca, New York–based Cornell University.
Using remote monitoring visual analytics software from San Francisco–based CaptureProof, clinicians are able to automate the Parkinson's scale from a patient's home.
In a 2016 pilot done at Weill Cornell Medicine, 16 participants ranging from ages 51 to 77 were able to perform Parkinson's neurological evaluations at home using an iPod Touch.
CaptureProof's system provides a HIPAA-compliant iPod or Android app to guide patients or a companion to record a series of prescribed movements following video examples.
These videos have text instruction overlay and examples to follow, and photos have an overlay in the camera to help capture the same angle.
The evaluations consisted of standard motions used to evaluate progression of Parkinson's, such as tapping fingers, opening and closing the palm of a hand, and leaving the hand at rest—the same motions clinicians have these patients perform when they appear for face-to-face evaluations.
But because the results are captured by the mobile device, the participants did not have to make the often arduous trip through New York traffic to travel from their homes to Weill Cornell.
Clinicians could access the patients' recorded video at a time of their choosing, and then rate patient performance as measured by the protocols.
During the 16-patient trial enrollment, on the same day as patients' CaptureProof use, clinicians also rated the patient performance in person, and concluded that patients were able to perform the movements via CaptureProof just as reliably, says Natalie Hellmers, a nurse practitioner at Weill Cornell.