Monitoring asthma and other respiratory disorders with calibrated photoplethysmography devices and methods of using the same
Provided according to embodiments of the invention are methods of monitoring air obstruction in an individual that include obtaining at least one calibration photoplethysmography (PPG) signal stream from the individual while the individual spontaneously breathes through at least one resistor having a known resistance; using a processing device to determine changes in the at least one calibration PPG signal stream in response to an increase in resistance to the individual's breathing; obtaining a monitoring PPG signal stream from the individual during spontaneous breathing; and using the monitored PPG signal stream to determine a calibrated resistance value, and using the calibrated resistance value to determine a level of obstruction of the individual's breathing. Related devices are also provided herein.
1. A method of monitoring air obstruction in an individual, comprising
(a) obtaining at least one calibration photoplethysmography (PPG) signal stream from the individual while the individual spontaneously breathes through at least one resistor having a known resistance;
(b) using a processing device to determine changes in the at least one calibration PPG signal stream in response to an increase in resistance to the individual's breathing;
(c) obtaining a monitoring PPG signal stream from the individual during spontaneous breathing; and
(d) using the monitored PPG signal stream to determine a calibrated resistance value, and using the calibrated resistance value to determine a level of obstruction of the individual's breathing.
2. The method of claim 1 , wherein the at least one calibration PPG signal stream and the monitoring PPG signal stream are isolated pulsatile arterial component (PAC) signal streams.
3. The method of claim 2 , wherein exhalation PAC signals decrease as air obstruction in the individual increases.
4. The method of claim 2 , wherein inhalation PAC signals increase as air obstruction in the individual increases.
5. The method of claim 1 , wherein the at least one calibration PPG signal stream and the monitoring PPG signal stream are isolated venous impedance component (VIC) signal streams.
6. The method of claim 5 , wherein exhalation VIC signals increase as air obstruction in the individual increases.
7. The method of claim 5 , wherein inhalation VIC signals decrease as air obstruction in the individual increases.
8. The method of claim 1 , wherein the individual is determined to be partially or fully occluded if the monitored PPG signal stream corresponds to a calibrated resistance in a range of 20 to 40 cm H 2 O/L/s.
9. The method of claim 1 , wherein at least one calibration PPG signal stream is obtained while the individual takes a series of normal breaths followed by a series of breaths with resistors having different known levels of resistance.
10. The method of claim 1 , wherein the at least one calibration PPG signal stream and the monitoring PPG signal stream are obtained from a central source site.
11. The method of claim 1 , wherein the processing device is a hand-held device that comprises a readout screen that displays information regarding the level of obstruction in the individual.
12. The method of claim 1 , wherein the level of obstruction of the individual is used to monitor asthma in the individual.
13. The method of claim 1 , wherein the resistors only resist inspiratory or expiratory air flow.
14. A respiratory monitoring device, comprising a processor that
receives at least one calibration photoplethysmography (PPG) signal stream from an individual while the individual breathes through at least one resistor having a known resistance;
determines changes in the at least one calibration PPG signal stream in response to increases in resistance to the individual's breathing; and
uses a monitored PPG signal stream to determine a calibrated resistance value, and uses the calibrated resistance value to determine a level of obstruction of the individual's breathing.
15. The respiratory monitoring device of claim 14 , wherein the at least one calibration PPG signal stream and the monitored PPG signal stream comprise an isolated PAC signal stream, an isolated VIC signal stream, or both.
16. The respiratory monitoring device of claim 14 , wherein the at least one calibration PPG signal stream and the monitoring PPG signal stream are obtained from a central source site.
17. The respiratory monitoring device of claim 14 , wherein the device is a hand-held device that comprises a readout screen that displays information regarding the level of obstruction in the individual.