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The Challenging Path to Developing a Mobile Health Device for Epilepsy: The Current Landscape and Where We Go From Here

Seizure detection, and more recently seizure forecasting, represent important avenues of clinical development in epilepsy, promoted by progress in wearable devices and mobile health (mHealth), which might help optimizing seizure control and prevention of seizure-related mortality and morbidity in pe...

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Detalles Bibliográficos
Autores principales: Hubbard, Ilona, Beniczky, Sandor, Ryvlin, Philippe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8517120/
https://www.ncbi.nlm.nih.gov/pubmed/34659099
http://dx.doi.org/10.3389/fneur.2021.740743
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author Hubbard, Ilona
Beniczky, Sandor
Ryvlin, Philippe
author_facet Hubbard, Ilona
Beniczky, Sandor
Ryvlin, Philippe
author_sort Hubbard, Ilona
collection PubMed
description Seizure detection, and more recently seizure forecasting, represent important avenues of clinical development in epilepsy, promoted by progress in wearable devices and mobile health (mHealth), which might help optimizing seizure control and prevention of seizure-related mortality and morbidity in persons with epilepsy. Yet, very long-term continuous monitoring of seizure-sensitive biosignals in the ambulatory setting presents a number of challenges. We herein provide an overview of these challenges and current technological landscape of mHealth devices for seizure detection. Specifically, we display, which types of sensor modalities and analytical methods are available, and give insight into current clinical practice guidelines, main outcomes of clinical validation studies, and discuss how to evaluate device performance at point-of-care facilities. We then address pitfalls which may arise in patient compliance and the need to design solutions adapted to user experience.
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spelling pubmed-85171202021-10-16 The Challenging Path to Developing a Mobile Health Device for Epilepsy: The Current Landscape and Where We Go From Here Hubbard, Ilona Beniczky, Sandor Ryvlin, Philippe Front Neurol Neurology Seizure detection, and more recently seizure forecasting, represent important avenues of clinical development in epilepsy, promoted by progress in wearable devices and mobile health (mHealth), which might help optimizing seizure control and prevention of seizure-related mortality and morbidity in persons with epilepsy. Yet, very long-term continuous monitoring of seizure-sensitive biosignals in the ambulatory setting presents a number of challenges. We herein provide an overview of these challenges and current technological landscape of mHealth devices for seizure detection. Specifically, we display, which types of sensor modalities and analytical methods are available, and give insight into current clinical practice guidelines, main outcomes of clinical validation studies, and discuss how to evaluate device performance at point-of-care facilities. We then address pitfalls which may arise in patient compliance and the need to design solutions adapted to user experience. Frontiers Media S.A. 2021-10-01 /pmc/articles/PMC8517120/ /pubmed/34659099 http://dx.doi.org/10.3389/fneur.2021.740743 Text en Copyright © 2021 Hubbard, Beniczky and Ryvlin. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Hubbard, Ilona
Beniczky, Sandor
Ryvlin, Philippe
The Challenging Path to Developing a Mobile Health Device for Epilepsy: The Current Landscape and Where We Go From Here
title The Challenging Path to Developing a Mobile Health Device for Epilepsy: The Current Landscape and Where We Go From Here
title_full The Challenging Path to Developing a Mobile Health Device for Epilepsy: The Current Landscape and Where We Go From Here
title_fullStr The Challenging Path to Developing a Mobile Health Device for Epilepsy: The Current Landscape and Where We Go From Here
title_full_unstemmed The Challenging Path to Developing a Mobile Health Device for Epilepsy: The Current Landscape and Where We Go From Here
title_short The Challenging Path to Developing a Mobile Health Device for Epilepsy: The Current Landscape and Where We Go From Here
title_sort challenging path to developing a mobile health device for epilepsy: the current landscape and where we go from here
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8517120/
https://www.ncbi.nlm.nih.gov/pubmed/34659099
http://dx.doi.org/10.3389/fneur.2021.740743
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