Monitoring of arm activity in stroke patients in daily rehabilitation care

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F68407700%3A21460%2F24%3A00375313" target="_blank" >RIV/68407700:21460/24:00375313 - isvavai.cz</a>

Result on the web

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DOI - Digital Object Identifier

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Result language

angličtina

Original language name

Monitoring of arm activity in stroke patients in daily rehabilitation care

Original language description

BACKGROUND: Upper limb dysfunction limiting the performance of self-care and other activities is presented in up to 80% of stroke patients (1). Accelerometers and the Actigraph system wristbands provide reliable information about spontaneous upper limb activity (2,3). Using smart low-cost wristbands, it is also possible to detect activity of upper limbs during the daily activities and sleep time. However, it is necessary to determine their accuracy and usability for the clinical practice. AIM: To describe the use of a paretic upper limb during daily activities, leisure time and sleep and to compare the measurement results from a smart wristband, which is not obtrusive for the patient to wear, with a reliable Actigraph system. METHODS: The observational study describes performance and daily use of upper limbs in thirty stroke patients in subacute phase during a rehabilitation inpatient stay over a 24-hour period. Subjects wear a smart wristband for experimental measurement and Actigraph GT9X Link wristband as a reference on both wrists. Upper limb activity is assessed based on the activity recorded and evaluated as a total activity time in hours with use ratio, and compared with the activity performed in daily schedule during measured time. Clinical assessment of upper limb function was performed using the Action Research Arm Test and Motor Activity Log. RESULTS: Preliminary results showed significantly lower involvement of paretic upper limb during measured time depending on paresis severity. Within daily activities and rehabilitation exercise the activity of paretic upper limb increases but does not reach the required level of intensity compared to a healthy upper limb. Study outcomes also provide comparison of accelerometry data between experimental and referential wristbands. DISCUSSION AND CONCLUSION: Based on obtained results, it is possible to objectify upper limb activity. It can be expected that the use of a smaller and lighter wristband will lead to a higher wearing adherence. The method used does not inform about the quality of the movement and may be biased by the ratio of walking to sedentary activity (2,3). In case of successful verification of the measurement accuracy of the cheaper smart wristbands, this could be an accessible measurement, and with the use of a feedback, also support for functional training of the upper limb and its use in daily activities.

Czech name

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Czech description

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Type

O - Miscellaneous

CEP classification

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OECD FORD branch

30300 - Health sciences

Project

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Continuities

S - Specificky vyzkum na vysokych skolach

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů