Collecting activity and sleep quality information via a medical device
A device, such as an implantable medical device (IMD), programming device, or other computing device determines when a patient is attempting to sleep. When the device determines that the patient is attempting to sleep, the device determines values for one or more metrics that indicate the quality of a patient's sleep based on at least one physiological parameter of the patient. When the device determines that the patient is not attempting to sleep, the device periodically determines activity levels of the patient. Activity metric values may be determined based on the determined activity levels. A clinician may use sleep quality information and patient activity information presented by a programming device to, for example, evaluate the effectiveness of therapy delivered to the patient by a medical device.
1. A medical system comprising:
a medical device configured to: deliver at least one of a movement disorder therapy, psychological disorder therapy, or deep brain stimulation to a patient, and monitor a plurality of physiological parameters of the patient, wherein the plurality of physiological parameters includes at least one physiological parameter indicative of patient physical activity; and
a processor configured to: determine when the patient is attempting to sleep, determine values of at least one metric that is indicative of sleep quality based on at least one of the physiological parameters and a determination that the patient is attempting to sleep, periodically determine a value of an activity metric based on at least one of the physiological parameters and a determination that the patient is not attempting to sleep, associate each of the sleep quality and activity metric values with a therapy parameter set that was used by the medical device to deliver the therapy when the metric value was determined, and provide the sleep quality and activity metric values with an indication of the association between the therapy parameter sets and the sleep quality and activity metric values for evaluation of the therapy.
2. The medical system of claim 1 , wherein the processor is further configured to: receive sensor measurements from at least one sensor that measures at least one of the plurality of physiological parameters, and determine the value of at least one activity metric based upon the received sensor measurements.
3. The medical system of claim 1 , wherein the processor is further configured to: periodically determine an activity level of the patient based on at least one of the physiological parameters, associate each of the activity levels determined when the patient is not attempting to sleep with a therapy parameter set currently used by a medical device when the metric value was determined, and determine an activity metric value for each of a plurality of parameter sets based on activity levels associated with the parameter set.
4. The medical system of claim 1 , further comprising at least one sensor configured to generate a cerebral spinal fluid (CSF) pressure signal, wherein the processor is further configured to: receive the CSF pressure signal and identify at least one of a heart rate and a breathing rate from the CSF pressure signal.
5. A medical system comprising:
a medical device configured to: deliver at least one of a movement disorder therapy, psychological disorder therapy, or deep brain stimulation to a patient, and monitor a plurality of physiological parameters of the patient, wherein the plurality of physiological parameters includes at least one physiological parameter indicative of patient physical activity;
a processor configured to: determine when the patient is attempting to sleep, determine values of at least one metric that is indicative of sleep quality based on at least one of the physiological parameters and a determination that the patient is attempting to sleep, periodically determine a value of an activity metric based on at least one of the physiological parameters and a determination that the patient is not attempting to sleep, associate each of the sleep quality and activity metric values with a therapy parameter set that was used by the medical device to deliver the therapy when the metric value was determined, and provide the sleep quality and activity metric values with an indication of the association between the therapy parameter sets and the sleep quality and activity metric values for evaluation of the therapy; and
a module configured to identify at least one sleep state based on a frequency of an electroencephalogram (EEG) signal of the patient, wherein the processor is further configured to determine the value of the at least one metric that is indicative of sleep quality based upon the at least one identified sleep state.
6. The medical system of claim 5 , wherein the module is configured to identify at least one of an S3 and S4 sleep state.
7. The medical system of claim 1 , further comprising a computing device including a display configured to present a list of the therapy parameter sets, associated representative sleep quality metric values, and associated activity metric values.
8. The medical system of claim 7 , wherein the computing device is configured to: receive user selection of one of the sleep quality metrics and activity metric, and order the list of therapy parameter sets according to values of the user selected one of the sleep quality metrics and activity metrics.
9. The medical system of claim 1 , wherein the medical device comprises an implantable medical device.
10. The medical system of claim 1 , wherein the medical device comprises at least one of an implantable neurostimulator or an implantable pump.
11. The medical system of claim 1 , wherein the processor comprises a processor of the medical device.
12. A medical system comprising:
a medical device configured to: deliver a therapy to a patient according to therapy parameters that change over time according to a plurality of therapy parameter sets, and monitor a plurality of physiological parameters of the patient, wherein the plurality of physiological parameters includes at least one physiological parameter indicative of patient physical activity; and
processor configured to:
determine when the patient is attempting to sleep,
determine values of at least one metric that is indicative of sleep quality based on at least one of the physiological parameters and a determination that the patient is attempting to sleep,
periodically determine a value of an activity metric based on at least one of the physiological parameters and a determination that the patient is not attempting to sleep,
associate, for each therapy parameter set in the plurality of therapy parameter sets, each of the sleep quality and activity metric values that occurred during the delivery of the therapy to the patient according that therapy parameter set with that therapy parameter set, and
provide, for each therapy parameter set in the plurality of therapy parameter sets, the sleep quality and activity metric values associated with that individual therapy parameter set with an indication of the association between that individual therapy parameter set and the sleep quality and activity metric values associated with that individual therapy parameter set to a user in a manner that is indicative of efficacy of that individual therapy parameter set.