Objective: The aim of  study was to investigate the benefits of wearable devices (Amazfit GTS-3 watch ) and geo-fencing technology to monitor daily life routine activities, sleep pattern, quantification of freezing of gait (FOG) and falls of patients, and memory data in dystonia patients.

Background: Pediatric movement disorders lead to slower movement execution, increased movement variability, and decreased functionality.

Method: A total of 110 dystonia patients were taken as subjects with an equal ratio of male and female and age groups between 06 to 12 years in Gurugram city. Wearable monitoring devices like Amazfit GTS-3 watch and geo-fencing device were put on the wrist of dystonia patients for 30 days and a questionnaire was filled out by each patient. In all subjects, blood pressure, and blood glucose were measured with day-to-day data of their monitoring of step count, calorie burnt, motion time, sleep monitoring, calorie consumption, monitoring heart rate to know daily routines, and recording for health purposes. The geo-fencing device automatically provides a cueing sound with a sensing alert when FOG or falls of patients are detected and dystonia patients move out of the geo-fenced area which stays until the subject resumes walking in virtual boundary

Results: Wearable device reading showed that there was a significant normal heart rate (p<0.05), an increase calorie burnt with a significant decrease of blood glucose and blood pressure levels (p<0.01), better control of SpO2 and increased significantly (p<0.05) sleep duration in active physically workout, include walking in dystonia patients compared to less physically workout dystonia patients, identified by professional physiotherapists. There is significant normalization in FOG and fall events with improved memory loss and wandering events after one month with changing lifestyle routine among dystonia patients.

Conclusion: Wearable devices and technology have introduced a new way for caregivers and families to prevent the dangers of FOG and fall events and monitor sleep cycle in dystonia patients. Digital technology can transform clinical research and care in movement disorders. However, more work is needed to validate existing digital measures, including in new populations.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/study-of-wearable-technology-and-geo-fencing-device-for-quantification-of-freezing-of-gait-and-sleep-pattern-in-dystonia-patients-in-gurugram-city-india/