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La regolazione sensoriale guidata: “Ambient Intelligence”.
Riganello, Francesco
2016
 

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Keywords :
Heart Rate Variability; Disorders of Consciousness; Stimulation
Abstract :
[en] The Heart Rate Variability (HRV) analysis represents a non-invasive and robust method to analyze the ANS sympatho-vagal balance. It represents the fluctuation in the time intervals between adjacent heart beats and can be analysed in the time or frequency domain, or using non-linear methods during a monitoring lasting from 5 minutes (short-term variability) to more than 24 h (long-term variability) HRV was also correlated to behavioural response in MCS and UWS/VS patients and its decreasing variability was associated to the increasing of critical conditions in these patients. The implementation of an Ambient intelligence system with sensor networks for the continuous automatic monitoring of subjects with severe brain damage and disorder of consciousness could provide an accurate system of observation of the patient-ambient interaction, offering a better support to the clinical decision in the rehabilitation phase. Further, an accurate monitoring of the sympathovagal balance would allow test the visual fixation and eye pursuit response with greater accuracy and have these signs eventually reconsidered as indices of recovered consciousness or predictors of evolution and outcome. The autonomic system functional state should be re-considered as an independent variable potentially affecting other measures of CNS function of varying complexity, from clinical signs to indices of regional brain activation. Improvement and the advancement of the therapeutic approach in the acute phase and new methods of rehabilitation of consciousness with sensory regulation and the application of ambient intelligence could represent a possible new possible approach in the frame of the Disorder of Consciousness.
Disciplines :
Neurology
Author, co-author :
Riganello, Francesco ;  S. Anna Institute - Crotone - Italy > Researcher
Language :
Italian
Title :
La regolazione sensoriale guidata: “Ambient Intelligence”.
Alternative titles :
[en] Guided Sensory Stimulation: Ambient Intelligence
Publication date :
23 September 2016
Event name :
20 anni di riabilitazione [20 Years of Rehabilitation]
Event organizer :
S.Anna Institute
Event place :
Crotone, Italy
Event date :
23 September 2016
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since 28 February 2019

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