Wearable devices for gait and posture monitoring via telemedicine in people with movement disorders and multiple sclerosis: a systematic review

Introduction: Wearable devices and telemedicine are increasingly used to track health-related parameters across patient populations. Since gait and postural control deficits contribute to mobility deficits in persons with movement disorders and multiple sclerosis, we thought it interesting to evaluate devices in telemedicine for gait and posture monitoring in such patients. Methods: For this systematic review, we searched the electronic databases MEDLINE (PubMed), SCOPUS, Cochrane Library, and SPORTDiscus. Of the 452 records retrieved, 12 met the inclusion/exclusion criteria. Data about (1) study characteristics and clinical aspects, (2) technical, and (3) telemonitoring and teleconsulting were retrieved, The studies were quality assessed. Results: All studies involved patients with Parkinson's disease; most used triaxial accelerometers for general assessment (n = 4), assessment of motor fluctuation (n = 3), falls (n = 2), and turning (n = 3). Sensor placement and count varied widely across studies. Nine used lab-validated algorithms for data analysis. Only one discussed synchronous patient feedback and asynchronous teleconsultation. Conclusions: Wearable devices enable real-world patient monitoring and suggest biomarkers for symptoms and behaviors related to underlying gait disorders. thus enriching clinical assessment and personalized treatment plans. As digital healthcare evolves, further research is needed to enhance device accuracy, assess user acceptability, and integrate these tools into telemedicine infrastructure

Acceptability and clinical usefulness of a telemonitoring and telerehabilitation system in people with Parkinson’s Disease in different disease stages: preliminary findings from the RAPIDO study.

Telemonitoring and telerehabilitation techniques are significant approaches for people with Parkinson’s disease (PD) to improve their clinical health status. In this work, we present a system to monitor people with PD during their physical exercise sessions. Wearable devices are used to collect 24-hour health parameters, that are successively stored on a remote server and then analyzed. A clinical and technical analysis has been conducted on this data; the second one exploits techniques such as the Tukey test, PCA technique, and the K-means clustering algorithm. The main goal is to identify changes in patients’ health status over 3 months (monitoring period) and assess the acceptability of the system

Conscious Dwelling For Transdisciplinary Cityscapes

Through a transdisciplinary perspective, the book aims to read the complex urban dimension, in front of increasing density, soil consumption, abandoned places, and the recent pandemic which proved megacities particularly inadequate to provide healthy psychophysical conditions. Assuming bodily and emotional comfort as a reference horizon, it tends to inspire the design research beyond a paradoxical binary logic that separates public and private, outside and inside, far and near, mind and places. The first part deals with built spaces and addresses sustainable strategies not only to overcome an ecologic and systemic crisis but also to improve places liveability in our contemporary city. The second part deals with our perception of aesthetic spaces, welcoming the stimuli coming from neuro-aesthetics studies on affordances and atmosphere and encouraging the intersection between interior architecture and design culture and arts. The third part deals with relational spaces and how they influence human behaviour, starting from psychological, anthropological and philosophical perspectives. Fostering an innovative standpoint, the book benefits scholars, academics and practitioners focused on interior architecture and design, as well as other researchers involved in the relationship between people and places. The new challenge posed by the recent pandemic requires more than ever to rely on consciousness, culture and creativity to increase the intelligence of our surroundings, allowing our sense of belonging and improving our personal and mutual wellbeing