Temporomandibular dysfunction (TMD) is considered to be associated with imbalance of the whole body. This study aimed to evaluate the influence of TMD therapy on cervical spine range of movement (ROM) and reduction of spinal pain. The study group consisted of 60 patients with TMD, cervical spine pain, and limited cervical spine range of movements. Subjects were interviewed by a questionnaire about symptoms of TMD and neck pain and had also masticatory motor system physically examined (according to RDC-TMD) and analysed by JMA ultrasound device. The cervical spine motion was analysed using an MCS device. Subjects were randomly admitted to two groups, treated and control. Patients from the treated group were treated with an occlusal splint. Patients from control group were ordered to self-control parafunctional habits. Subsequent examinations were planned in both groups 3 weeks and 3 months after treatment was introduced. The results of tests performed 3 months after the beginning of occlusal splint therapy showed a significant improvement in TMJ function, cervical spine ROM, and a reduction of spinal pain. The conclusion is that there is a significant association between TMD treatment and reduction of cervical spine pain, as far as improvement of cervical spine mobility.
Physiological variation of the interval between consecutive heartbeats is known as the heart rate variability (HRV). HRV analysis is traditionally performed on electrocardiograms (ECG signals) and has become a useful tool in the diagnosis of different clinical and functional conditions. The progress in the sensor technique encouraged the development of alternative methods of analyzing cardiac activity: Seismocardiography and gyrocardiography. In our study we performed HRV analysis on ECG, seismocardiograms (SCG signals) and gyrocardiograms (GCG signals) using the PhysioNet Cardiovascular Toolbox. The heartbeats in ECG were detected using the Pan–Tompkins algorithm and the heartbeats in SCG and GCG signals were detected as peaks within 100 ms from the occurrence of the ECG R waves. The results of time domain, frequency domain and nonlinear HRV analysis on ECG, SCG and GCG signals are similar and this phenomenon is confirmed by very strong linear correlation of HRV indices. The differences between HRV indices obtained on ECG and SCG and on ECG and GCG were statistically insignificant and encourage using SCG or GCG for HRV estimation. Our results of HRV analysis confirm stronger correlation of HRV indices computed on ECG and GCG signals than on ECG and SCG signals because of greater tolerance to inter-subject variability and disturbances.
Gyrocardiography (GCG) is a non-invasive technique of analyzing cardiac vibrations by a MEMS (microelectromechanical system) gyroscope placed on a chest wall. Although its history is short in comparison with seismocardiography (SCG) and electrocardiography (ECG), GCG becomes a technique which may provide additional insight into the mechanical aspects of the cardiac cycle. In this review, we describe the summary of the history, definition, measurements, waveform description and applications of gyrocardiography. The review was conducted on about 55 works analyzed between November 2016 and September 2020. The aim of this literature review was to summarize the current state of knowledge in gyrocardiography, especially the definition, waveform description, the physiological and physical sources of the signal and its applications. Based on the analyzed works, we present the definition of GCG as a technique for registration and analysis of rotational component of local cardiac vibrations, waveform annotation, several applications of the gyrocardiography, including, heart rate estimation, heart rate variability analysis, hemodynamics analysis, and classification of various cardiac diseases.
Heart rate variability (HRV) is the physiological variation in the intervals between consecutive heartbeats that reflects the activity of the autonomic nervous system. This parameter is traditionally evaluated based on electrocardiograms (ECG signals). Seismocardiography (SCG) and/or gyrocardiography (GCG) are used to monitor cardiac mechanical activity; therefore, they may be used in HRV analysis and the evaluation of valvular heart diseases (VHDs) simultaneously. The purpose of this study was to compare the time domain, frequency domain and nonlinear HRV indices obtained from electrocardiograms, seismocardiograms (SCG signals) and gyrocardiograms (GCG signals) in healthy volunteers and patients with valvular heart diseases. An analysis of the time domain, frequency domain and nonlinear heart rate variability was conducted on electrocardiograms and gyrocardiograms registered from 29 healthy male volunteers and 30 patients with valvular heart diseases admitted to the Columbia University Medical Center (New York City, NY, USA). The results of the HRV analysis show a strong linear correlation with the HRV indices calculated from the ECG, SCG and GCG signals and prove the feasibility and reliability of HRV analysis despite the influence of VHDs on the SCG and GCG waveforms.
Background and objective: Driving a car is a complex activity which involves movements of the whole body. Many studies on drivers’ behavior are conducted to improve road traffic safety. Such studies involve the registration and processing of multiple signals, such as electroencephalography (EEG), electrooculography (EOG) and the images of the driver’s face. In our research, we attempt to develop a classifier of scenarios related to learning to drive based on the data obtained in real road traffic conditions via smart glasses. In our approach, we try to minimize the number of signals which can be used to recognize the activities performed while driving a car. Material and methods: We attempt to evaluate the drivers’ activities using both electrooculography (EOG) and a deep learning approach. To acquire data we used JINS MEME smart glasses furnished with 3-point EOG electrodes, 3-axial accelerometer and 3-axial gyroscope. Sensor data were acquired on 20 drivers (ten experienced and ten learner drivers) on the same 28.7 km route under real road conditions in southern Poland. The drivers performed several tasks while wearing the smart glasses and the tasks were linked to the signal during the drive. For the recognition of four activities (parking, driving through a roundabout, city traffic and driving through an intersection), we used one-dimensional convolutional neural network (1D CNN). Results: The maximum accuracy was 95.6% on validation set and 99.8% on training set. The results prove that the model based on 1D CNN can classify the actions performed by drivers accurately. Conclusions: We have proved the feasibility of recognizing drivers’ activity based solely on EOG data, regardless of the driving experience and style. Our findings may be useful in the objective assessment of driving skills and thus, improving driving safety.
Analyzing biomedical data is a complex task that requires specialized knowledge. The development of knowledge and technology in the field of deep machine learning creates an opportunity to try and transfer human knowledge to the computer. In turn, this fact influences the development of systems for the automatic evaluation of the patient’s health based on data acquired from sensors. Electrocardiography (ECG) is a technique that enables visualizing the electrical activity of the heart in a noninvasive way, using electrodes placed on the surface of the skin. This signal carries a lot of information about the condition of heart muscle. The aim of this work is to create a system for semantic segmentation of the ECG signal. For this purpose, we used a database from Lobachevsky University available on Physionet, containing 200, 10-second, and 12-lead ECG signals with annotations, and applied one-dimensional U-Net with the addition of squeeze-excitation blocks. The created model achieved a set of parameters indicating high performance (for the test set: accuracy—0.95, AUC—0.99, specificity—0.95, sensitivity—0.99) in extracting characteristic parts of ECG signal such as P and T-waves and QRS complex, regardless of the lead.