Wrist-mounted accelerometers provide objective evidence of disease and recovery in patients with frozen shoulder

Mackenzie, Samuel P.; McLean, Michael; Spasojevic, Miloš; Niu, Rui; Kruse, Lisa M.; Gwynne, J. F.; Young, Allan; Cass, Benjamin

doi:10.1016/j.jseint.2021.09.014

Cited by 4 publications

(1 citation statement)

References 22 publications

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“…The use of accelerometers as an activity monitoring device in intervention studies has become increasingly prevalent due to the high frequency of measurements, large memory capacity, low subject interference and ability to differentiate between differing levels of activity [41]. Accelerometer use has been recommended as a clinical measurement of physical activity when undertaking intervention studies and has seen a rise in use in the field of orthopaedics [42][43][44][45].…”

Section: Activity Levelsmentioning

confidence: 99%

A multi-center investigation on the effect of decompressive surgery on Balance and physical ActiviTy Levels in patients with lumbar Spinal stenosis (B-ATLAS): Protocol for a prospective cohort study

Zielinski,

Hallager,

Jensen

et al. 2024

Preprint

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BackgroundPatients with lumbar spinal stenosis may complain of poor balance, decreased physical function and problems maintaining physical activity levels due to radiculopathy. Decompressive surgery is often indicated if conservative management fails to achieve a satisfactory clinical outcome. While surgical management has proven effective at treating radiculopathy, and patients report increased physical function post-operatively, objective measures of postural control and physical activity remains sparse. This study aims to investigate the effects of decompressive surgery on balance and activity levels of elderly patients with lumbar spinal stenosis using objective measurements.Methods and analysisThis is a 24-month, multi-centre, prospective cohort study. Patients ≥ 65 years of age with MRI-verified symptomatic lumbar spinal stenosis will be recruited from two separate inclusion centres, and all participants will undergo decompressive surgery for lumbar spinal stenosis. Pre-operative data is collected up to 3 months before surgery, with follow-up data collected at 3, 6, 12 and 24-months post-operatively. Balance measurements are performed using the Wii Balance Board, mini–Balance Evaluation Systems Test and Tandem test, and data concerning physical activity levels are collected using ActiGraph wGT3X-BT accelerometers. Patient reported outcomes regarding quality of life and physical function are collected from the EuroQol-5D, 36-Item Short Form Health Survey and Zurich Claudication Questionnaire. Primary outcomes are the change in sway area of centre of pressure and total activity counts per day from baseline to follow-up at 24-months. A sample size of 80 participants has been calculated.Ethics and disseminationThe study has been approved by the Regional Ethics Committee of Region Zealand (ID EMN-2022-08110) and the Danish Data Protection Agency (ID REG-100-2022). All results from the study will be published in international peer-reviewed journals and presented at national and international conferences. Study findings will be disseminated through national patient associations.Trial registration numberNCT06075862 &NCT06057428STRENGTHS AND LIMITATIONSThis study will provide new knowledge concerning the effects of lumbar spinal decompression surgery on postural control and physical activity levels.A follow-up period of two years ensures that changes in the primary outcomes are sufficiently documented.This will be the first study to correlate changes in postural control with changes in physical activity levels amongst patients with lumbar spinal stenosis.A pre-post prospective cohort design provides the necessary comparative control group.

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Section: Activity Levelsmentioning

confidence: 99%

A multi-center investigation on the effect of decompressive surgery on Balance and physical ActiviTy Levels in patients with lumbar Spinal stenosis (B-ATLAS): Protocol for a prospective cohort study

Zielinski,

Hallager,

Jensen

et al. 2024

Preprint

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Use of commercially available wearable devices for physical rehabilitation in healthcare: a systematic review

Latif,

Al Janabi,

Joshi

et al. 2024

BMJ Open

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ObjectivesTo evaluate whether commercially available ‘off-the-shelf’ wearable technology can improve patient rehabilitation outcomes, and to categorise all wearables currently being used to augment rehabilitation, including the disciplines and conditions under investigation.DesignSystematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 statement checklist, and using the Grading of Recommendations, Assessment, Development and Evaluation approach.Data sourcesEmbase, MEDLINE, Web of Science and the Cochrane Library were searched up to and including July 2023.Eligibility criteriaWe included trials and observational studies evaluating the use of consumer-grade wearables, in real patient cohorts, to aid physical therapy or rehabilitation. Only studies investigating rehabilitation of acute events with defined recovery affecting adult patients were included.Data extraction and synthesisTwo independent reviewers used a standardised protocol to search, screen and extract data from the included studies. Risk of bias was assessed using the Cochrane Methods Risk of Bias in Randomised Trials V.2 and Risk of Bias in Non-Randomised Studies of Interventions tools for randomised controlled trials (RCTs) and observational studies, respectively.ResultsEighteen studies encompassing 1754 patients met eligibility criteria, including six RCTs, six quasi-experimental studies and six observational studies. Eight studies used wearables in Orthopaedics, seven in Stroke Medicine, two in Oncology and one in General Surgery. All six RCTs demonstrated that wearable-driven feedback increases physical activity. Step count was the most common measure of physical activity. Two RCTs in orthopaedics demonstrated non-inferiority of wearable self-directed rehabilitation compared with traditional physiotherapy, highlighting the potential of wearables as alternatives to traditional physiotherapy. All 12 non-randomised studies demonstrated the feasibility and acceptability of wearable-driven self-directed rehabilitation.ConclusionThis review demonstrates that consumer-grade wearables can be used as adjuncts to traditional physiotherapy, and potentially as alternatives for self-directed rehabilitation of non-chronic conditions. Better designed studies, and larger RCTs, with a focus on economic evaluations are needed before a case can be made for their widespread adoption in healthcare settings.PROSPERO registration IDCRD42023459567

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Multicentre investigation on the effect of decompressive surgery on Balance and physical ActiviTy Levels amongst patients with lumbar Spinal stenosis (B-ATLAS): protocol for a prospective cohort study

Zielinski,

Hallager,

Jensen

et al. 2024

BMJ Open

View full text Add to dashboard Cite

IntroductionPatients with lumbar spinal stenosis may have poor balance, decreased physical function and problems maintaining physical activity levels due to radiculopathy. Decompressive surgery is often indicated if conservative management fails to achieve a satisfactory clinical outcome. While surgical management has proven effective at treating radiculopathy, and patients report increased physical function postoperatively, objective measures of postural control and physical activity remain sparse. This study aims to investigate the effects of decompressive surgery on postural control and activity levels of elderly patients with lumbar spinal stenosis using objective measurements.Methods and analysisThis is a 24-month, multicentre, prospective cohort study. Patients ≥65 years of age with MRI-verified symptomatic lumbar central canal stenosis will be recruited from two separate inclusion centres, and all participants will undergo decompressive surgery. Preoperative data are collected up to 3 months before surgery, with follow-up data collected at 3, 6, 12 and 24 months postoperatively. Postural control measurements are performed using the Wii Balance Board, mini Balance Evaluation Systems Test and Tandem test, and data concerning physical activity levels are collected using ActiGraph wGT3X-BT accelerometers. Patient-reported outcomes regarding quality-of-life and physical function are collected from the EuroQol-5D, 36-Item Short Form Health Survey and Zurich Claudication Questionnaire. Primary outcomes are the change in the sway area of centre of pressure and total activity counts per day from baseline to follow-up at 24 months. A sample size of 80 participants has been calculated.Ethics and disseminationThe study has been approved by the Regional Ethics Committee of Region Zealand (ID EMN-2022-08110) and the Danish Data Protection Agency (ID REG-100-2022). Written informed consent will be required from all participants before enrolment. All results from the study, whether positive, negative or inconclusive, will be published in international peer-reviewed journals and presented at national and international scientific meetings. Study findings will be further disseminated through national patient associations.Trial registration numbersNCT06075862andNCT06057428.

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Wrist-mounted accelerometers provide objective evidence of disease and recovery in patients with frozen shoulder

Cited by 4 publications

References 22 publications

A multi-center investigation on the effect of decompressive surgery on Balance and physical ActiviTy Levels in patients with lumbar Spinal stenosis (B-ATLAS): Protocol for a prospective cohort study

A multi-center investigation on the effect of decompressive surgery on Balance and physical ActiviTy Levels in patients with lumbar Spinal stenosis (B-ATLAS): Protocol for a prospective cohort study

Use of commercially available wearable devices for physical rehabilitation in healthcare: a systematic review

Multicentre investigation on the effect of decompressive surgery on Balance and physical ActiviTy Levels amongst patients with lumbar Spinal stenosis (B-ATLAS): protocol for a prospective cohort study

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