53 research outputs found

    Continuous monitoring of health and mobility indicators in patients with cardiovascular disease: a review of recent technologies

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    Cardiovascular diseases kill 18 million people each year. Currently, a patient’s health is assessed only during clinical visits, which are often infrequent and provide little information on the person’s health during daily life. Advances in mobile health technologies have allowed for the continuous monitoring of indicators of health and mobility during daily life by wearable and other devices. The ability to obtain such longitudinal, clinically relevant measurements could enhance the prevention, detection and treatment of cardiovascular diseases. This review discusses the advantages and disadvantages of various methods for monitoring patients with cardiovascular disease during daily life using wearable devices. We specifically discuss three distinct monitoring domains: physical activity monitoring, indoor home monitoring and physiological parameter monitoring

    Classification of Frailty among Community Dwelling Older Adults Using Parameters of Physical Activity Obtained Independently and Unsupervised

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    The global population is ageing at an unprecedented rate, with the percentage of those aged over 65 years expected to double and those aged over 80 years expected to treble by the year 2050. With ageing comes biological and physiological changes that affect functional capacity. Frailty is a potentially avoidable, reversible biopsychosocial condition associated with biological but not chronological age, affecting a quarter of all community-dwelling older adults. Frailty results in disability, increased dependency and institutionalisation. Screening for frailty could help reduce its prevalence and mitigate the adverse outcomes however, traditional screening tools are time-consuming to perform, require clinician input and by their subjective nature are flawed. The use of wearable sensors has been proposed as a means of screening for frailty and parameters of mobility and physical activity have been identified as being associated with frailty. The goal of this thesis was to examine if community-dwelling older adults could capture parameters of mobility and physical activity independently in their own home and if these parameters could discriminate between frail and non-frail status. This work provides evidence that a single parameter of mobility and physical activity obtained from a single body-worn sensor correlates with frailty. It also provides evidence that community-dwelling older adults can independently capture parameters of mobility and physical activity, unsupervised in their own home using a consumer-grade wearable device, and that these data can predict pre-frailty and frailty with acceptable accuracy. Thresholds for parameters of physical activity predictive of frailty have been identified. The results of this thesis will guide future work to focus community-dwelling older adults on the importance of frailty screening and guide the development of a user-friendly device or sensor system suitable for use by older adults for continuous data collection relevant to frailty

    Proceedings XXIII Congresso SIAMOC 2023

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    Il congresso annuale della Società Italiana di Analisi del Movimento in Clinica (SIAMOC), giunto quest’anno alla sua ventitreesima edizione, approda nuovamente a Roma. Il congresso SIAMOC, come ogni anno, è l’occasione per tutti i professionisti che operano nell’ambito dell’analisi del movimento di incontrarsi, presentare i risultati delle proprie ricerche e rimanere aggiornati sulle più recenti innovazioni riguardanti le procedure e le tecnologie per l’analisi del movimento nella pratica clinica. Il congresso SIAMOC 2023 di Roma si propone l’obiettivo di fornire ulteriore impulso ad una già eccellente attività di ricerca italiana nel settore dell’analisi del movimento e di conferirle ulteriore respiro ed impatto internazionale. Oltre ai qualificanti temi tradizionali che riguardano la ricerca di base e applicata in ambito clinico e sportivo, il congresso SIAMOC 2023 intende approfondire ulteriori tematiche di particolare interesse scientifico e di impatto sulla società. Tra questi temi anche quello dell’inserimento lavorativo di persone affette da disabilità anche grazie alla diffusione esponenziale in ambito clinico-occupazionale delle tecnologie robotiche collaborative e quello della protesica innovativa a supporto delle persone con amputazione. Verrà infine affrontato il tema dei nuovi algoritmi di intelligenza artificiale per l’ottimizzazione della classificazione in tempo reale dei pattern motori nei vari campi di applicazione

    Evaluating footwear “in the wild”: Examining wrap and lace trail shoe closures during trail running

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    Trail running participation has grown over the last two decades. As a result, there have been an increasing number of studies examining the sport. Despite these increases, there is a lack of understanding regarding the effects of footwear on trail running biomechanics in ecologically valid conditions. The purpose of our study was to evaluate how a Wrap vs. Lace closure (on the same shoe) impacts running biomechanics on a trail. Thirty subjects ran a trail loop in each shoe while wearing a global positioning system (GPS) watch, heart rate monitor, inertial measurement units (IMUs), and plantar pressure insoles. The Wrap closure reduced peak foot eversion velocity (measured via IMU), which has been associated with fit. The Wrap closure also increased heel contact area, which is also associated with fit. This increase may be associated with the subjective preference for the Wrap. Lastly, runners had a small but significant increase in running speed in the Wrap shoe with no differences in heart rate nor subjective exertion. In total, the Wrap closure fit better than the Lace closure on a variety of terrain. This study demonstrates the feasibility of detecting meaningful biomechanical differences between footwear features in the wild using statistical tools and study design. Evaluating footwear in ecologically valid environments often creates additional variance in the data. This variance should not be treated as noise; instead, it is critical to capture this additional variance and challenges of ecologically valid terrain if we hope to use biomechanics to impact the development of new products

    Edge Artificial Intelligence for Real-Time Target Monitoring

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    The key enabling technology for the exponentially growing cellular communications sector is location-based services. The need for location-aware services has increased along with the number of wireless and mobile devices. Estimation problems, and particularly parameter estimation, have drawn a lot of interest because of its relevance and engineers' ongoing need for higher performance. As applications expanded, a lot of interest was generated in the accurate assessment of temporal and spatial properties. In the thesis, two different approaches to subject monitoring are thoroughly addressed. For military applications, medical tracking, industrial workers, and providing location-based services to the mobile user community, which is always growing, this kind of activity is crucial. In-depth consideration is given to the viability of applying the Angle of Arrival (AoA) and Receiver Signal Strength Indication (RSSI) localization algorithms in real-world situations. We presented two prospective systems, discussed them, and presented specific assessments and tests. These systems were put to the test in diverse contexts (e.g., indoor, outdoor, in water...). The findings showed the localization capability, but because of the low-cost antenna we employed, this method is only practical up to a distance of roughly 150 meters. Consequently, depending on the use-case, this method may or may not be advantageous. An estimation algorithm that enhances the performance of the AoA technique was implemented on an edge device. Another approach was also considered. Radar sensors have shown to be durable in inclement weather and bad lighting conditions. Frequency Modulated Continuous Wave (FMCW) radars are the most frequently employed among the several sorts of radar technologies for these kinds of applications. Actually, this is because they are low-cost and can simultaneously provide range and Doppler data. In comparison to pulse and Ultra Wide Band (UWB) radar sensors, they also need a lower sample rate and a lower peak to average ratio. The system employs a cutting-edge surveillance method based on widely available FMCW radar technology. The data processing approach is built on an ad hoc-chain of different blocks that transforms data, extract features, and make a classification decision before cancelling clutters and leakage using a frame subtraction technique, applying DL algorithms to Range-Doppler (RD) maps, and adding a peak to cluster assignment step before tracking targets. In conclusion, the FMCW radar and DL technique for the RD maps performed well together for indoor use-cases. The aforementioned tests used an edge device and Infineon Technologies' Position2Go FMCW radar tool-set

    Deep Learning Algorithms for Time Series Analysis of Cardiovascular Monitoring Systems

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    This thesis investigates and develops methods to enable ubiquitous monitoring of the most examined cardiovascular signs, blood pressure, and heart rate. Their continuous measurement can help improve health outcomes, such as the detection of hypertension, heart attack, or stroke, which are the leading causes of death and disability. Recent research into wearable blood pressure monitors sought predominately to utilise a hypothesised relationship with pulse transit time, relying on quasiperiodic pulse event extractions from photoplethysmography local signal characteristics and often used only a fraction of typically bivariate time series. This limitation has been addressed in this thesis by developing methods to acquire and utilise fused multivariate time series without the need for manual feature engineering by leveraging recent advances in data science and deep learning methods that showed great data analysis potential in other domains

    Wearable and BAN Sensors for Physical Rehabilitation and eHealth Architectures

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    The demographic shift of the population towards an increase in the number of elderly citizens, together with the sedentary lifestyle we are adopting, is reflected in the increasingly debilitated physical health of the population. The resulting physical impairments require rehabilitation therapies which may be assisted by the use of wearable sensors or body area network sensors (BANs). The use of novel technology for medical therapies can also contribute to reducing the costs in healthcare systems and decrease patient overflow in medical centers. Sensors are the primary enablers of any wearable medical device, with a central role in eHealth architectures. The accuracy of the acquired data depends on the sensors; hence, when considering wearable and BAN sensing integration, they must be proven to be accurate and reliable solutions. This book is a collection of works focusing on the current state-of-the-art of BANs and wearable sensing devices for physical rehabilitation of impaired or debilitated citizens. The manuscripts that compose this book report on the advances in the research related to different sensing technologies (optical or electronic) and body area network sensors (BANs), their design and implementation, advanced signal processing techniques, and the application of these technologies in areas such as physical rehabilitation, robotics, medical diagnostics, and therapy

    State of the Art of Audio- and Video-Based Solutions for AAL

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    It is a matter of fact that Europe is facing more and more crucial challenges regarding health and social care due to the demographic change and the current economic context. The recent COVID-19 pandemic has stressed this situation even further, thus highlighting the need for taking action. Active and Assisted Living technologies come as a viable approach to help facing these challenges, thanks to the high potential they have in enabling remote care and support. Broadly speaking, AAL can be referred to as the use of innovative and advanced Information and Communication Technologies to create supportive, inclusive and empowering applications and environments that enable older, impaired or frail people to live independently and stay active longer in society. AAL capitalizes on the growing pervasiveness and effectiveness of sensing and computing facilities to supply the persons in need with smart assistance, by responding to their necessities of autonomy, independence, comfort, security and safety. The application scenarios addressed by AAL are complex, due to the inherent heterogeneity of the end-user population, their living arrangements, and their physical conditions or impairment. Despite aiming at diverse goals, AAL systems should share some common characteristics. They are designed to provide support in daily life in an invisible, unobtrusive and user-friendly manner. Moreover, they are conceived to be intelligent, to be able to learn and adapt to the requirements and requests of the assisted people, and to synchronise with their specific needs. Nevertheless, to ensure the uptake of AAL in society, potential users must be willing to use AAL applications and to integrate them in their daily environments and lives. In this respect, video- and audio-based AAL applications have several advantages, in terms of unobtrusiveness and information richness. Indeed, cameras and microphones are far less obtrusive with respect to the hindrance other wearable sensors may cause to one’s activities. In addition, a single camera placed in a room can record most of the activities performed in the room, thus replacing many other non-visual sensors. Currently, video-based applications are effective in recognising and monitoring the activities, the movements, and the overall conditions of the assisted individuals as well as to assess their vital parameters. Similarly, audio sensors have the potential to become one of the most important modalities for interaction with AAL systems, as they can have a large range of sensing, do not require physical presence at a particular location and are physically intangible. Moreover, relevant information about individuals’ activities and health status can derive from processing audio signals. Nevertheless, as the other side of the coin, cameras and microphones are often perceived as the most intrusive technologies from the viewpoint of the privacy of the monitored individuals. This is due to the richness of the information these technologies convey and the intimate setting where they may be deployed. Solutions able to ensure privacy preservation by context and by design, as well as to ensure high legal and ethical standards are in high demand. After the review of the current state of play and the discussion in GoodBrother, we may claim that the first solutions in this direction are starting to appear in the literature. A multidisciplinary debate among experts and stakeholders is paving the way towards AAL ensuring ergonomics, usability, acceptance and privacy preservation. The DIANA, PAAL, and VisuAAL projects are examples of this fresh approach. This report provides the reader with a review of the most recent advances in audio- and video-based monitoring technologies for AAL. It has been drafted as a collective effort of WG3 to supply an introduction to AAL, its evolution over time and its main functional and technological underpinnings. In this respect, the report contributes to the field with the outline of a new generation of ethical-aware AAL technologies and a proposal for a novel comprehensive taxonomy of AAL systems and applications. Moreover, the report allows non-technical readers to gather an overview of the main components of an AAL system and how these function and interact with the end-users. The report illustrates the state of the art of the most successful AAL applications and functions based on audio and video data, namely lifelogging and self-monitoring, remote monitoring of vital signs, emotional state recognition, food intake monitoring, activity and behaviour recognition, activity and personal assistance, gesture recognition, fall detection and prevention, mobility assessment and frailty recognition, and cognitive and motor rehabilitation. For these application scenarios, the report illustrates the state of play in terms of scientific advances, available products and research project. The open challenges are also highlighted. The report ends with an overview of the challenges, the hindrances and the opportunities posed by the uptake in real world settings of AAL technologies. In this respect, the report illustrates the current procedural and technological approaches to cope with acceptability, usability and trust in the AAL technology, by surveying strategies and approaches to co-design, to privacy preservation in video and audio data, to transparency and explainability in data processing, and to data transmission and communication. User acceptance and ethical considerations are also debated. Finally, the potentials coming from the silver economy are overviewed
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