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

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

Mind and Places. A Multidisciplinary Approach to the Design of Contemporary City

The book explores the contribution of psychological, neuroscientific and philosophical perspectives to the design of contemporary city. Through an innovative and multidisciplinary approach, it addresses the need to re-launch knowledge and creativity as major cultural and institutional bases of human communities. Dwelling is a form of knowledge and re-invention of reality that involves both the tangible dimension of physical places and their mental representation. Findings in the neuro-scientific field open increasingly stimulating perspectives to the design of spaces and highlight how our ability to understand other people is strongly related to our corporeity. The first part brings the contribution of different disciplines that deal with the spatial dimension from a theoretical perspective, trying to deepen the complementary role that science and art can play in a transversal perspective. The second one proposes some reflections useful to promote an integration between the aesthetic and the cultural dimension in the space design. The book benefits scholars, academics and practitioners that are involved in the process of planning, designing and building places, and fosters an international exchange of research, case studies and theoretical reflections to confront the challenges of designing conscious places, gaining awareness of the unique creative process underlying the generation of dreams, works of art as well as most of human enterprises and enabling the development of communities