LSVT-X successfully increased vocal SPL (which was consistent with improvements following traditional LSVT), decreased perceived voice handicap, and improved functional speech in individuals with PD. Further large-scale research is required to truly establish LSVT-X efficacy.

Abstract-There is an increasing demand for smart fogcomputing gateways as the size of cloud data is growing. This paper presents a Fog computing interface (FIT) for processing clinical speech data. FIT builds upon our previous work on EchoWear, a wearable technology that validated the use of smartwatches for collecting clinical speech data from patients with Parkinson's disease (PD). The fog interface is a low-power embedded system that acts as a smart interface between the smartwatch and the cloud. It collects, stores, and processes the speech data before sending speech features to secure cloud storage. We developed and validated a working prototype of FIT that enabled remote processing of clinical speech data to get speech clinical features such as loudness, short-time energy, zero-crossing rate, and spectral centroid. We used speech data from six patients with PD in their homes for validating FIT. Our results showed the efficacy of FIT as a Fog interface to translate the clinical speech processing chain (CLIP) from a cloud-based backend to a fog-based smart gateway.

Data support the efficacy of LSVT LOUD to increase vocal loudness and functional communication in people with Parkinson disease. Timely intervention is essential for maximizing quality of life for people with Parkinson disease.

The increasing use of wearables in smart telehealth generates heterogeneous medical big data. Cloud and fog services process these data for assisting clinical procedures. IoT based ehealthcare have greatly benefited from efficient data processing. This paper proposed and evaluated use of low-resource machine learning on Fog devices kept close to the wearables for smart healthcare. In state-of-the-art telecare systems, the signal processing and machine learning modules are deployed in the cloud for processing physiological data. We developed a prototype of Fog-based unsupervised machine learning big data analysis for discovering patterns in physiological data. We employed Intel Edison and Raspberry Pi as Fog computer in proposed architecture. We performed validation studies on real-world pathological speech data from in-home monitoring of patients with Parkinson's disease (PD). Proposed architecture employed machine learning for analysis of pathological speech data obtained from smartwatches worn by the patients with PD. Results showed that proposed architecture is promising for low-resource clinical machine learning. It could be useful for other applications within wearable IoT for smart telehealth scenarios by translating machine learning approaches from the cloud backend to edge computing devices such as Fog.