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Abstract Wearable recordings of neurophysiological signals captured from the wrist offer enormous potential for seizure monitoring. Yet, data quality remains one of the most challenging factors that impact data reliability. We suggest a combined data quality assessment tool for the evaluation of multimodal wearable data. We analyzed data from patients with epilepsy from four epilepsy centers. Patients wore wristbands recording accelerometry, electrodermal activity, blood volume pulse, and skin temperature. We calculated data completeness and assessed the time the device was worn (on-body), and modality-specific signal quality scores. We included 37,166 h from 632 patients in the inpatient and 90,776 h from 39 patients in the outpatient setting. All modalities were affected by artifacts. Data loss was higher when using data streaming (up to 49% among inpatient cohorts, averaged across respective recordings) as compared to onboard device recording and storage (up to 9%). On-body scores, estimating the percentage of time a device was worn on the body, were consistently high across cohorts (more than 80%). Signal quality of some modalities, based on established indices, was higher at night than during the day. A uniformly reported data quality and multimodal signal quality index is feasible, makes study results more comparable, and contributes to the development of devices and evaluation routines necessary for seizure monitoring.
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This content will become publicly available on April 1, 2026
Optimizing Sensor Locations for Electrodermal Activity Monitoring Using a Wearable Belt System
Wearable devices for continuous health monitoring in humans are constantly evolving, yet the signal quality may be improved by optimizing electrode placement. While the commonly used locations to measure electrodermal activity (EDA) are at the fingers or the wrist, alternative locations, such as the torso, need to be considered when applying an integrated multimodal approach of concurrently recording multiple bio-signals, such as the monitoring of visceral pain symptoms like those related to irritable bowel syndrome (IBS). This study aims to quantitatively determine the EDA signal quality at four torso locations (mid-chest, upper abdomen, lower back, and mid-back) in comparison to EDA signals recorded from the fingers. Concurrent EDA signals from five body locations were collected from twenty healthy participants as they completed a Stroop Task and a Cold Pressor task that elicited salient autonomic responses. Mean skin conductance (meanSCL), non-specific skin conductance responses (NS.SCRs), and sympathetic response (TVSymp) were derived from the torso EDA signals and compared with signals from the fingers. Notably, TVSymp recorded from the mid-chest location showed significant changes between baseline and Stroop phase, consistent with the TVSymp recorded from the fingers. A high correlation (0.77–0.83) was also identified between TVSymp recorded from the fingers and three torso locations: mid-chest, upper abdomen, and lower back locations. While the fingertips remain the optimal site for EDA measurement, the mid-chest exhibited the strongest potential as an alternative recording site, with the upper abdomen and lower back also demonstrating promising results. These findings suggest that torso-based EDA measurements have the potential to provide reliable measurement of sympathetic neural activities and may be incorporated into a wearable belt system for multimodal monitoring.
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- Award ID(s):
- 1844762
- PAR ID:
- 10628342
- Publisher / Repository:
- MDPI
- Date Published:
- Journal Name:
- Journal of Sensor and Actuator Networks
- Volume:
- 14
- Issue:
- 2
- ISSN:
- 2224-2708
- Page Range / eLocation ID:
- 31
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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