The alarming morbidity of COVID-19 has drawn the attention to the social role of hygiene rules, with a particular focus on the importance of limiting face-touch occurrences. To deal with this aspect, we present No Face-Touch, a system able to estimate hand proximity to face and notify the user whenever a face-touch movement is detected. In its complete setup, the system consists of an application running on the smartwatch and a wearable accessory. Its ease of implementation allows this solution to be ready-to-use and large-scale deployable. We developed two gesture detection approaches compatible with sensors embedded in recent smartwatches, i.e. inertial and magnetic sensors. After preliminary tests to tune target gesture parameters, we tested the two approaches and compared their accuracy. The final phase of this project consisted in exploiting the most robust approach in a daily living scenario during a 6-days campaign. Experimental results revealed the effectiveness of the proposed system, demonstrating its impact in reducing the number of face-touches and their duration.

Background: Persistent Postural-Perceptual Dizziness (PPPD) is a chronic vestibular disorder characterized by dizziness, instability, and visual hypersensitivity. Vestibular Physical Therapy (VPT) is commonly used, but its efficacy remains uncertain due to limited and heterogeneous evidence. Objective: This systematic review and meta-analysis aimed to evaluate the effectiveness of VPT in reducing dizziness and improving balance in individuals with PPPD. Methods: A systematic search of MEDLINE and PEDro was conducted in January 2025. Studies were selected following PRISMA guidelines and included if they assessed VPT interventions in patients diagnosed with PPPD. Risk of bias was assessed using the PEDro scale and the modified Newcastle–Ottawa Scale. The meta-analysis focused on pre- and post-intervention changes in Dizziness Handicap Inventory (DHI) scores using a random-effects model. Results: Six studies met the inclusion criteria. VPT significantly reduced DHI scores (pooled Hedges’ g = 1.60; 95% CI: 0.75–2.45), indicating a moderate to large improvement. Additional outcomes included improvements in postural control (e.g., mini-BESTest and posturography) and psychological well-being (anxiety and depression questionnaires). However, high heterogeneity (I² = 92%) was present across studies. Conclusions: VPT may improve dizziness and balance in PPPD, though evidence is limited. Further high-quality trials with standardized protocols are needed.

Walking is an essential activity for a healthy life, which becomes less tiring and more enjoyable if done together. Common difficulties we have in performing sufficient physical exercise, can be overcome by exploiting its social aspect. However, our lifestyle sometimes makes it very difficult to find time together with others who live far away from us to go for a walk. In this paper we propose a novel system enabling people to have a 'remote social walk' by streaming the gait cadence between two persons walking in different places, increasing the sense of mutual presence. Vibrations provided at the users' ankles display the partner's sensation perceived during the heel-strike. In order to achieve the aforementioned goal, we envisaged a four-step incremental validation process: i) a single walker has to adapt the cadence with a virtual reference; ii) a single user is tasked to follow a predefined time-varying gait cadence; iii) a leader-follower scenario in which the haptic actuation is mono-directional; iv) a peer-to-peer case with bi-directional haptic communication. Careful experimental validation was conducted involving a total of 50 people, which confirmed the efficacy of our system in perceiving the partners' gait cadence in each of the proposed scenarios.

Severe traumatic brain injury (sTBI) often results in significant impairments in gait stability, symmetry, and smoothness. Inertial measurement units (IMUs) have emerged as powerful tools to quantify these aspects of gait, but their clinometric properties in sTBI populations remain underexplored. This study aimed to assess the test-retest reliability and minimal detectable change (MDC) of three IMU-derived indices—normalized Root Mean Square (nRMS), improved Harmonic Ratio (iHR), and Log Dimensionless Jerk (LDLJ)—during a 10 m walking test for sTBI survivors. Forty-nine participants with sTBI completed the walking test, with IMUs placed on key body segments to capture accelerations and angular velocities. Test-retest analyses revealed moderate to excellent reliability for nRMS and iHR in anteroposterior (ICC: 0.78–0.95 and 0.94, respectively) and craniocaudal directions (ICC: 0.95), with small MDC values, supporting their clinical applicability (MDC: 0.04–0.3). However, iHR in the mediolateral direction exhibited greater variability (ICC: 0.80; MDC: 9.74), highlighting potential sensitivity challenges. LDLJ metrics showed moderate reliability (ICC: 0.57–0.77) and higher MDC values (0.55–0.75), suggesting the need for further validation. These findings underscore the reliability and sensitivity of specific IMU-derived indices in detecting meaningful gait changes in sTBI survivors, paving the way for refined assessments and monitoring the rehabilitation process of sTBI survivors. Future research should explore these indices’ responsiveness to interventions and their correlation with functional outcomes.

Background: Patients with persistent postural-perceptual dizziness (PPPD) exhibit altered postural and gait dynamics, but development of these changes following precipitating illnesses is poorly understood. Objective: To compare posture and gait metrics in patients with PPPD or subacute unilateral vestibulopathies (sAUVP) to healthy controls (HC). Methods: Ten patients with sAUVP, nine with PPPD, and eleven HC completed the 10 Meters Walk Test (10MWT) (an eyes open task) and Fukuda Stepping Test (FST) (an eyes closed task). Gait stability, symmetry, and smoothness were compared among groups and correlated with Dizziness Handicap Inventory (DHI) scores. Results: 10MWT – Patients with PPPD had lower pelvis stability and gait symmetry than HCs. Patients with sAUVP had only lower pelvis stability. FST – Patients with PPPD and sAUVP had lower gait smoothness than HCs. Patients with sAUVP also had lower gait symmetry. Among patients with PPPD, DHI scores correlated positively with head stability. Conclusions: PPPD and sAUVP caused abnormal pelvis stability when walking and gait smoothness when stepping but differed in effects on gait symmetry with the presence/absence of visual inputs. For PPPD, visual stimuli had destabilizing effects, whereas for sAUVP vision aided stability. Symptom severity in patients with PPPD was related to head stability.

The lack of consolidated therapeutic protocols to counteract the COVID-19 has drawn attention to the social role of hygiene rules to prevent the escalation of infections. Particular focus has been put on the importance of limiting face-touch occurrences. Given that SARS-CoV-2 transmission can occur by self-inoculation, impeding the virus to reach eyes, nose or mouth is paramount to prevent infections. To deal with this aspect, several methods for estimating hand proximity to face and notifying the user about face-touch occurrences have been developed. In this overview, we present the most relevant, ready-to-use, and large-scale deployable solutions. Most of them consist in applications running on smartwatches/smartphones or relying on wearable accessories, e.g. smartbands. Although the use for the COVID-19 emergency nowadays is the most urgent application, these solutions can be employed in ordinary daily life as simple tools to discourage face-touching, decreasing the probability to get infections from the environment, or as habit reversal therapy.