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Case-Based Lessons on Remote Patient Monitoring in Neurology Using Consumer-Grade Wearables

delete2026-02-11
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OA
AI
P
Paula Z. Epping
R
Ramona Hagler
N
Noah M. Werner
J
Jan Voth
L
Linea Schmidt
N
Niklas Huntemann
A
Ariel Dora Stern
T
Tobias Ruck
S
Sven G. Meuth
M
Marc Pawlitzki
L
Lars Masanneck
DOI:10.1177/11795735261419641delete
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Abstract

Abstract

En 中文
<jats:p>Consumer-grade wearables offer promising opportunities for remote patient monitoring (RPM) in neurological disorders, yet their clinical application remains uncertain. In this exploratory analysis, we draw on prospective observational trials using smartwatches in patients with multiple sclerosis, myasthenia gravis, chronic inflammatory demyelinating polyneuropathy, and migraine, who were monitored for 6 to 24 months. Through detailed clinical case narratives, we illustrate both the potential and the limitations of RPM in neurology. Wearable-generated data successfully captured early, clinically meaningful changes, such as the onset of a myasthenic exacerbation, and supported patient engagement in identifying individual triggers, including for migraine. However, external influences such as holidays, infections, or mobility aid use confounded activity signals, underscoring the importance of contextual interpretation. While wearables can enhance neurological care, their integration into clinical workflows is challenged by limited validation and interpretability. Realising their potential requires robust validation in clinical settings and the development of interoperable RPM platforms supported by close collaboration between clinicians, engineers, and patients.</jats:p>
Keywords:
remote patient monitoring
consumer-grade wearables
neurological disorders
smartwatches
clinical validation

Journal

J
Journal of Central Nervous System Disease
IF:
2.8
Papers:
57
Citations:
709

Organization

U
university hospital dusseldorf
Scholars:
72
Papers: 20
Citations: 0
U
University of Potsdam
Scholars:
7.8K
Papers: 7.1K
Citations: 1.4W
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