Abstract

Internet of Things (IoT) solutions are a concrete answer to many needs in the healthcare framework since they enable remote support for patients and foster continuity of care. Currently, frail elderly people are among end users who most need and would benefit from IoT solutions from both a social and a healthcare point of view. Indeed, IoT technologies can provide a set of services to monitor the healthcare of the elderly or support them in order to reduce the risk of injuries, and preserve their motor and cognitive abilities. The main feature of IoT solutions for the elderly population is ease of use. Indeed, to fully exploit the potential of an IoT solution, patients should be able to autonomously deal with it. The remote-monitoring validation engineering system (ReMoVES) described here is an IoT solution that caters to the specific needs of frail elderly individuals. Its architecture was designed for use at rehabilitation centers and at patients’ homes. The system is user-friendly and comfortably usable by persons who are not familiar with technology. In addition, exergames enhance patient engagement in order to curb therapy abandonment. Along with the technical presentation of the solution, a real-life scenario application is described referring to sit-to-stand activity.

Highlights

  • The ongoing digital transformation in our society has significant impact on several technological aspects, such that the term Fourth Industrial Revolution has been used for a few years

  • This paper presents the remote-monitoring validation engineering system (ReMoVES; numip.it/removes) [14], developed at the Università degli Studi di Genova

  • The current study involved 13 frail elderly people (6 females and 7 males) with an average age of 82.3 ± 6.2 who participated several times to the rehabilitation sessions via ReMoVES. This was a preliminary feasibility study to evaluate the possible use of ReMoVES in a real-world scenario

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Summary

Introduction

The ongoing digital transformation in our society has significant impact on several technological aspects, such that the term Fourth Industrial Revolution has been used for a few years. As another revolution [1], Internet of Things (IoT) solutions are becoming increasingly relevant, and their use is consistently growing in several application domains. USD 63 billion of savings due to the deployment of medical IoT by 2022 [4] All this is due to growing investments in digital technology implementation at healthcare institutions that address the need for the care of a growing geriatric population [5] coupled with the rising prevalence of chronic conditions [6]. Applications such as telemedicine, remote patient monitoring, and interactive medicine have a precise and crucial position in the fight against the coronavirus, such that several nations officially recommended their use [7]

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