A smart tool for the diagnosis of Parkinsonian syndrome using wireless watches

This work is licensed under a Creative Commons Attribution 3.0 License.Early detection and diagnosis of Parkinson disease will provide a good chance for patients to take early actions and prevent its further development. In this paper, a smart tool for the diagnosis of Parkinsonian syndromes is designed and developed using low-cost Texas Instruments eZ430-Chronos wireless watches. With this smart tool, Parkinson Bradykinesia is detected based on the cycle of a human gait, with the watch worn on the foot, and Parkinson Tremor shaking is detected and differed by frequency 0 to 8 Hz on the arm in real-time with a developed statistical diagnosis chart. It can be used in small clinics as well as home environment due to its low-cost and easy-use property

A Movement-Tremors Recorder for Patients of Neurodegenerative Diseases

Neurodegenerative diseases such as Alzheimer, Parkinson, motor neuron, and Chorea affect millions of people today. Their effect on the central nervous system causes the loss of brain functions as well as motor disturbances and sometimes cognitive deficits. In such a scenario, the monitoring and evaluation of early symptoms are mandatory for the improvement of the patient's quality of life. Here, the authors describe the development, the laboratory calibration, and the "in-field validation" under the medical supervision of a movement tremors recorder for subjects affected by neurodegenerative diseases. The developed device is based on an array of four accelerometers connected to an embedded development board. This system is able to monitor tremor/movement, accidental falls, and, moreover, it can track the Alzheimer subjects' geographical position. A remote supervisor can collect data from the system through Bluetooth, Wi-Fi, or GSM connections. A data compression algorithm was developed directly on board in order to increase the efficiency of data transmission and reduce power consumptions

Development and Evaluation of AI-based Parkinson's Disease Related Motor Symptom Detection Algorithms

Parkinson's Disease (PD) is a chronic, progressive, neurodegenerative disorder that is typically characterized by a loss of (motor) function, increased slowness and rigidity. Due to a lack of feasible biomarkers, progression cannot easily be quantified with objective measures. For the same reason, neurologists have to revert to monitoring of (motor) symptoms (i.e. by means of subjective and often inaccurate patient diaries) in order to evaluate a medication's effectiveness. Replacing or supplementing these diaries with an automatic and objective assessment of symptoms and side effects could drastically reduce manual efforts and potentially help in personalizing and improving medication regime. In turn, appearance of symptoms could be reduced and the patient's quality of life increased. The objective of this thesis is two-fold: (1) development and improvement of algorithms for detecting PD related motor symptoms and (2) to develop a software framework for time series analysis

Návrh a pevnostní kontrola systému balanční stability pro pacienty postižené syndromem Parkinsonovy nemoci.

The goal of this thesis is to design a prototype of a device, which should be able to help to alleviate the symptoms of Parkinson’s disease, which is, as a progressive neurodegenerative disease, untreatable. This device should use the procedure of vibration therapy, which is not similar to conventional methods of alleviating the symptoms, which are in many ways dangerous, inconvenient or much uncomfortable to some of the patients. In the first part of the thesis, there are described studies, based on which are the essential assumptions for designed device. This is followed by research of similar solutions. The device itself is designed using a systematic approach to engineering design. This approach is trying to describe as many solutions of particular subfunctions of the device as possible. Based on these particular solutions, the concept is designed. For the possibility to focus on deeper details was done a measurement of the handgrip. Using these results, particular device’s components are designed and the prototype is nearly ready for practical realization and testing.Bakalářská práce si kladla za cíl navržení prototypu přístroje, jenž by měl napomoci ke zmírnění symptomů Parkinsonovy choroby, která je, jakožto progresivní neurodegenerativní choroba, v dnešní době neléčitelná. Přístroj by měl využít přístup vibrační terapie, která nezapadá mezi konvenční metody zmírňování symptomů, které jsou v mnoha ohledech pro některé z pacientů nebezpečné, nevhodné nebo velmi nepříjemné. V první části práce jsou popsány studie, ze kterých vychází základní předpoklady pro navrhovaný přístroj. Následuje průzkum podobných řešení. Přístroj samotný je navržen využitím systematického přístupu k inženýrskému návrhu. Tento přístup se snaží popsat co nejvíce možných řešení jednotlivých podfunkcí přístroje. Na základě těchto partikulárních řešení je navržen koncept. Pro možnost věnovat se hlubším detailům bylo provedeno měření stisku dlaně. Použitím výsledků měření jsou navrženy jednotlivé komponenty přístroje a prototyp je tak téměř připraven k samotné realizaci a testování.330 - Katedra aplikované mechanikyvýborn

Development of a Novel Handheld Device for Active Compensation of Physiological Tremor

In microsurgery, the human hand imposes certain limitations in accurately positioning the tip of a device such as scalpel. Any errors in the motion of the hand make microsurgical procedures difficult and involuntary motions such as hand tremors can make some procedures significantly difficult to perform. This is particularly true in the case of vitreoretinal microsurgery. The most familiar source of involuntary motion is physiological tremor. Real-time compensation of tremor is, therefore, necessary to assist surgeons to precisely position and manipulate the tool-tip to accurately perform a microsurgery. In this thesis, a novel handheld device (AID) is described for compensation of physiological tremor in the hand. MEMS-based accelerometers and gyroscopes have been used for sensing the motion of the hand in six degrees of freedom (DOF). An augmented state complementary Kalman filter is used to calculate 2 DOF orientation. An adaptive filtering algorithm, band-limited Multiple Fourier linear combiner (BMFLC), is used to calculate the tremor component in the hand in real-time. Ionic Polymer Metallic Composites (IPMCs) have been used as actuators for deflecting the tool-tip to compensate for the tremor

Effects of dance therapy on balance, gait and neuro-psychological performances in patients with Parkinson's disease and postural instability

Postural Instability (PI) is a core feature of Parkinson’s Disease (PD) and a major cause of falls and disabilities. Impairment of executive functions has been called as an aggravating factor on motor performances. Dance therapy has been shown effective for improving gait and has been suggested as an alternative rehabilitative method. To evaluate gait performance, spatial-temporal (S-T) gait parameters and cognitive performances in a cohort of patients with PD and PI modifications in balance after a cycle of dance therapy

Aerospace Medicine and Biology: A continuing bibliography with indexes (supplement 156)

This bibliography lists 170 reports, articles, and other documents introduced into the NASA scientific and technical information system in June 1976

Smart Surgical Microscope based on Optical Coherence Domain Reflectometry

Department of Biomedical EngineeringOver the several decades, there have been clinical needs that requires advanced technologies in medicine. Optical coherence tomography (OCT), one of the newly emerged medical imaging devices, provides non-invasive cross-sectional images in high resolution which is mainly used in ophthalmology. However, due to the limited penetration depth of 1-2 mm in bio-samples, there is a limit to be widely used. In order to easily integrate with existing medical tools and be convenient to users, it is necessary that the sample unit of OCT should be compact and simple. In this study, we developed high-speed swept-source OCT (SS-OCT) for advanced screening of otolaryngology. Synchronized signal sampling with a high-speed digitizer using a clock signal from a swept laser source, its trigger signal is also used to synchronize with the movement of the scanning mirror. The SS-OCT system can reliably provide high-throughput images, and two-axis scanning of galvano mirrors enables real-time acquisition of 3D data. Graphic processing unit (GPU) can performs high-speed data processing through parallel programming, and can also implement perspective projection 3D OCT visualization with optimal ray casting techniques. In the Clinical Study of Otolaryngology, OCT was applied to identify the microscopic extrathyroidal extension (mETE) of papillary thyroid cancer (PTC). As a result to detect the mETE of around 60% in conventional ultrasonography, it could be improved to 84.1% accuracy in our study. The detection ratio of the mETE was calculated by the pathologist analyzing the histologic image. In chapter 3, we present a novel study using combined OCT system integrated with a conventional surgical microscope. In the current set-up of surgical microscope, only two-dimensional microscopic images through the eyepiece view are provided to the surgeon. Thus, image-guided surgery, which provides real-time image information of the tissues or the organs, has been developed as an advanced surgical technique. This study illustrate newly designed optical set-up of smart surgical microscope that combined sample arm of the OCT with an existing microscope. Specifically, we used a beam projector to overlay OCT images on existing eyepiece views, and demonstrated augmented reality images. In chapter 4, in order to develop novel microsurgical instruments, optical coherence domain reflectometry (OCDR) was applied. Introduces smart surgical forceps using OCDR as a sensor that provides high-speed, high-resolution distance information in the tissue. To attach the sensor to the forceps, the lensed fiber which is a small and high sensitivity sensor was fabricated and the results are shown to be less affected by the tilt angle. In addition, the piezo actuator compensates the hand tremor, resulting in a reduction in the human hand tremor of 5 to 15 Hz. Finally, M-mode OCT needle is proposed for microsurgery guidance in ophthalmic surgery. Stepwise transitional core (STC) fiber was applied as a sensor to measure information within the tissue and attached to a 26 gauge needle. It shows the modified OCT system and the position-guided needle design of the sample stage and shows the algorithm flowchart of M-mode OCT imaging software. The developed M-mode OCT needle has been applied to animal studies using rabbit eyes and demonstrates the big-bubble deep anterior lamellar keratoplasty (DALK) surgery for corneal transplantation. Through this study, we propose a novel microsurgical instrument for lamellar keratoplasty and evaluate its feasibility with conventional regular OCT system images. In conclusion, for fundamental study required new augmented reality guided surgery with smart surgical microscope, it is expected that OCT combined with surgical microscope can be widely used. We demonstrated a novel microsurgical instrument to share with light source and the various optical components. Acquired information throughout our integrated system would be a key method to meet a wide range of different clinical needs in the real world.ope