Mobile App Interventions for Parkinson's Disease, Multiple Sclerosis and Stroke: A Systematic Literature Review.

Central nervous system diseases (CNSDs) lead to significant disability worldwide. Mobile app interventions have recently shown the potential to facilitate monitoring and medical management of patients with CNSDs. In this direction, the characteristics of the mobile apps used in research studies and their level of clinical effectiveness need to be explored in order to advance the multidisciplinary research required in the field of mobile app interventions for CNSDs. A systematic review of mobile app interventions for three major CNSDs, i.e., Parkinson's disease (PD), multiple sclerosis (MS), and stroke, which impose significant burden on people and health care systems around the globe, is presented. A literature search in the bibliographic databases of PubMed and Scopus was performed. Identified studies were assessed in terms of quality, and synthesized according to target disease, mobile app characteristics, study design and outcomes. Overall, 21 studies were included in the review. A total of 3 studies targeted PD (14%), 4 studies targeted MS (19%), and 14 studies targeted stroke (67%). Most studies presented a weak-to-moderate methodological quality. Study samples were small, with 15 studies (71%) including less than 50 participants, and only 4 studies (19%) reporting a study duration of 6 months or more. The majority of the mobile apps focused on exercise and physical rehabilitation. In total, 16 studies (76%) reported positive outcomes related to physical activity and motor function, cognition, quality of life, and education, whereas 5 studies (24%) clearly reported no difference compared to usual care. Mobile app interventions are promising to improve outcomes concerning patient's physical activity, motor ability, cognition, quality of life and education for patients with PD, MS, and Stroke. However, rigorous studies are required to demonstrate robust evidence of their clinical effectiveness.

Semantic Event Fusion of Different Visual Modality Concepts for Activity Recognition.

Combining multimodal concept streams from heterogeneous sensors is a problem superficially explored for activity recognition. Most studies explore simple sensors in nearly perfect conditions, where temporal synchronization is guaranteed. Sophisticated fusion schemes adopt problem-specific graphical representations of events that are generally deeply linked with their training data and focused on a single sensor. This paper proposes a hybrid framework between knowledge-driven and probabilistic-driven methods for event representation and recognition. It separates semantic modeling from raw sensor data by using an intermediate semantic representation, namely concepts. It introduces an algorithm for sensor alignment that uses concept similarity as a surrogate for the inaccurate temporal information of real life scenarios. Finally, it proposes the combined use of an ontology language, to overcome the rigidity of previous approaches at model definition, and a probabilistic interpretation for ontological models, which equips the framework with a mechanism to handle noisy and ambiguous concept observations, an ability that most knowledge-driven methods lack. We evaluate our contributions in multimodal recordings of elderly people carrying out IADLs. Results demonstrated that the proposed framework outperforms baseline methods both in event recognition performance and in delimiting the temporal boundaries of event instances.