RESUMEN
Quality of sleep is an important attribute of an individual's health state and its assessment is therefore a useful diagnostic feature. Changes in the patterns of mobility in bed during sleep can be a disease marker or can reflect various abnormal physiological and neurological conditions. This paper describes a method for detection of movement in bed that is evaluated on data collected from patients admitted for regular polysomnography. The system is based on load cells installed at the supports of a bed. Since the load cell signal varies the most during movement, the approach uses a weighted combination of the short-term mean-square differences of each load cell signal to capture the variations in the signal caused by movement. We use a single univariate Gaussian model to represent each class: movement versus non-movement. We assess the performance of the method against manual annotation performed by a sleep clinic technician from seventeen patients. The proposed detection method achieved an overall sensitivity of 97.9% and specificity of 98.7%.
Asunto(s)
Actigrafía/métodos , Algoritmos , Interpretación Estadística de Datos , Modelos Estadísticos , Movimiento/fisiología , Polisomnografía/métodos , Sueño/fisiología , Adulto , Anciano , Simulación por Computador , Femenino , Humanos , Masculino , Persona de Mediana Edad , Distribución Normal , Reproducibilidad de los Resultados , Sensibilidad y EspecificidadRESUMEN
A patient's sleep/wake schedule is an important step underlying clinical evaluation of sleep-related complaints. Aspects related to timing of a person's sleep routine provide important clues regarding diagnosis and treatments. Solutions for sleep complaints may sometimes rely solely on changes in habits and life style, based on what is learned from daily rest-activity patterns. This paper describes an approach for determining two states, in-bed and out-of-bed, using load cells under the bed. These states are important because they can help characterize rest-activity patterns at nighttime or detect bed exits in hospitals or nursing homes. The information derived from the load cells is valuable as an objective and continuous measure of daily patterns, and it is particularly valuable in sleep studies in populations who would not be able to remember specific hours to complete sleep diaries. The approach is evaluated on data collected in a laboratory experiment, in a sleep clinic, and also on data collected from residents of an assisted-living facility.