Detecting and monitoring wandering in AD patients with an integrated device based on Humanitude

Abstract: Alzheimer is a neurodegenerative type of dementia, that has progressive impairment of cognitive and behavioral functions, most commonly presented above 65 years old and it is divided in three stages. Wandering is the most frightening symptom for familiars and caregivers in the mild stage (second stage of the disease) because it can cause from a minor damage to death. Detecting and monitoring wandering is a complex task and has become a strong research line for several research projects. This paper focuses in proposing, developing and testing a support system for monitoring trajectories to identify direction changes alterations and positioning. The proposed system is called Motion acquisition system + Global positioning system(SAM + GPS). The system integrates an accelerometer, magnetometer, gyroscope and a GPS module. To address this challenge, after the development of the device, a pilot test was conducted with 9 young adult healthy subjects instrumented with the SAM + GPS. Each subject needed to route 2 specific trajectories to prove that the integrated device was able to measure different direction changes and map an accurate trajectory for future wandering detection. It was found that the SAM + GPS had an acceptable error of 12.29% measuring the direction changes in the first trajectory and a 27.44% critical error in the second trajectory. In addition, the device was able to map most of the trajectories with high similarities to an ideal pattern traced with the expected horizontal accuracy of 2.5m of the GPS Neo 6m module. It is worth mentioning that the device had a better performance in outdoor environments than in indoor environments, so in future work, more tests are considered with a larger population sample with the integration of an indoor positioning system and Humanitude methodologyprinciples.

Keywords: Alzheimer Disease (AD), Wandering, Direction changes, Trajectory mapping, inertial sensor, GPS

DOI: 10.54941/ahfe1003463

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