Giovanni Talarico
Real-Time Stress Induction and Mitigation Through Adaptive Multisensory Stimulation in Virtual Reality: A Closed-Loop ECG-Based Approach.
Rel. Luca Mesin, Matteo Raggi. Politecnico di Torino, Corso di laurea magistrale in Ingegneria Biomedica, 2026
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Abstract
The exposure to chronic stress has been identified as a key risk factor underlying mental disorders, cognitive impairments, and complex pathologies. In this thesis, a closed-loop stress mitigation system using virtual reality multisensory stimulation and electrocardiography is designed and validated. A racing game was developed using Unity to induce controlled stress through competitive gameplay and a rapidly flashing trajectory. Twenty participants aged 24 ± 2 years were divided into two groups, comparing constant stimulation (Play 1) versus adaptive stimulation (Play 2), with order counterbalancing to eliminate learning effects. ECG signals were acquired with a Polar H10 chest strap and processed in real-time via a TCP/IP connection between Python and MATLAB.
Features extraction used windows of 4-second length with 75% overlap from which the instantaneous heart rate was calculated in beats per minute (BPM), standard heart rate variability measures (SDNN, RMSSD, pNN50), and some ECG morphological features like RTr, RPr, QTc
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