Use of Accelerometers to Measure Real-Life Physical Activity in Ambulatory Individuals with Multiple Sclerosis

Fjeldstad, Cecilie; Fjeldstad, Anette S.; Pardo, Gabriel

doi:10.7224/1537-2073.2014-037

Cited by 21 publications

(17 citation statements)

References 50 publications

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“…[32] and Romberg et al [33] for European pwMS, but well above those found in several investigations performed in the United States [34][35][36][37][38]. In the latter, the number of daily steps ranged from 5800 to 7698, depending on the average level of participants' disability.…”

Section: Discussionsupporting

confidence: 56%

What Gait Features Influence the Amount and Intensity of Physical Activity in People with Multiple Sclerosis?

Porta

Pilloni

Coghe

et al. 2020

Preprint

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Background: Although the mutual relationship between ambulation and Physical Activity (PA) in people with Multiple Sclerosis (pwMS) has been described in several studies, there is still a lack of detailed information about the way in which specific aspects of the gait cycle are associated with amount and intensity of PA. This study aimed to verify the existence of possible relationships among PA parameters and the spatio-temporal parameters of gait when both are instrumentally assessed.Methods: Thirty-one pwMS (17F, 14M, mean age 52.5, mean Expanded Disability Status Scale score 3.1) were requested to wear a tri-axial accelerometer 24h/day for 7 consecutive days and underwent an instrumental gait analysis, performed using an inertial sensor located on the low back, immediately before the PA assessment period. Main spatio-temporal parameters of gait (i.e. gait speed, stride length, cadence and duration of stance, swing and double support phase) were extracted by processing trunk accelerations. PA was quantified using average number of daily steps and percentage of time spent at different PA intensity, the latter calculated using cut-point sets previously validated for MS. The existence of possible relationships between PA and gait parameters was assessed using Spearman’s rank correlation coefficient rho.Results: Gait speed and stride length were the parameters with the highest number of significant correlations with PA features. In particular, they were found moderately to largely correlated with number of daily steps (rho 0.62, p<0.001), percentage of sedentary activity (rho = -0.44, p<0.001) and percentage of moderate-to-vigorous activity (rho = 0.48, p<0.001). Small to moderate significant correlations were observed between PA intensity and duration of stance, swing and double support phases.Conclusions: The data obtained suggest that the most relevant determinants associated with higher and more intense levels of physical activity in free-living conditions are gait speed and stride length.The simultaneous quantitative assessment of gait parameters and PA levels might represent a useful support for physical therapists in tailoring optimized rehabilitative and training interventions.

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Section: Discussionsupporting

confidence: 56%

What Gait Features Influence the Amount and Intensity of Physical Activity in People with Multiple Sclerosis?

Porta

Pilloni

Coghe

et al. 2020

Preprint

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“…After examining titles and abstracts of these studies, 217 studies were included for full‐text review. Reasons for the exclusion of 185 of these studies are outlined in Figure and 32 studies remained in the review . Of those 32 studies, 25 were included for meta‐analysis and allowed comparison to the NHANES database.…”

Section: Resultsmentioning

confidence: 99%

“…41 A wide range of PA outputs were measured. Activity counts were measured in 22 studies, 5,18,20,21,25,27,28,[30][31][32][33][34][35][36][37][39][40][41][44][45][46]48 step counts in 10 studies, [18][19][20]26,29,34,[44][45][46][47] minutes of MVPA in three studies 23,38,44 minutes of light PA in one study, 23 minutes of dynamic activity in one study, 42 minutes of sedentary time in one study, 23 and energy expenditure in two studies. 22,24 The outputs of step counts and minutes of MVPA were metaanalyzed and compared to published NHANES data.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Objective physical activity levels in people with multiple sclerosis: Meta‐analysis

Casey

Coote

Galvin

et al. 2018

Scandinavian Med Sci Sports

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To quantify physical activity (PA) levels in people with multiple sclerosis (pwMS) using objective measurement and to establish using a meta-analytical approach if pwMS are less active than the general population. A systematic search of eight databases was conducted. Cohort and intervention studies which included an objective measure of PA were included. Objective PA outputs of steps per day and minutes of moderate-vigorous activity (MVPA) per day were extracted from the MS studies and the published NHANES dataset. Meta-analysis was used to compare the differences between the groups for these parametric outcomes. A general population sample from the National Health and Nutritional Examination Survey (NHANES) in the United States of America was used as a comparative group. The systematic search resulted in 32 papers (n = 2 randomized control trials, n = 30 cohort studies). A total of 3 762 pwMS were included. The sample was largely female (n = 3 118, 82.8%) and ambulatory with/without use of an aid (n = 31 studies). There were significant differences between the MS and the published NHANES comparative group with respect to 1) steps per day [mean difference: -3845 (-4120.17, -3569.83), P < .0001, n = 10 studies] and 2) minutes of MVPA per day [mean difference: 9.00 (-12.5, -5.4), P < .0001, n = 3 studies], indicating pwMS are less physically active than the NHANES sample. Results suggest that pwMS are less physically active than a general population across PA outputs of steps per day and minutes of MVPA per day. There is a need to increase PA levels among pwMS.

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“…Patients with higher self-efficacy are more likely to set out self-care behaviors and tend to be more adhering to that beneficial behavior ( 7 ). Furthermore, there has been a significantly reverse relationship reported between perceived self-efficacy, depression and anxiety and intensity of pain felt by patients with multiple sclerosis ( 13 , 20 , 21 ).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Educational Intervention on Knowledge and Self-efficacy for Pain Control in Patients with Multiple Sclerosis

et al. 2016

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Introduction:Multiple Sclerosis (MS) is one of the most common autoimmune diseases affecting the central nervous system. The prevalence of it is increasing in our country too. The pain from disorders can affect quality of life. Several studies have pointed to the improvement of patients through educational intervention. This study attempted to evaluate the effectiveness of an educational intervention based on raising the awareness and self-efficacy for pain control among patients with multiple sclerosis during 2015 under the coverage of Isfahan MS Society (IMSS).Materials and methods:This was a quasi-experimental study involving pre-test, post-test and randomized control group conducted on 100 patients with MS referred to the Isfahan MS Society (IMSS). The educational intervention group learned the pain management self-care lesson during 4 weekly sessions. The data were collected through a self-structured questionnaire with adequate validity and reliability, containing demographic data, awareness and self-efficacy of pain control. The data were assessed through descriptive and analytical tests assisted by SPSS 17. The significant level was considered as P<0.05.Results:Concerning the questionnaire, 96% of the items were responded. Most participants were women. The frequency distribution of demographic variables was not significantly different between the two pre-test groups. After the intervention, the mean score of knowledge and efficacy among patients in the intervention group was significantly higher than the control group (P<0.001).Conclusions:Educational interventions can improve awareness and self-efficacy for pain control among patients with MS. Therefore, such interventions can be designed to reduce physical and psychological complications following multiple sclerosis.

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Use of Accelerometers to Measure Real-Life Physical Activity in Ambulatory Individuals with Multiple Sclerosis

Cited by 21 publications

References 50 publications

What Gait Features Influence the Amount and Intensity of Physical Activity in People with Multiple Sclerosis?

What Gait Features Influence the Amount and Intensity of Physical Activity in People with Multiple Sclerosis?

Objective physical activity levels in people with multiple sclerosis: Meta‐analysis

The Effect of Educational Intervention on Knowledge and Self-efficacy for Pain Control in Patients with Multiple Sclerosis

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