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Explore the applications of motion detection technology in monitoring and enhancing the lives of aging individuals. Learn about common chronic diseases, motion tracking for rehabilitation, cognitive impairments, and emotion monitoring in elders.
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Aging Applications of Human Motion and Activity Detection Sara Honn Qualls, Ph.D. Director, Gerontology Center Sara Qualls
Source: The Sex and Age Distribution of the World Populations: 1998 Revision, Volume II: Sex and Age (United Nations publication, Sales No. E.99.XIII.8), medium variant projections. Figure 1. Population pyramids: age and sex distribution, 2000 and 2050. Sara Qualls
Figure 2: Three Centuries of World Population Ageing Sara Qualls
Figure 5: Proportion of Total Population Aged 0-14 and 60 and Over.More and Less Developed Regions, 1950-2050. (Medium Variant Projections) Sara Qualls
Figure 4: Median Age by Region, 1999-2050 Sara Qualls
Goal: Successful Aging Avoiding Disease Successful Aging Engaging with life Maintaining cognitive and physical function Sara Qualls McArthur Foundation study; Rowe & Kahn
Aging brings illness risk… • Probability of chronic illness increases with age (and varies by social class) • 80% of older people in community have at least one chronic disease • Lower social class is associated with earlier onset of most chronic illnesses Sara Qualls
Common Chronic Diseases (65+): • Arthritis -> 50% • Hypertension -> 38% • Hearing impairments -> 28% • Heart Disease -> 28% • Mental disorders -> 20% • Common causes of death: • heart disease • cancer • stroke Sara Qualls
Motion Detection Applications • Rehabilitation: Visual feedback of movement to aid in self-correction • Speech therapy • Stroke recovery – walking therapy • Physical therapy for posture Purpose: Provide real time motion tracking of movement to compare with movement goal Sara Qualls
Illness vs. functional health • Functional disability increases with age • Activities of Daily Living (ADL’s) • Instrumental Activities of Daily Living (IADL’s) Sara Qualls
Activities of Daily Living (ADL’s) • Mobility • Bathing and hygiene • Transfers • Toileting • Dressing • Feeding self Sara Qualls
Instrumental Activities of Daily Living (IADL’s) • Shopping • Cooking • Housekeeping • Finances • Transportation • Medication Management Sara Qualls
Cognitive Impairment • 5-6% of persons age 65+ • Risk doubles every 5 years • > 85, 35-50% have significant CI Sara Qualls
Lifespan Trajectory Pragmatics Mechanics Sara Qualls
Cognitive Impairments Impact… • Executive Function – time, sequencing, impulse control • Problem-solving • Memory • Language – expressive/receptive/processing • Attention Sara Qualls
Presentation of Clinical Levels of CI • Frustration • Anger • Slow responses • Personality changes • Memory • Difficulty with complex tasks • Inappropriate responding • Reduced rate of behavior (lack of initiation) Sara Qualls
Motion Detection Applications • Prompting self-care activities • Medication management – prompt pill taking and monitor actual ingestion b) Model actions visually, synchronous in time with the target person’s efforts to prompt step-by-step actions needed in complex sequences Sara Qualls
Motion Detection Applications • Monitoring Safety • Tracking location • GPS locators map resident location onto computerized blueprint of a facility • Tracking and prompting while on neighborhood walks or drives • Tracking falls • Movement from bed -> floor • Unusual movement from chair Sara Qualls
Motion Detection Applications 4) Redirecting or distracting from inappropriate movement by cognitively impaired person • When entering another resident’s room or exiting building • Offering reassurance to agitated person Sara Qualls
Motion Detection Applications 5) Collaborative cognition • Multiple individuals working together often notice each others’ errors and offer corrective advice Back-Seat Driving b) Motion sensing devices could offer corrective feedback on complex tasks • Driving – lane changes or tailgaiting • Shopping Sara Qualls
Age-related Changes in Emotion 1. Age impairs detection of negative emotion in others a. Deficits in detecting anger and fear b. Maintained ability to detect happy • Age blunts intensity of emotional experience Sara Qualls
Age-related Changes in Emotion • Social relationships are selected for emotion regulation benefits more than for information or exploration • Elderly persons are more vulnerable to fraud and exploitation due to • Cognitive decline impairs reason • Emotion function of brain loses acuity Sara Qualls
Motion Detection Applications • Monitoring emotion in elders • Those with potential for dangerous behavior • Those who show only subtle emotion signals of their inner experience • Assisting elders with monitoring and interpreting emotional cues (e.g., in important legal and financial interpersonal conversations or family interactions) Sara Qualls
Resources • Networking organization: Center for Aging Services Technologies - www.agingtech.org • Private company product for monitoring activity patterns: www.quietcare.com • CU center for adaptive technology for persons with disability: www.uchsc.edu/atp/ Sara Qualls