World Congress on Medical and Health Informatics, 2007
Stroke is a serious neurological accident which accounts for a wide fraction of the healthcare co... more Stroke is a serious neurological accident which accounts for a wide fraction of the healthcare costs in industrialized societies. Recovery from stroke and other neurological accidents usually include motor rehabilitation, maintained for several months, and logopedic training for the recovery of cognitive and speech abilities. The MyHeart consortium is addressing several aspects of cardiovascular diseases' management by combining clothes with embedded biomedical sensors and information technologies. One of the application areas is especially devoted to supporting Neurological Rehabilitation (NR). This article describes how MyHeart's Concept NR is structured and how technologies are leveraged to support both motor rehabilitation and speech/cognitive training. Information technology and garment-embedded sensors, combined, permit assisted training both at the clinic and at home, after discharge from the intensive care unit.
We describe a system that facilitates speech therapists to administer cognitive rehabilitation ex... more We describe a system that facilitates speech therapists to administer cognitive rehabilitation exercises and to evaluate treatment outcomes. We started by augmenting a commercial tool with a more user-friendly interface, meeting the needs of the healthcare professionals involved. Then we integrated, into the same tool, a new type of exercise, that is particularly patient-tailored, being based on the recognition of
... DOI: 10.1080/02687030600738838 Reading disorders in a language with shallow orthography: A mu... more ... DOI: 10.1080/02687030600738838 Reading disorders in a language with shallow orthography: A multiple single-case study in Italian Alessio Toraldo University of Pavia, Italy Barbara Cattani and Giusi Zonca Salvatore Maugeri Foundation, Montescano & Pavia, Italy ...
Patients after tracheostomy often present swallowing dysfunctions but little is known about the m... more Patients after tracheostomy often present swallowing dysfunctions but little is known about the mechanism underlying dysphagia and its reversibility. The aims of this study were: 1) to characterize swallowing dysfunctions in patients with dysphagia and tracheostomy; 2) to evaluate the reversibility of these changes; 3) to evaluate the possible influence of the underlying disease. Prospective, observational, single-center study enrolling patients with tracheostomy admitted to a rehabilitation center over a period of 36 months. All patients who were found to be dysphagic underwent a swallowing study with videofluoroscopy (VF) at the beginning of hospital stay and a second VF study was repeated after approximately 4 weeks. A total of 557 patients with tracheostomy were admitted to the rehabilitation center during the considered period. 187 patients fulfilled the enrolling criteria and were studied with VF soon after admission. They had been tracheostomized for respiratory failure secon...
Studies in Health Technology and Informatics, 2017
In this work we describe an experiment involving aphasic patients, where the same speech rehabili... more In this work we describe an experiment involving aphasic patients, where the same speech rehabilitation exercise was administered in three different modalities, two of which are computer-based. In particular, one modality exploits the "Makey Makey", an electronic board which allows interacting with the computer using physical objects.
Valutazione della funzione deglutitoria nei pazienti tracheotomizzati I pazienti tracheotimitizza... more Valutazione della funzione deglutitoria nei pazienti tracheotomizzati I pazienti tracheotimitizzati hanno spesso disturbi di deglutizione. Abbiamo studiato un gruppo di pazienti nel nostro reparto con videofluoroscopia al fine di valutare le ragioni principali di disfagia e al fine di capire se le patologie di base possano svolgere un ruolo nella difficoltà a deglutire. I 188 pazienti sono stati studiati in modo prospettico, 82 erano affetti da malattie croniche dell'apparato respiratorio e 106 da ictus cerebrale. La disfagia è stata causata principalmente da un alterato movimento all'indietro dell'epiglottide, da retrazione faringea e da penetrazione nella laringe. I pazienti con malattie respiratorie croniche hanno avuto le peggiori anomalie della deglutizione dovute principalmente alla perdita di coordinamento tra respirazione e deglutizione. Swallowing disturbances evaluation in tracheotomized patients Tracheotomized patients often have swallowing disturbances. We ha...
Tracheotomized patients (Tp) are often dysphagic and videofluoroscopy (VF) represents the gold st... more Tracheotomized patients (Tp) are often dysphagic and videofluoroscopy (VF) represents the gold standard diagnostic technique. We wanted to evaluate with VF the swallowing function (SF) of a group of 80 Tp admitted to our centre: 48 (group N) were free from a chronic respiratory disease (CRD) and had been tracheotomized for a central nervous system hemorrhage or ischemia while the other 32 had been tracheotomized for the exacerbation of a CRD (group P). All patients were studied with VF twice: few days after admission (t0) and after the rehabilitation period (t1). The following aspects of SF were assessed: glottis elevation (E), epiglottis folding (EF), oral phase (OP), pharyngeal retention (PR), onset of reflex (OR), penetration (P) and inhalation (I). Every item was scored 1, 2 or 3 when it was judged, respectively, normal, slightly altered of abnormal. Differences in terms of categorical scores distributions between the two groups were tested with Pearson's chi square test, while t0 and t1 scores were compared separately for each group by Wilcoxon test to search for an improvement. At t0, Tp in group N exhibited better scores than Tp in group P with respect to EF, PR, P and I (p<0.02). At t1, Tp in group N had significantly improved their scores compared to t0 with respect to AE, EF, OP, PR, P and I (p<0.02), while Tp in group P improved only for I (p<0.01). In conclusion, the presence of a CRD significantly impairs the SF, mainly for the disrupted coordination between swallowing and breathing. Even at the end of a rehabilitation course, Tp affected by a CRD exhibit limited improvement, while those suffering from previous cerebral ischemia or hemorrhage significantly improve their SF.
Tracheotomized patients (Tp) are often dysphagic and videofluoroscopy (VF) represents the gold st... more Tracheotomized patients (Tp) are often dysphagic and videofluoroscopy (VF) represents the gold standard diagnostic technique. We wanted to evaluate with VF the swallowing function (SF) of a group of 80 Tp admitted to our centre: 48 (group N) were free from a chronic respiratory disease (CRD) and had been tracheotomized for a central nervous system hemorrhage or ischemia while the other 32 had been tracheotomized for the exacerbation of a CRD (group P). All patients were studied with VF twice: few days after admission (t0) and after the rehabilitation period (t1). The following aspects of SF were assessed: glottis elevation (E), epiglottis folding (EF), oral phase (OP), pharyngeal retention (PR), onset of reflex (OR), penetration (P) and inhalation (I). Every item was scored 1, 2 or 3 when it was judged, respectively, normal, slightly altered of abnormal. Differences in terms of categorical scores distributions between the two groups were tested with Pearson's chi square test, wh...
In this work we describe an experiment involving aphasic patients, where the same speech rehabili... more In this work we describe an experiment involving aphasic patients, where the same speech rehabilitation exercise was administered in three different modalities, two of which are computer-based. In particular, one modality exploits the "Makey Makey", an electronic board which allows interacting with the computer using physical objects.
World Congress on Medical and Health Informatics, 2007
Stroke is a serious neurological accident which accounts for a wide fraction of the healthcare co... more Stroke is a serious neurological accident which accounts for a wide fraction of the healthcare costs in industrialized societies. Recovery from stroke and other neurological accidents usually include motor rehabilitation, maintained for several months, and logopedic training for the recovery of cognitive and speech abilities. The MyHeart consortium is addressing several aspects of cardiovascular diseases&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; management by combining clothes with embedded biomedical sensors and information technologies. One of the application areas is especially devoted to supporting Neurological Rehabilitation (NR). This article describes how MyHeart&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s Concept NR is structured and how technologies are leveraged to support both motor rehabilitation and speech/cognitive training. Information technology and garment-embedded sensors, combined, permit assisted training both at the clinic and at home, after discharge from the intensive care unit.
We describe a system that facilitates speech therapists to administer cognitive rehabilitation ex... more We describe a system that facilitates speech therapists to administer cognitive rehabilitation exercises and to evaluate treatment outcomes. We started by augmenting a commercial tool with a more user-friendly interface, meeting the needs of the healthcare professionals involved. Then we integrated, into the same tool, a new type of exercise, that is particularly patient-tailored, being based on the recognition of
... DOI: 10.1080/02687030600738838 Reading disorders in a language with shallow orthography: A mu... more ... DOI: 10.1080/02687030600738838 Reading disorders in a language with shallow orthography: A multiple single-case study in Italian Alessio Toraldo University of Pavia, Italy Barbara Cattani and Giusi Zonca Salvatore Maugeri Foundation, Montescano &amp; Pavia, Italy ...
Patients after tracheostomy often present swallowing dysfunctions but little is known about the m... more Patients after tracheostomy often present swallowing dysfunctions but little is known about the mechanism underlying dysphagia and its reversibility. The aims of this study were: 1) to characterize swallowing dysfunctions in patients with dysphagia and tracheostomy; 2) to evaluate the reversibility of these changes; 3) to evaluate the possible influence of the underlying disease. Prospective, observational, single-center study enrolling patients with tracheostomy admitted to a rehabilitation center over a period of 36 months. All patients who were found to be dysphagic underwent a swallowing study with videofluoroscopy (VF) at the beginning of hospital stay and a second VF study was repeated after approximately 4 weeks. A total of 557 patients with tracheostomy were admitted to the rehabilitation center during the considered period. 187 patients fulfilled the enrolling criteria and were studied with VF soon after admission. They had been tracheostomized for respiratory failure secon...
Studies in Health Technology and Informatics, 2017
In this work we describe an experiment involving aphasic patients, where the same speech rehabili... more In this work we describe an experiment involving aphasic patients, where the same speech rehabilitation exercise was administered in three different modalities, two of which are computer-based. In particular, one modality exploits the "Makey Makey", an electronic board which allows interacting with the computer using physical objects.
Valutazione della funzione deglutitoria nei pazienti tracheotomizzati I pazienti tracheotimitizza... more Valutazione della funzione deglutitoria nei pazienti tracheotomizzati I pazienti tracheotimitizzati hanno spesso disturbi di deglutizione. Abbiamo studiato un gruppo di pazienti nel nostro reparto con videofluoroscopia al fine di valutare le ragioni principali di disfagia e al fine di capire se le patologie di base possano svolgere un ruolo nella difficoltà a deglutire. I 188 pazienti sono stati studiati in modo prospettico, 82 erano affetti da malattie croniche dell'apparato respiratorio e 106 da ictus cerebrale. La disfagia è stata causata principalmente da un alterato movimento all'indietro dell'epiglottide, da retrazione faringea e da penetrazione nella laringe. I pazienti con malattie respiratorie croniche hanno avuto le peggiori anomalie della deglutizione dovute principalmente alla perdita di coordinamento tra respirazione e deglutizione. Swallowing disturbances evaluation in tracheotomized patients Tracheotomized patients often have swallowing disturbances. We ha...
Tracheotomized patients (Tp) are often dysphagic and videofluoroscopy (VF) represents the gold st... more Tracheotomized patients (Tp) are often dysphagic and videofluoroscopy (VF) represents the gold standard diagnostic technique. We wanted to evaluate with VF the swallowing function (SF) of a group of 80 Tp admitted to our centre: 48 (group N) were free from a chronic respiratory disease (CRD) and had been tracheotomized for a central nervous system hemorrhage or ischemia while the other 32 had been tracheotomized for the exacerbation of a CRD (group P). All patients were studied with VF twice: few days after admission (t0) and after the rehabilitation period (t1). The following aspects of SF were assessed: glottis elevation (E), epiglottis folding (EF), oral phase (OP), pharyngeal retention (PR), onset of reflex (OR), penetration (P) and inhalation (I). Every item was scored 1, 2 or 3 when it was judged, respectively, normal, slightly altered of abnormal. Differences in terms of categorical scores distributions between the two groups were tested with Pearson's chi square test, while t0 and t1 scores were compared separately for each group by Wilcoxon test to search for an improvement. At t0, Tp in group N exhibited better scores than Tp in group P with respect to EF, PR, P and I (p<0.02). At t1, Tp in group N had significantly improved their scores compared to t0 with respect to AE, EF, OP, PR, P and I (p<0.02), while Tp in group P improved only for I (p<0.01). In conclusion, the presence of a CRD significantly impairs the SF, mainly for the disrupted coordination between swallowing and breathing. Even at the end of a rehabilitation course, Tp affected by a CRD exhibit limited improvement, while those suffering from previous cerebral ischemia or hemorrhage significantly improve their SF.
Tracheotomized patients (Tp) are often dysphagic and videofluoroscopy (VF) represents the gold st... more Tracheotomized patients (Tp) are often dysphagic and videofluoroscopy (VF) represents the gold standard diagnostic technique. We wanted to evaluate with VF the swallowing function (SF) of a group of 80 Tp admitted to our centre: 48 (group N) were free from a chronic respiratory disease (CRD) and had been tracheotomized for a central nervous system hemorrhage or ischemia while the other 32 had been tracheotomized for the exacerbation of a CRD (group P). All patients were studied with VF twice: few days after admission (t0) and after the rehabilitation period (t1). The following aspects of SF were assessed: glottis elevation (E), epiglottis folding (EF), oral phase (OP), pharyngeal retention (PR), onset of reflex (OR), penetration (P) and inhalation (I). Every item was scored 1, 2 or 3 when it was judged, respectively, normal, slightly altered of abnormal. Differences in terms of categorical scores distributions between the two groups were tested with Pearson's chi square test, wh...
In this work we describe an experiment involving aphasic patients, where the same speech rehabili... more In this work we describe an experiment involving aphasic patients, where the same speech rehabilitation exercise was administered in three different modalities, two of which are computer-based. In particular, one modality exploits the "Makey Makey", an electronic board which allows interacting with the computer using physical objects.
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