mhealth platform for Parkinson’s disease management
PD_manager is a research project funded by the European Commission under the Horizon 2020 programme. Specifically, PD_manager was born under the PHC-26 topic Self management of health and disease: citizen engagement and mHealth aimed at “Empowering citizens to manage their own health and disease will result in more cost-effective healthcare systems by improving utilisation of healthcare, enabling the anagement of chronic diseases outside institutions, improving health outcomes, and by encouraging healthy citizens to remain so.” For LST, PD_manager continues part fo the work we did at the PERFORM project.
Parkinson’s disease is one of the most common neurodegenerative disorders. It occurs in about 1% of the population over the age of 60 and its prevalence increases with age. The platform was composed by a set of wearable sensors devices for the recording of the motion signals and a set of software algorithms for the signal processing. The hardware was formed by a set of four tri-axial accelerometers positioned at each patient limb used to record signals from legs and harms; a belt sensor, composed by an accelerometer and a gyroscope, used to record body movement accelerations and angular rate; and a data logger used to receive and store all recorded signals in a SD card.
The objective of the project is to build and evaluate an innovative a mHealth ecosystem for Parkinson’s disease (PD) management. The facts are startling. More than one million people live with Parkinson’s in Europe today and this number is forecast to double by 2030. It is the second most common neurodegenerative disease (after Alzheimer’s disease) and its prevalence will continue to grow as the population ages. Parkinson’s is a complicated, individual disorder that most people live with for many years/decades. For this reason, a multidisciplinary disease management, involving several professions working together (neurologists, physiotherapists, speech and language therapists, occupational therapists, dieticians), is important to ensure that the patient retains his/her independence and continues to enjoy the best quality of life possible. In the same context the role of the caregiver is of paramount importance.
The mHealth platform Different devices and wearable sensors will be used within PD_manager to carry out the continuous monitoring as well as to enable the performance of phone-based test and the delivery of education and training:
- The wristband – continuously captures heart rate patterns, motion (with a 3-axis accelerometer), perspiration and skin temperature.
- The sensor insole – Moticon’s novel sensor insole is an every-day, flexible and thin solution to measure distribution of pressure, acceleration, weight-bearing, balance and motion sequences.
- A smart pillbox – will be used to track the medication adherence of the patient.
- Smartphone – a smartphone will be used to centralize the other elements of the mHealth platform as well as to deliver some specific tests, training and educational material. Caregivers and clinicians will also be provided with a smartphone solutions to take part in the care process.