Table 2 Timings for motor function/symptoms monitoring before and after medication intake

From: Systematic review of wearables assessing medication effect on motor function and symptoms in Parkinson’s disease

ON-State (n=number of studies)

OFF-State (n=number of studies)

1 h after medication intake (n = 21)

12 h medication withdrawal (n = 27)

Every 0.5h until ON state confirmed or 90 min after medication intake (n = 1)25

10 h medication withdrawal (n = 2)69,82

45 min after medication intake (n = 2)37,69

Overnight withdrawal (n = 5)29,31,34,60,61

50 min after medication intake (n = 1)18

No medication after 10 pm (n = 3)47,80,81

Clinician reported ON-state (n = 3)60,61,73

0.5-1 hr and 1 hr before next dose (n = 1)25

Participant reported ON-state (n = 5)26,34,54,85,96

50 min before next dose (n = 1)59

Participant ‘feeling at their best’ (n = 1)45

3 h after medication intake (n = 1)23

20, 40,60, 80 min after medication64

Participant reported OFF-state (n = 2)26,96

30, 60, 45, 75 min window before and after medication (n = 1)77

Clinician reported OFF-state (n = 1)73

Every 30 mins for up to 150-min after intake (n = 1)70

First dose of the day not taken (n = 2)71,92

Up to 230-min after intake (n = 1)43

Morning (n = 2)86,93

Up to 280 min after intake (n = 1)59

Early (n = 1)50

Up to 320 min after intake (n = 1)82

24 h withdrawal from all medication except L-DOPA; no L-DOPA after 10pm; no amantadine for 1 week47

Continuously for 3 h after intake (n = 1)68

Withdrawal from Dopamine Agonists for 72 h and off anitparkinsonian medication for 12 h28

Once every hour for 3 h (n = 1)81

Withdrawal from Dopamine Agonists for 24 h and 12 h from anitparkinsonian medication94

2 h after medication intake28

1 hr before next dose79

Between 1-2 h after medication in lab; 1-1.5 h in real-world 78

 

30-120 min after medication29

 

Every 30 min after medication for 5 h47

 

Every 20 min until the lowest UPDRS-III score was monitored (n = 1)94

 

1-2, 2-3, 3-4, 4+ hours after medication52

Every 15 min for 90 min, then every 30 min for up to 4 h (n = 1)87