Can a low-cost webcam be used for a remote neurological exam?

Jeffrey Wood, Mitchell Wallin, Joseph Finkelstein

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Multiple sclerosis (MS) is a demyelinating and axonal degenerative disease of the central nervous system. It is the most common progressive neurological disorder of young adults affecting over 1 million persons worldwide. Despite the increased use of neuroimaging and other tools to measure MS morbidity, the neurological examination remains the primary method to document relapses and progression in disease. The goal of this study was to demonstrate the feasibility and validity of using a low-cost webcam for remote neurological examination in home-setting for patients with MS. Using cross-over design, 20 MS patients were evaluated in-person and via remote televisit and results of the neurological evaluation were compared. Overall, we found that agreement between face-to-face and remote EDSS evaluation was sufficient to provide clinically valid information. Another important finding of this study was high acceptance of patients and their providers of using remote televisits for conducting neurological examinations at MS patient homes. The results of this study demonstrated potential of using low-cost webcams for remote neurological exam in patients with MS.

Original languageEnglish (US)
Title of host publicationInformatics, Management and Technology in Healthcare
PublisherIOS Press
Pages30-32
Number of pages3
ISBN (Print)9781614992752
DOIs
StatePublished - Jan 1 2013
EventInternational Conference on Informatics, Management, and Technology in Healthcare, ICIMTH 2013 - Athens, Greece
Duration: Jul 5 2013Jul 7 2013

Publication series

NameStudies in Health Technology and Informatics
Volume190
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

OtherInternational Conference on Informatics, Management, and Technology in Healthcare, ICIMTH 2013
CountryGreece
CityAthens
Period7/5/137/7/13

Keywords

  • Physiological signal processing
  • blood pressure
  • personal health systems
  • pulse transit time

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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