Abstract
Long-term sleep monitoring of patients is interesting for the diagnosis of sleep disorders and for the continuous monitoring of the health state. However, traditional polysomnography is not suited for long-term monitoring due to various reasons and new intelligent solutions are required for the continuous and unobtrusive monitoring of sleep parameters. In this chapter we present the Mobility Monitor, a portable sleep monitoring system which has been developed specifically for elderly care facilities. The system informs the nursing staff about the patient’s movement patterns during the night. This information can be used for the assessment of the risk of pressure ulcer, to monitor bed exits or to observe the influence of medication on sleep behavior. With application examples of a nursing home and the results of a recent observational study, we will demonstrate the use of the mobility analysis and show how the additional insights can improve the care quality.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
- 2.
- 3.
- 4.
- 5.
- 6.
- 7.
- 8.
- 9.
- 10.
- 11.
References
Adami, A. M., Adami, A. G., Hayes, T. L., Pavel, M., & Beattie, Z. T. (2012). A Gaussian model for movement detection during sleep. In Annual International Conference of the IEEE Engineering in Medicine and Biology Society, (vol. 2012, pp. 2263–6). Jan 2012.
Adami, A. M., Pavel, M., Hayes, T. L., & Singer, C. M. (2010). Detection of movement in bed using unobtrusive load cell sensors. IEEE Transactions on Information Technology in Biomedicine, 14(2), 481–90.
Alametsä, J., Viik, J., Alakare, J., Värri, A., & Palomäki, A. (2008). Ballistocardiography in sitting and horizontal positions. Physiological Measurement, 29(9), 1071–87.
Alihanka, J., & Vaahtoranta, K. (1979). A static charge sensitive bed. A new method for recording body movements during sleep. Electroencephalography and Clinical Neurophysiology, 46, 731–4.
American Academy of Sleep Medicine. (2005). International classification of sleep disorders (ICSD-2) (2nd ed.). Westchester: American Academy of Sleep Medicine.
Ancoli-Israel, S. (1997). Sleep problems in older adults: Putting myths to bed. Geriatrics, 52(1), 20–0.
Beattie, Z. T., Hagen, C. C., & Hayes, T. L. (2011) Classification of lying position using load cells under the bed. In Annual International Conference of the IEEE Engineering in Medicine and Biology Society, (vol. 2011, pp. 474–7). Jan 2011.
Beattie, Z. T., Hagen, C. C., Pavel, M., & Hayes, T. L. (2009). Classification of breathing events using load cells under the bed. In Annual International Conference of the IEEE Engineering in Medicine and Biology Society, (vol. 2009, pp. 3921–4). Jan 2009.
Belenky, G., Wesensten, N. J., Thorne, D. R., Thomas, M. L., Sing, H. C., Redmond, D. P., et al. (2003). Patterns of performance degradation and restoration during sleep restriction and subsequent recovery: A sleep dose-response study. Journal of sleep research, 12(1), 1–12.
Bergstrom, N., Braden, B. J., Laguzza, A., & Holman, V. (1987). The braden scale for predicting pressure sore risk. Nursing Research, 36(4), 205–10.
Bluestein, D., & Javaheri, A. (2008). Pressure ulcers: Prevention, evaluation, and management. American Family Physician, 78(10), 1186–94.
Brink, M., Müller, C. H., & Schierz, C. (2006). Contact-free measurement of heart rate, respiration rate, and body movements during sleep. Behavior Research Methods, 38(3), 511–1.
Brink, M., Lercher, P., Eisenmann, A., & Schierz, C. H. (2008). Influence of slope of rise and event order of aircraft noise events on high resolution actimetry parameters. Somnologie-Schlafforschung und Schlafmedizin., 12(2), 118–8.
Brüser, C., Stadlthanner, K., de Waele, S., & Leonhardt, S. (2011). Adaptive beat-to-beat heart rate estimation in ballistocardiograms. IEEE Transactions on Information Technology in Biomedicine, 15(5), 778–86.
Chen, W., Zhu, X., Nemoto, T., Kitamura, K.-I., Sugitani, K., & Wei, D. (2008). Unconstrained monitoring of long-term heart and breath rates during sleep. Physiological Measurement, 29(2), N1–10.
Collop, N. A., Mc, W., Anderson, B., Boehlecke, D., Claman, R., Goldberg, D. J., et al. (2007). Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients. Journal of Clinical Sleep Medicine, 3(7), 737–7.
David, C., Mack, D., Patrie, J. P., Suratt, P. M., Felder, R. A., & Alwan, M. A. (2009). Development and preliminary validation of heart rate and breathing rate detection using a passive, ballistocardiography-based sleep monitoring system. IEEE Transactions on Information Technology in Biomedicine, 13(1), 111–20.
Van Dongen, H. P., Maislin, G., Mullington, J. M., & Dinges, D. F. (2003). The cumulative cost of additional wakefulness: Dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep, 26(2), 117–26.
Eyers, I., Young, E., Luff, R., & Arber, S. (2012). Striking the balance: Night care versus the facilitation of good sleep. British Journal of Nursing, 21(5), 303–7.
Giovangrandi, L., Inan, O. T., Wiard, R. M., Etemadi, M., & Kovacs, G. T. (2011). Ballistocardiography: A method worth revisiting. Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2011, 4279–82.
Iber, C., Ancoli-Israel, S., Chesson, A., & Quan, S. (2007). The AASM manual for the scoring of sleep and associated events: Rules, terminology and technical specifications. Darien: American Academy of Sleep Medicine.
Joon Chee, J., Jeong, D.-U., & Suk Park, K. (2010). Nonconstrained sleep monitoring system and algorithms using air-mattress with balancing tube method. IEEE Transactions on Information Technology in Biomedicine, 14(1), 147–56.
Kärki, S. (2009) Film-type sensor materials in measurement of physiological force and pressure variables. Ph.D thesis, Tampere University of Technology, Finland.
De Koninck, J., Lorrain, D., & Gagnon, P. (1992). Sleep positions and position shifts in five age groups: An ontogenetic picture. Sleep, 15(2), 143–9.
Kortelainen, J. M., Mendez, M. O., Bianchi, A. M., Matteucci, M., & Cerutti, S. (2010). Sleep staging based on signals acquired through bed sensor. IEEE Transactions on Information Technology in Biomedicine, 14(3), 776–85.
Kurihara, Y., Watanabe, K., & Tanaka, H. (2010). Sleep-states-transition model by body movement and estimation of sleep-stage-appearance probabilities by Kalman filter. IEEE Transactions on Information Technology in Biomedicine, 14(6), 1428–35.
Kurihara, Y., & Watanabe, K. (2012). Sleep-stage decision algorithm by using heartbeat and body-movement signals. IEEE Transactions on Systems, Man and Cybernetics, Part A: Systems and Humans, 42(6), 1450–9.
Kushida, C. A., Littner, M. R., Morgenthaler, T., Alessi, C. A., Bailey, D., Coleman, J., et al. (2005). Practice parameters for the indications for polysomnography and related procedures: An update for 2005. Sleep, 28(4), 499–521.
Martin, A., Julia, V. R., Khatami, R., & Landolt, H. P. (2006). Age-related changes in the time course of vigilant attention during 40 hours without sleep in men. Sleep, 29(1), 55–7.
Morgenthaler, T., Alessi, C., Friedman, L., Owens, J., Kapur, V., Boehlecke, B., et al. (2007). Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: An update for 2007. Sleep, 30(4), 519–9.
Niizeki, K., Nishidate, I., Uchida, K., & Kuwahara, M. (2005). Unconstrained cardiorespiratory and body movement monitoring system for home care. Medical and Biological Engineering and Computing, 43(6), 716–24.
Nukaya, S., Shino, T., Kurihara, Y., Watanabe, K., & Tanaka, H. (2012). Noninvasive bed sensing of human biosignals via piezoceramic devices sandwiched between the floor and bed. IEEE Sensors Journal, 12(3), 431–8.
Paalasmaa, J., Waris, M., Toivonen, H., Leppäkorpi, L., & Partinen, M. (2012). Unobtrusive online monitoring of sleep at home. Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2012, 3784–8.
Pancorbo-Hidalgo, P. L., Garcia-Fernandez, F. P., Lopez-Medina, I. M., & Alvarez-Nieto, C. (2006). Risk assessment scales for pressure ulcer prevention: A systematic review. Journal of Advanced Nursing, 54(1), 94–110.
Panfil, E.-M., Gattinger, H., Flnkiger, R., & Manger, S. (2013). Bewegungen objektiver messen: Dekubitusgefährdung und -therapie. Krankenpflege SBK, 106, 22–3.
Pilcher, J. J., & Huffcutt, A. J. (1996). Effects of sleep deprivation on performance: A meta-analysis. Sleep, 19(4), 318–26.
Rajala, S., & Lekkala, J. (2012). Film-type sensor materials PVDF and EMFi in measurement of cardiorespiratory signals–a review. IEEE Sensors Journal, 12(3), 439–46.
Roehrs, T., Burduvali, E., Bonahoom, A., Drake, C., & Roth, T. (2003). Ethanol and sleep loss: A “dose” comparison of impairing effects. Sleep, 26(8), 981–5.
Shin, J. H., Chee, Y., & Suk Park, K. (2006). Long-term sleep monitoring system and long-term sleep parameters using unconstrained method. In International Special Topic Conference on Information Technology in BME 2006.
Shin, J. H., Choi, B. H., Lim, Y. G., Jeong, D. U., & Park, K. S. (2008) Automatic ballistocardiogram (BCG) beat detection using a template matching approach. In Annual International Conference of the IEEE Engineering in Medicine and Biology Society, (vol. 2008, pp. 1144–6), Jan 2008.
Shino, T., & Watanabe, K. (2010). Noninvasive biosignal measurement of a subject in bed using ceramic sensors. In SICE Annual Conference, (pp. 1559–1562).
Stone, K. L., & Ancoli-israel, S. (2008) Chapter 147: Actigraphy. In Principles and practice of sleep medicine (5th ed.). (pp. 1668–1675) Elsevier Inc.
Sung Chung, G., Hoon Choi, B., Jeong, D-N., & Park, K. S. (2007) Noninvasive heart rate variability analysis using loadcell-installed bed during sleep. In Annual International Conference of the IEEE Engineering in Medicine and Biology Society, (pp. 2357–2360).
Sung Chung, G., Lee, J.-S., Jeong, D.-N., & Suk Park, K. (2009). Slow-wave sleep estimation on a load-cell-installed bed: A non-constrained method. Physiological Measurement, 30(11), 1163–70.
Watanabe, T., & Watanabe, K. (2004). Noncontact method for sleep stage estimation. IEEE Transactions on Biomedical Engineering, 51(10), 1735–48.
Watanabe, K., Watanabe, T., Watanabe, H., Ando, H., Ishikawa, T., & Kobayashi, K. (2005). Noninvasive measurement of heartbeat, respiration, snoring and body movements of a subject in bed via a pneumatic method. IEEE Transactions on Biomedical Engineering, 52(12), 2100–7.
Williamson, A. M., & Feyer, A.-M. (2000). Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication. Occupational and Environmental Medicine, 57(10), 649–55.
Woo Seo, J., Min Choi, J., Bum Shin, H., Lee, J. Y., Jeong, D. U., & Suk Park, K. (2007). Non-constraining sleep/wake monitoring system using bed actigraphy. Medical Biological Engineering Computing, 45(1), 107–14.
Zhu, X., Chen, W., Nemoto, T., Kanemitsu, Y., Kitamura, K.-I., Yamakoshi, K.-I., et al. (2006). Real-time monitoring of respiration rhythm and pulse rate during sleep. IEEE Transactions on Biomedical Engineering, 53(12), 2553–3.
Zhu, X., Chen, W., Nemoto, T., Kitamura, K.-I., & Wei, D. (2010). Long-term monitoring of heart rate, respiration rhythm, and body movement during sleep based upon a network. Telemedicine Journal and E-health: The Official Journal of the American Telemedicine Association, 16(2), 244–53.
Ziefle, M., Röcker, C., & Holzinger, A. (2014). Current trends and challenges for pervasive health technologies: From technical innovation to user integration. In Pervasive health: State-of-the-art & beyond (pp. 1–18). London: Springer.
Further Readings
Kelly, J., Strecker, R., & Bianchi, M. (2012). Recent developments in home sleep-monitoring devices. ISRN Neurology. 768794, 10 (This paper provides a review of portable monitoring devices which are developed for sleep quality and quantity estimation in the home environment).
Kryger, M., Roth, T., & Dement, W. (2011). Principles and practive of sleep medicine (5th ed.). Elsevier, ISBN:978-1-4160-6645-3. (This book gives an excellent overview on many different aspects of sleep medicine).
Paalasmaa, J., Waris, M., Toivonen, H., Leppakorpi, L., & Partinen, M. (2012). Unobtrusive online monitoring of sleep at home. In Annual International Conference of the IEEE Engineering in Medicine and Biology Society, (Vol. 2012, pp. 3784–3788) (This paper describes an online sleep monitoring service, based on unobtrusive ballistocardiography (BCG) measurement in an ordinary bed. In combination with environmental information and user-logged tags, this approach is well suited for long-term monitoring at home).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
Waltisberg, D., Arnrich, B., Tröster, G. (2014). Sleep Quality Monitoring with the Smart Bed. In: Holzinger, A., Ziefle, M., Röcker, C. (eds) Pervasive Health. Human–Computer Interaction Series. Springer, London. https://doi.org/10.1007/978-1-4471-6413-5_9
Download citation
DOI: https://doi.org/10.1007/978-1-4471-6413-5_9
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-6412-8
Online ISBN: 978-1-4471-6413-5
eBook Packages: Computer ScienceComputer Science (R0)