Parkinson’s Disease Management through ICT: The REMPARK Approach

Cabestany, Joan; Bayés, Àngels

doi:10.13052/rp-9788793519459

Cited by 6 publications

(12 citation statements)

References 1 publication

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“…In addition, patient-centric care is less fragmented when all professionals' boundaries are blurred unlike in the traditional multidisciplinary approach. New care models based on recent technological developments that combine remote monitoring and self-monitoring may allow for a decrease in hospital care and allow truly patient-centric care to be achieved (40).…”

Section: Discussionmentioning

confidence: 99%

Patient-Centric Care for Parkinson's Disease: From Hospital to the Community

Aye

Liew²,

Neo

et al. 2020

Front. Neurol.

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Parkinson's disease (PD) is a chronic neurodegenerative disease with complex motor and non-motor symptoms often leading to significant caregiver burden. An integrated, multidisciplinary care setup involving different healthcare professionals is the mainstay in the holistic management of PD. Many challenges in delivering multidisciplinary team (MDT) care exist, such as insufficient expertise among different healthcare professionals, poor interdisciplinary collaboration, and communication. The need to attend different clinics, incurring additional traveling and waiting time for allied health therapies can also make MDT care more burdensome. By shifting MDT care to local community settings and into patients' homes, patient-centered care can be achieved. In Singapore, the National Neuroscience Institute created the Community Care Partners Programme in 2007 to bring the allied MDT team to the community and nurse-led Integrated Community Care Programme for Parkinson's Disease in 2012 to provide care in community and at patient's home. However, attaining MDT care in the community setting is difficult to achieve where there is a shortage of PD-trained professionals. As such, interdisciplinary and transdisciplinary management would be other best practice options to deliver patient-centric care in PD. Telemedicine could be another viable option to bring the MDT closer to the patient.

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Section: Discussionmentioning

confidence: 99%

Patient-Centric Care for Parkinson's Disease: From Hospital to the Community

Aye

Liew²,

Neo

et al. 2020

Front. Neurol.

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“…A starting point for this activity was the publication in 2009 of the hypothesis about the possibility of adjusting the necessary dose of apomorphine pumps by detecting motor fluctuations with wearable sensors ( 96 ). Continuing with the study of motor symptoms in PD, new lines of research, focused on ambulatory monitoring of specific motor symptoms, were mainly performed in the projects Monitoring the Mobility of Parkinson's Patients for Therapeutic Purposes (MoMoPa Project) ( 97 ), Home-Based Empowered Living for Parkinson ' s Disease (HELP project) ( 98 , 99 ), Personal Health Device for the Remote and Autonomous Management of Parkinson ' s Disease (REMPARK project) ( 24 , 100 , 101 ), the MoMoPa-2 project ( 102 ), and the MASPARK project ( 103 ). Within these projects, the resultant algorithmic set was validated by introducing new patients.…”

Section: Background On Stat-on Tm -Embedded Algori...mentioning

confidence: 99%

“…In a patient affected with bradykinesia, gait is altered by reducing the cadence and the step length, a part of having problems of instability. Bradykinetic gait is affected by levodopa ( 21 , 22 ), and some studies have focused on bradykinetic gait as a crucial symptom to analyze the behavior of motor fluctuations along the day ( 23 , 24 ). Due to the motor complications of the disease, the patient takes the medication before the doctor's visit for reaching the healthcare center without mobility problems.…”

Section: Introductionmentioning

confidence: 99%

A New Paradigm in Parkinson's Disease Evaluation With Wearable Medical Devices: A Review of STAT-ONTM

et al. 2022

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In the past decade, the use of wearable medical devices has been a great breakthrough in clinical practice, trials, and research. In the Parkinson's disease field, clinical evaluation is time limited, and healthcare professionals need to rely on retrospective data collected through patients' self-filled diaries and administered questionnaires. As this often leads to inaccurate evaluations, a more objective system for symptom monitoring in a patient's daily life is claimed. In this regard, the use of wearable medical devices is crucial. This study aims at presenting a review on STAT-ONTM, a wearable medical device Class IIa, which provides objective information on the distribution and severity of PD motor symptoms in home environments. The sensor analyzes inertial signals, with a set of validated machine learning algorithms running in real time. The device was developed for 12 years, and this review aims at gathering all the results achieved within this time frame. First, a compendium of the complete journey of STAT-ONTM since 2009 is presented, encompassing different studies and developments in funded European and Spanish national projects. Subsequently, the methodology of database construction and machine learning algorithms design and development is described. Finally, clinical validation and external studies of STAT-ONTM are presented.

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“…Yet, all solutions are limited to the use of the metronome as a strategy for cueing. In addition to the limited effects they may offer, overly simplistic sounds such as the metronome can become monotonous after prolonged use [5]. Alternative types of auditory stimulation -for example, sound synthesis and (rhythm-matched) music -are currently not supported.…”

Section: Related Workmentioning

confidence: 99%

“…However, and while auditory cueing is simple, effective, and free from side-effects, current solutions lack personalization options. In addition, they are affected by the lack novelty effect due to stimuli repetition [5,35].…”

Section: Introductionmentioning

confidence: 99%

A Wearable, Customizable, and Automated Auditory Cueing System to Stimulate Gait in Parkinson’s

Guimar�ães

Nunes

2018

Proceedings of the Proceedings of the 12th EAI International Conference on Pervasive Computing Technologies for Healthcare – De

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Gait impairments often hinder the mobility of people living with Parkinson's. Even though effective therapeutic options exist, with time, progression of the condition is likely to restrict their effect. Auditory cueing has been used as an alternative to improve the gait of people living with Parkinson's, however, existing solutions offer limited customization options, which restricts their efficacy in everyday life. This paper presents a wearable, customizable, and automated system that stimulates gait using rhythmic cues. Besides offering personalization of the type of stimuli, the system enables customization of temporal parameters of walking, such as cadence and swing/stance duration. The developed system uses off-the-shelf equipment and can be tailored to the needs of the patient. CCS CONCEPTS • Applied computing → Health informatics; • Humancentered computing → Mobile devices;

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Parkinson’s Disease Management through ICT: The REMPARK Approach

Cited by 6 publications

References 1 publication

Patient-Centric Care for Parkinson's Disease: From Hospital to the Community

Patient-Centric Care for Parkinson's Disease: From Hospital to the Community

A New Paradigm in Parkinson's Disease Evaluation With Wearable Medical Devices: A Review of STAT-ONTM

A Wearable, Customizable, and Automated Auditory Cueing System to Stimulate Gait in Parkinson’s

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