Abstract
With the rise in wearable technology and “health culture”, we are seeing an increasing interest and affordances in studying how to not only prolong life expectancy but also in how to improve individuals’ quality of life. On the one hand, this attempts to give meaning to the increasing life expectancy, as living above a certain threshold of pain and lack of autonomy or mobility is both degrading and unfair. On the other hand, it lowers the cost of continuous care, as individuals with high quality of life indexes tend to have lower hospital readmissions or secondary complications, not to mention higher physical and mental health. In this paper, we evaluate the current state of the art in physiological therapy (biofeedback) along with the existing medical grade and consumer grade hardware for physiological research. We provide a quick primer on the most commonly monitored physiologic metrics, as well as a brief discussion on the current state of the art in biofeedback-assisted medical applications. We then go on to present a comparative analysis between medical and consumer grade biofeedback devices and discuss the hardware specifications and potential practical applications of each consumer grade device in terms of functionality and adaptability for controlled (laboratory) and uncontrolled (field) studies. We end this article with some empirical observations based on our study so that readers might use take them into consideration when arranging a laboratory or real-world experience, thus avoiding costly time delays and material expenditures.
Similar content being viewed by others
Notes
References
Swan, M., Health 2050: The realization of personalized medicine through crowdsourcing, the quantified self, and the participatory biocitizen. Journal of Personalized Medicine 2(3):93–118, 2012.
Lupton, D., Quantifying the body: monitoring and measuring health in the age of mHealth technologies. Critical Public Health, Taylor & Francis 23(4):393–403, 2013.
Chanel, G., Kronegg, J., Grandjean, D., Pun, T., Emotion Assessment : Arousal evaluation using EEG’s and peripheral physiological signals in Proc. Int. Workshop on Multimedia Content Representation, Classification and Security, pp. 530–537, 2006.
Vinhas, V., Silva, D., Oliveira, E., Reis, L. Biometric Emotion Assessment and Feedback in an Immersive Digital Environment, Soc. Robot., pp. 307–317, 2009.
Leon, E., Clarke, G., Callaghan, V., and Sepulveda, F., A user-independent real-time emotion recognition system for software agents in domestic environments. Engineering Applications of Artificial Intelligence 20(3):337–345, 2007.
Nogueira, P. A., Rodrigues, R., Oliveira, E., and Nacke, L. E., Modelling human emotion in interactive environments: Physiological ensemble and grounded approaches for synthetic agents. Web Intelligence and Intelligent Agents. 13(3):195–214, 2015. https://doi.org/10.3233/WEB-150321.
Stern, R. M., Ray, W. J., and Quigley, K. S., Psychophysiological recording. 2nd edition. New York: Oxford University Press, 2001.
Mandryk, R., and Atkins, M., A fuzzy physiological approach for continuously modeling emotion during interaction with play technologies. International Journal of Human-Computer Studies 65(4):329–347, 2007.
Hazlett, R., Measuring emotional valence during interactive Experiences : Boys at video game play, in Proc. of the SIGCHI conference on human factors in computing systems, pp. 1023–1026, 2006.
Pedersen, C., Togelius, J., Yannakakis, G. N., Modeling player experience for content creation, computational intelligence and AI in Games, 2(1), 121–133, 2009.
Nasoz, F., Lisetti, C. L., Alvarez, K, Finkelstein, N., Emotion recognition from physiological signals for user modeling of affect, In 3rd workshop on affective and attitude user Modelling, 2003.
Figueiredo R., Paiva, A., I want to slay that dragon - influencing choice in interactive storytelling, in Digital Interactive Storytelling, 2010.
Bryant, M. A. M., Biofeedback in the treatment of a selected dysphagic patient. Dysphagia 6(2):140–144, 1991.
Dong, Q., Li, Y., Hu, B., Liu, Q., Li, X., Liu, L. A solution on ubiquitous EEG-based biofeedback music therapy. In IEEE 5th International Conference on Pervasive Computing and Applications (ICPCA) (pp. 32–37). 2010.
Bersak, D., McDarby, G., Augenblick, N., McDarby, P., McDonnell, D., McDonald, B., Karkun, R. Intelligent biofeedback using an immersive competitive environment. 2001.
Huang, H., Ingalls, T., Olson, L., Ganley, K., Rikakis, T., He, J., Interactive multimodal biofeedback for task-oriented neural rehabilitation. In 27th annual international conference of the engineering in medicine and biology society (IEEE-EMBS), pp. 2547–2550. 2005.
Riva, G., Gaggioli, A., Pallavicini, F., Algeri, D., Gorini, A., Repetto, C., Ubiquitous health for the treatment of generalized anxiety disorders. In UbiComp ‘10. Copenhagen, Denmark. 2010.
Reynolds, E. Nevermind. URL: www.nevermindgame.com. 2013.
Hjelm, S. I., Browall, C. Brainball–using brain activity for cool competition. NordiCHI, 177–188. 2000.
Blanchard, E. B., Eisele, G., Vollmer, A., Payne, A., Gordon, M., Cornish, P., and Gilmore, L., Controlled evaluation of thermal biofeedback in treatment of elevated blood pressure in unmedicated mild hypertension. Biofeedback and Self-Regulation 21(2):167–190, 1996.
Rocchi, L., Benocci, M., Farella, E., Benini, L., Chiari, L. Validation of a wireless portable biofeedback system for balance control: Preliminary results. In IEEE Second International Conference on Pervasive Computing Technologies for Healthcare, PervasiveHealth, pp. 254–257. 2008.
Stepp, C. E., Britton, D., Chang, C., Merati, A. L., Matsuoka, Y., Feasibility of game-based electromyographic biofeedback for dysphagia rehabilitation. In 5th International IEEE/EMBS Conference on Neural Engineering (NER), pp. 233–236. 2011.
Wilson, I. B., and Cleary, P. D., Linking clinical variables with health-related quality of LifeA conceptual model of patient outcomes. JAMA. 273(1):59–65, 1995. https://doi.org/10.1001/jama.1995.03520250075037.
Sprangers, M. A. G., and Schwartz, C. E., Integrating response shift into health-related quality of life research: a theoretical model. Social Science & Medicine 48(11):1507–1515, 1999. https://doi.org/10.1016/S0277-9536(99)00045-3.
Felce, D., and Perry, J., Quality of life: Its definition and measurement. Research in Developmental Disabilities 16(1):51–74, 1995. https://doi.org/10.1016/0891-4222(94)00028-8.
Taillefer, M. C., Dupuis, G., Roberge, M. A., and LeMay, S., Health-related quality of life models: Systematic review of the literature. Social Indicators Research 64(2):293–323, 2003. https://doi.org/10.1023/A:1024740307643.
Hollen, P. J., Gralla, R. J., Kris, M. G., and Potanovich, L. M., Quality of life assessment in individuals with lung cancer: Testing the lung Cancer symptom scale (LCSS). European Journal of Cancer 29:S51–S58, 1993. https://doi.org/10.1016/S0959-8049(05)80262-X.
Shapiro, S. L., Lopez, A. M., Schwartz, G. E., Bootzin, R., Figueredo, A. J., Braden, C. J., and Kurker, S. F., Quality of life and breast cancer: Relationship to psychosocial variables. J. Clin. Psychol. 57(4):501–519, 2001. https://doi.org/10.1002/jclp.1026.
Carlson, L. E., Speca, M., Kamala, P. D., and Eileen, G., MindfulnessBased stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate Cancer outpatients. Psychosomatic Medicine 65(4):571–581, 2003. https://doi.org/10.1097/01.PSY.0000074003.35911.41.
Kim, K. S., Lee, S. W., Choe, M. A., Yi, M. S., Choi, S., Kwon, S. H. Effects of abdominal breathing training using biofeedback on stress, immune response and quality of life in patients with a mastectomy for breast cancer, 35(7):1295–1303, 2005.
Faria, B. M., Gonçalves, J., Reis, L. P., Rocha, A., and Clinical Decision, A., Support system based on quality of life estimation. Journal of Medical Systems 39(10):308, 2015.
Aaronson, N. K., Meyerowitz, B. E., Bard, M., Bloom, J. R., Fawzy, F. I., Feldstein, M., Fink, D., Holland, J. C., Johnson, J. E., Lowman, J. S., Patterson, B., and Ware, J. E., Quality of life research in oncology: Past achievements and future priorities. Cancer 67(Suppl):839–843, 1991.
Rehse, B., and Pukrop, R., Effects of psychosocial interventions on quality of life in adult cancer patients: meta-analysis of 37 published controlled outcome studies. Patient Education and Counseling 50(2):179–186, 2003. https://doi.org/10.1016/S0738-3991(02)00149-0.
Bai, Y., Yuan, Z., Wang, W., Zhao, Y., Wang, H., and Wang, W., Quality of life for children with fecal incontinence after surgically corrected anorectal malformation. Journal of Pediatric Surgery 35(3):462–464, 2000. https://doi.org/10.1016/S0022-3468(00)90215-X.
Rothbarth, J., Bemelman, W. A., Meijerink, W. J., Stiggelbout, A. M., Zwinderman, A. H., Buyze-Westerweel, M. E., and Delemarre, J. B., What is the impact of fecal incontinence on quality of life? Dis Colon rectum 44(1):67–71, 2001. https://doi.org/10.1007/BF02234823.
Mason, H. J., Serrano-Ikkos, E., and Kamm, M. A., Psychological state and quality of life in patients having behavioral treatment (biofeedback) for intractable constipation. The American Journal of Gastroenterology 97(12):3154–3159, 2002.
Byrne, C. M., Pager, C. K., Rex, J., Roberts, R., and Solomon, M. J., Assessment of quality of life in the treatment of patients with neuropathic fecal incontinence. Dis Colon rectum 45(11):1431–1436, 2002. https://doi.org/10.1007/s10350-004-6444-1.
Burgio, K. L., Goode, P. S., Urban, D. A., Umlauf, M. G., Locher, J. L., Bueschen, A., and Redden, D. T., Preoperative biofeedback assisted behavioral training to decrease post-prostatectomy incontinence: A randomized, controlled trial. The Journal of Urology 175(1):196–201, 2006. https://doi.org/10.1016/S0022-5347(05)00047-9.
Byrne, C. M., Solomon, M. J., Young, J. M., Rex, J., and Merlino, C. L., Biofeedback for Fecal Incontinence: Short-Term Outcomes of 513 Consecutive Patients and Predictors of Successful Treatment. Dis Colon rectum 50(4):417–427, 2007. https://doi.org/10.1007/s10350-006-0846-1.
Rivalta, M., Sighinolfi, M. C., Micali, S., Stefani, S., and Bianchi, G., Sexual Function and Quality of Life in Women with Urinary Incontinence Treated by a Complete Pelvic Floor Rehabilitation Program (Biofeedback, Functional Electrical Stimulation, Pelvic Floor Muscles Exercises, and Vaginal Cones). The Journal of Sexual Medicine 7(3):1200–1208, 2010. https://doi.org/10.1111/j.1743-6109.2009.01676.x.
Spitzer, R. L., Kroenke, K., Linzer, M., Hahn, S. R., Williams, J. B. W., deGruy, F. V., Brody, D., and Davies, M., Health-related quality of life in primary care patients with mental DisordersResults from the PRIME-MD 1000 study. JAMA. 274(19):1511–1517, 1995. https://doi.org/10.1001/jama.1995.03530190025030.
Awad, A. G., Quality-of-life issues in medicated schizophrenic patients. In: Shriqui, C. L., Nasrallah, H. A. (Eds), Contemporary issues in the treatment of schizophrenia. Washington DC: American Psychiatric Press, 1995, 735–747.
Brod, M., Stewart, A. L., and Sands, L., Conceptualization of quality of life in dementia. Journal of Mental Health and Aging 5:7–19, 1999.
Ahmedzai, S., Recent clinical trials of pain control: Impact on quality of life. European Journal of Cancer 31A:S2–S7, 1995.
Lasek, R. J., and Chren, M., Acne vulgaris and the quality of life of adult dermatology patients. Arch Dermatol. 134(4):454–458, 1998. https://doi.org/10.1001/archderm.134.4.454.
Acknowledgements
This article is a result of the project QVida+: Estimação Contínua de Qualidade de Vida para Auxílio Eficaz à Decisão Clínica, NORTE-01-0247-FEDER-003446, supported by Norte Portugal Regional Operational Programme (NORTE 2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF). The authors also acknowledge to the strategic project LIACC (PEst-UID/CEC/00027/2013).
Author information
Authors and Affiliations
Corresponding author
Additional information
This article is part of the Topical Collection on Mobile & Wireless Health
Rights and permissions
About this article
Cite this article
Nogueira, P., Urbano, J., Reis, L.P. et al. A Review of Commercial and Medical-Grade Physiological Monitoring Devices for Biofeedback-Assisted Quality of Life Improvement Studies. J Med Syst 42, 101 (2018). https://doi.org/10.1007/s10916-018-0946-1
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s10916-018-0946-1