Parkinson’s Disease Management through ICT: The REMPARK Approach

Parkinson’s Disease Management through ICT: The REMPARK Approach

River Publishers Series in Biomedical Engineering

Parkinson’s Disease Management through ICT: The REMPARK Approach

Editors:
Joan Cabestany, Universitat Politècnica de Catalunya UPC, Barcelona, Spain
Àngels Bayés, Uparkinson Teknon, Grupo Hospitalario Quirón, Barcelona, Spain

ISBN: 9788793519466

Available: July 2017

doi: https://doi.org/10.13052/rp-9788793519459


Parkinson's Disease (PD) is a neurodegenerative disorder that manifests with motor and non-motor symptoms. PD treatment is symptomatic and tries to alleviate the associated symptoms through an adjustment of the medication. As the disease is evolving and this evolution is patient specific, it could be very difficult to properly manage the disease.

The current available technology (electronics, communication, computing, etc.), correctly combined with wearables, can be of great use for obtaining and processing useful information for both clinicians and patients allowing them to become actively involved in their condition.

Parkinson's Disease Management through ICT: The REMPARK Approach presents the work done, main results and conclusions of the REMPARK project (2011 - 2015) funded by the European Union under contract FP7-ICT-2011-7-287677. REMPARK system was proposed and developed as a real Personal Health Device for the Remote and Autonomous Management of Parkinson's Disease, composed of different levels of interaction with the patient, clinician and carers, and integrating a set of interconnected sub-systems: sensor, auditory cueing, Smartphone and server. The sensor subsystem, using embedded algorithmics, is able to detect the motor symptoms associated with PD in real time. This information, sent through the Smartphone to the REMPARK server, is used for an efficient management of the disease.

Implementation of REMPARK will increase the independence and Quality of Life of patients; and improve their disease management, treatment and rehabilitation.
Parkinson’s disease, disease management, wearing off fluctuations, dyskinesia’s, Freezing of gait, ON/OFF states detection, automatic detection of motor symptoms, wearable sensors, auditory cueing system

Chapter 1: Parkinson’s Disease Management: Trends and Challenges
by Angels Bayés and Timothy J Counihan


882

Chapter 2: Objective Measurement of Symptoms in PD
by Timothy J Counihan and Angels Bayés


731

Chapter 3: The REMPARK System
by Joan Cabestany, J. Manuel Moreno and Rui Castro


1044

Chapter 4: Assessment of Motor Symptoms
by Albert Sama, Carlos Pérez, Daniel Rodriguez-Martin, Alejandro Rodriguez-Molinero, Sheila Alcaine, Berta Mestre, Anna Prats and M. Cruz Crespo


786

Chapter 5: Sensor Sub-System
by Carlos Pérez and Daniel Rodriguez-Martin


684

Chapter 6: User Interaction
by Ana Correira de Barros, João Cevada and Ricardo Graça


1161

Chapter 7: Actuator Sub-System:The Auditory Cueing
by Vânia Guimarães, Rui Castro, Angels Bayés, Carlos Pérez and Daniel Rodriguez-Martin


968

Chapter 8: Disease Management System (DMS)
by Hadas Lewy


1206

Chapter 9: REMPARK System Assessment: Main Results
by Albert Sama, J. Manuel Moreno, Carlos Pérez, Joan Cabestany, Angels Bayés and Jordi Rovira


785

Chapter 10: Epilogue and Some Conclusions
by Roberta Annicchiarico, Angels Bayés and Joan Cabestany


743