Abstract

Adopting telemonitoring services during the pandemic for people affected by chronic disease is fundamental to ensure access to health care services avoiding the risk of COVID-19 infection. Among chronic diseases, Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s disease, is a progressive neurodegenerative disease of adulthood, caused by the loss of spinal, bulbar and cortical motor neurons, which leads to paralysis of the voluntary muscles and, also, involves respiratory ones. Therefore, remote monitoring and teleconsulting are essential services for ALS patients with limited mobility, as the disease progresses, and for those living far from ALS centres and hospitals. In addition, the COVID 19 pandemic has increased the need to remotely provide the best care to patients, avoiding infection during ALS centre visits. The paper illustrates an innovative, secure medical monitoring and teleconsultation mobile cloud-based system for disabled people, such as those with ALS (Amyotrophic Lateral Sclerosis). The design aims to remotely monitor biosignals, such as ECG (electrocardiographic) and EMG (electromyographic) signals of ALS patients in order to prevent complications related to the pathology.

Highlights

  • The coronavirus disease-19 (COVID-19) epidemic is a public health emergency of international concern

  • Telemedicine is an effective option with which to fight the outbreak of COVID-19 [1,2] since it provides health services through information technologies and the data network, allowing them to function at a distance

  • This paper aims to present the design and implementation of an innovative medical mobile cloud-based system, named SIMpLE, to improve the monitoring of disease complications in patients affected by neurodegenerative diseases, such as Amyotrophic Lateral Sclerosis (ALS) patients, and the elderly

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Summary

Introduction

The coronavirus disease-19 (COVID-19) epidemic is a public health emergency of international concern. Thanks to telemedicine, it is possible to provide healthcare assistance to patients who cannot access it directly for various reasons [3,4,5,6]. Telecommunication systems make it possible to transmit medical information in the form of texts, images and sounds for the prevention, diagnosis, treatment, and remote control of the patient, avoiding physical movement. Telemedicine allows out-of-hospital control of patients suffering from chronic diseases, ensuring timely intervention in emergencies [10,11,12,13,14]

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