Consideration for Positive and Negative Effect of Multi-Sensory Environment Interventions on Disabled Patients through Electrocardiography

Abstract

Many studies have supported the efficacy of multi-sensory environment (MSE) interventions in reducing behavioral and psychological symptoms and improving the quality of life for disabled patients. However, it is difficult to identify the groups that are helped and those who are harmed. This study verified the effect of multi-sensory environment interventions on disabled patients by using thermal images, then addressed the precaution using electrocardiography (ECG). Twenty disabled patients participated in experiments for 12 min: ten with muscular dystrophy (MD) and ten with severe motor and intellectual disabilities (SMID). The continuous measurement of nasal temperature evaluated the emotional arousal after facial detection. The QT-RR relation was used to assess the risk degree. It was found that the continuous measurement of nasal temperature enabled us to evaluate the emotional arousal of disabled patients in MSE with the comparison of ECG. Through the QT-RR relation, it was found that the risk assessment for the patient with SMID was 11 times higher than those with MD because the QT was below 300 ms. Therefore, it was concluded that the specification for the risky group was related to the kind of prescribed medication through continuous measurement.