Erika Rovini

Ambient Assisted Living and ageing: Preliminary results of RITA project

The ageing of population is a social phenomenon that most of worldwide countries are facing. They are, and will be even more in the future, indeed trying to find solutions for improving quality of life of their elderly citizens. The project RITA wants to demonstrate that an update of the current socio-medical services with an Ambient Assisted Living (AAL) approach could improve the service efficiency and the quality of life of both elderly and caregiver. This paper presents the preliminary results obtained in RITA.

How Wearable Sensors Can Support Parkinson's Disease Diagnosis and Treatment: A Systematic Review

Background: Parkinsons disease (PD) is a common and disabling pathology that is characterized by both motor and non-motor symptoms and affects millions of people worldwide. The disease significantly affects quality of life of those affected. Many works in literature discuss the effects of the disease. The most promising trends involve sensor devices, which are low cost, low power, unobtrusive, and accurate in the measurements, for monitoring and managing the pathology. Objectives: This review focuses on wearable devices for PD applications and identifies five main fields: early diagnosis, tremor, body motion analysis, motor fluctuations (ON–OFF phases), and home and long-term monitoring. The concept is to obtain an overview of the pathology at each stage of development, from the beginning of the disease to consider early symptoms, during disease progression with analysis of the most common disorders, and including management of the most complicated situations (i.e., motor fluctuations and long-term remote monitoring). Data sources: The research was conducted within three databases: IEEE Xplore®, Science Direct®, and PubMed Central®, between January 2006 and December 2016. Study eligibility criteria: Since 1,429 articles were found, accurate definition of the exclusion criteria and selection strategy allowed identification of the most relevant papers. Results: Finally, 136 papers were fully evaluated and included in this review, allowing a wide overview of wearable devices for the management of Parkinsons disease.

Biomechanical parameter assessment for classification of Parkinson’s disease on clinical scale:

The primary goal of this study was to investigate computerized assessment methods to classify motor dysfunctioning of patients with Parkinson’s disease on the clinical scale. In this proposed system, machine learning–based computerized assessment methods were introduced to assess the motor performance of patients with Parkinson’s disease. Biomechanical parameters were acquired from six exercises through wearable inertial sensors: SensFoot V2 and SensHand V1. All patients were evaluated via neurologist by means of the clinical scale. The average rating was calculated from all exercise ratings given by clinicians to estimate overall rating for each patient. Patients were divided in two groups: slight–mild patients with Parkinson’s disease and moderate–severe patients with Parkinson’s disease according to average rating (“0: slight and mild” and “1: moderate and severe”). Feature selection methods were used for the selection of significant features. Selected features were trained in support vector machine, logistic regression, and neural network to classify the two groups of patients. The highest classification accuracy obtained by support vector machine classifier was 79.66%, with 0.8790 area under the curve. A 76.2% classification accuracy was obtained with 0.7832 area under the curve through logistic regression. A 83.10% classification accuracy was obtained by neural network classifier, with 0.889 area under the curve. Strong distinguishability of the models between the two groups directs the high possibility of motor impairment classification through biomechanical parameters in patients with Parkinson’s disease based on the clinical scale.

Combining olfactory test and motion analysis sensors in Parkinson's disease preclinical diagnosis: a pilot study

Preclinical diagnosis of Parkinsons disease (PD) is nowadays a topic of interest as the neuropathological process could begin years before the appearance of motor symptoms. Several symptoms, among them hyposmia, could precede motor features in PD. In the preclinical phase of PD, a subclinical reduction in motor skills is highly likely. In this pilot study, we investigate a step‐by‐step method to achieve preclinical PD diagnosis.

RITA Project: An Ambient Assisted Living Solution for Independent and Safely Living of Aging Population

This paper presents the work carried out during the RITA Project, a study that focused on designing and implementing Ambient Assisted Living (AAL) services in the real context of Province of Pisa (Tuscany, Italy). The main objective of the RITA Project was to demonstrate the efficiency and the feasibility of new socio-medical services based on AAL approach. The user target of this project were elderly persons of Pisa area, living mainly alone or with a partner at their home, and their formal and informal caregivers. According to their needs new services and ICT system were developed and tested in order to improve the sense of safety of elderly people and caregivers.

A Wearable System for Stress Detection Through Physiological Data Analysis

In the last years the impact of stress on the society has been increased, resulting in 77% of people that regularly experiences physical symptoms caused by stress with a negative impact on their personal and professional life, especially in aging working population. This paper aims to demonstrate the feasibility of detection and monitoring of stress, inducted by mental stress tests, through the analysis of physiological data collected by wearable sensors. In fact, the physiological features extracted from heart rate variability and galvanic skin response showed significant differences between stressed and not stressed people. Starting from the physiological data, the work provides also a cluster analysis based on Principal Components (PCs) able to showed a visual discrimination of stressed and relaxed groups. The developed system would support active ageing, monitoring and managing the level of stress in ageing workers and allowing them to reduce the burden of stress related to the workload on the basis of personalized interventions.

Evaluation of an Integrated System of Wearable Physiological Sensors for Stress Monitoring in Working Environments by Using Biological Markers

Objective: The objectives of this paper are to develop and test the ability of a wearable physiological sensors system, based on ECG, EDA, and EEG, to capture human stress and to assess whether the detected changes in physiological signals correlate with changes in salivary cortisol level, which is a reliable, objective biomarker of stress. Methods: 15 healthy participants, eight males and seven females, mean age 40.8 ± 9.5 years, wore a set of three commercial sensors to record physiological signals during the Maastricht Acute Stress Test, an experimental protocol known to elicit robust physical and mental stress in humans. Salivary samples were collected throughout the different phases of the test. Statistical analysis was performed using a support vector machine (SVM) classification algorithm. A correlation analysis between extracted physiological features and salivary cortisol levels was also performed. Results: 15 features extracted from heart rate variability, electrodermal, and electroencephalography signals showed a high degree of significance in disentangling stress from a relaxed state. The classification algorithm, based on significant features, provided satisfactory outcomes with 86% accuracy. Furthermore, correlation analysis showed that the observed changes in physiological features were consistent with the trend of salivary cortisol levels (R2 = 0.714). Conclusion: The tested set of wearable sensors was able to successfully capture human stress and quantify stress level. Significance: The results of this pilot study may be useful in designing portable and remote control systems, such as medical devices used to turn on interventions and prevent stress consequences.

Comparative Motor Pre-clinical Assessment in Parkinson’s Disease Using Supervised Machine Learning Approaches

Millions of people worldwide are affected by Parkinson’s disease (PD), which significantly worsens their quality of life. Currently, the diagnosis is based on assessment of motor symptoms, but interest toward non-motor symptoms is increasing, as well. Among them, idiopathic hyposmia (IH) is associated with an increased risk of developing PD in healthy adults. In this work, a wearable inertial device, named SensFoot V2, was used to acquire motor data from 30 healthy subjects, 30 people with IH, and 30 PD patients while performing tasks from the MDS-UPDRS III for lower limb assessment. The most significant and non-correlated extracted parameters were selected in a feature array that can identify differences between the three groups of people. A comparative classification analysis was performed by applying three supervised machine learning algorithms. The system resulted able to distinguish between healthy and patients (specificity and recall equal to 0.967), and the people with IH can be identified as a separate class within a three-group classification (accuracy equal to 0.78). Thus, the system could support the clinician in objective assessment of PD. Further, identification of IH together with changes in motor parameters could be a non-invasive two-step approach to investigate the early onset of PD.