Accelerometer-Based Monitoring of Upper Limb Movement in Older Adults With Acute and Subacute Stroke

Narai, Emi; Hagino, Hiroshi; Komatsu, Taiki; Togo, Fumiharu

doi:10.1519/jpt.0000000000000067

Cited by 42 publications

(66 citation statements)

References 20 publications

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“…To estimate the amount of daily activity, three parameters were calculated from the acceleration data of each sensor according to a set of standardized procedures . We chose to use intensity, level of arm elevation (orientation), and elevation rate (frequency of arm elevation) as parameters because these were expected to fit with the functional abilities of boys/adolescents with DMD …”

Section: Methodsmentioning

confidence: 99%

“…Accelerometers have been shown to be useful in monitoring gait (eg, overall physical activity level, step activity and gait alterations) in boys with DMD and in children with other neurological diseases . Most of the experience with the use of accelerometers in the UEs is in adult patients with stroke and multiple sclerosis . Uswatte et al showed that if complementary self‐reported measures are used simultaneously they can provide rich information about UE activities.…”

Section: Introductionmentioning

confidence: 99%

“…In previous studies with accelerometers to measure UE function, various parameters were used. Intensity (or movement counts) of movement was recommended as a parameter in several studies . Koene et al questioned the relationship between measured intensity and UE function in children with mitochondrial disease because a high level of nonpurposeful activity influences the registration of the parameter intensity.…”

Section: Introductionmentioning

confidence: 99%

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Monitoring daily physical activity of upper extremity in young and adolescent boys with Duchenne muscular dystrophy: A pilot study

Geest¹,

Essers

Bergsma

et al. 2019

Muscle and Nerve

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Introduction Accelerometry of the upper extremity (UE) potentially provides information on the extent of activities in daily life in patients with Duchenne muscular dystrophy (DMD). The objective of this study is to evaluate the validity of home measurements of UE accelerometry. Methods This was a cross‐sectional study in 16 patients with DMD (aged 7‐17 years). Patients were monitored for 1 to 3 days with two accelerometers on the UE and one accelerometer on the wheelchair. Results The mean intensity of activity and the mean frequency of transfers of arm elevation from low to middle were approximately twofold higher in patients with a Brooke scale score of 1 or 2 than in patients with a Brooke scale score of 3 or 4. Correlations with the Performance of Upper Limb scale score were high for intensity and for the total frequency of arm elevations per hour. Discussion Intensity, percentage of time in middle orientation, and frequency of transfers of the upper arm correlated well with functional measurements.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Monitoring daily physical activity of upper extremity in young and adolescent boys with Duchenne muscular dystrophy: A pilot study

Geest¹,

Essers

Bergsma

et al. 2019

Muscle and Nerve

View full text Add to dashboard Cite

show abstract

“…Examples of those devices are the ActiGraph [66], ActiWatch [67], ActivPAL [68], DynaPort [69], and many others. Those studies have been used in a wide number of investigations, such as Definition of the pattern of physical activity and sedentary behavior in older people and the quantification of moderate-to-vigorous activity, [70,71];Evaluation of physical activity in older samples with particular conditions (schizophrenia [72], multiple sclerosis [73], frailty [74], hospitalized subjects [75,76], severe aortic stenosis [77], acute and subacute stroke [78]);Correlation of physical activity with subclinical vascular disease [79], disabilities [80,81], cognitive function [82,83], cardio-metabolic risk [84], bone density [85], or lean mass percentage [86];Quantification of the effects that specific life events may have on physical activity, such as stressful events [87], or retirement [88];Geographical differences of physical activity, investigated in Norway [89], the UK [90,91], Iceland [92], China [93], Japan [94], and dissimilarities between subjects in urban and rural contexts [95,96]. …”

Section: Wearables For Senior Citizens: Related Work and Limitationsmentioning

confidence: 99%

“…Evaluation of physical activity in older samples with particular conditions (schizophrenia [72], multiple sclerosis [73], frailty [74], hospitalized subjects [75,76], severe aortic stenosis [77], acute and subacute stroke [78]);…”

Section: Wearables For Senior Citizens: Related Work and Limitationsmentioning

confidence: 99%

A Review of Activity Trackers for Senior Citizens: Research Perspectives, Commercial Landscape and the Role of the Insurance Industry

Tedesco

Barton

O’Flynn

2017

Sensors

108

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The objective assessment of physical activity levels through wearable inertial-based motion detectors for the automatic, continuous and long-term monitoring of people in free-living environments is a well-known research area in the literature. However, their application to older adults can present particular constraints. This paper reviews the adoption of wearable devices in senior citizens by describing various researches for monitoring physical activity indicators, such as energy expenditure, posture transitions, activity classification, fall detection and prediction, gait and balance analysis, also by adopting consumer-grade fitness trackers with the associated limitations regarding acceptability. This review also describes and compares existing commercial products encompassing activity trackers tailored for older adults, thus providing a comprehensive outlook of the status of commercially available motion tracking systems. Finally, the impact of wearable devices on life and health insurance companies, with a description of the potential benefits for the industry and the wearables market, was analyzed as an example of the potential emerging market drivers for such technology in the future.

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An accelerometry and observational study to quantify upper limb use after stroke during inpatient rehabilitation

Chin

Hayward

Soh

et al. 2019

Physiotherapy Res Intl

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Objectives The objectives of the study are to characterize paretic upper limb (UL) use in people with different levels of impairment 4 weeks poststroke and to compare accelerometry and direct observational approaches. Methods Twelve stroke inpatients (five mild, three moderate, and four severe UL impairment) were recruited from a rehabilitation hospital. UL use was measured using accelerometry (24 hr) and direct observation (12 hr of behavioural mapping). Accelerometry variables included duration of use, use ratio, magnitude ratio, bilateral magnitude, and variation ratio. Direct observation recorded the duration of use and type of UL movement (e.g., functional vs. non‐functional). Results From accelerometry data, people with mild, moderate, and severe UL impairments used their paretic UL 59%, 45%, and 22% of a 24 hr‐day, respectively. People with severe UL impairment had the lowest paretic UL use duration (median 1.49 hr/day), magnitude ratio, and variation ratio compared with people with mild and moderate UL impairment. From 12 hr of observational data, people with mild impairment were using their UL for 37.8% of the observed time, whereas the people with moderate and severe impairment were using their UL 15.8% and 4.9%, respectively. UL movements for the mild cohort were mainly functional, whereas UL movements of the moderate and severe cohorts were mainly non‐functional. UL movements were predominantly active for the mild and moderate cohorts but passive for the severe cohort. Duration of paretic UL use from accelerometry and observation data were highly correlated (ICC > 0.8), but the absolute percentage error between methods ranged from 34.2% to 42.7%. Conclusions Paretic UL use within the first 4 weeks poststroke differs across levels of impairment in this exploratory study. Accelerometry and observation findings of paretic UL use were correlated and may be needed in different situations as they capture different information.

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Accelerometer-Based Monitoring of Upper Limb Movement in Older Adults With Acute and Subacute Stroke

Abstract: Bilateral accelerometry for monitoring upper limb movements in a real-world setting might be useful to clinicians for objective assessment of affected upper limb use or disuse and function among older adults with hemiparesis from acute or subacute stroke.

Cited by 42 publications

References 20 publications

Monitoring daily physical activity of upper extremity in young and adolescent boys with Duchenne muscular dystrophy: A pilot study

Monitoring daily physical activity of upper extremity in young and adolescent boys with Duchenne muscular dystrophy: A pilot study

A Review of Activity Trackers for Senior Citizens: Research Perspectives, Commercial Landscape and the Role of the Insurance Industry

An accelerometry and observational study to quantify upper limb use after stroke during inpatient rehabilitation

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