Ambulatory measurement of upper limb usage and mobility-related activities during normal daily life with an upper limb-activity monitor: A feasibility study

2002 ◽  
Vol 40 (2) ◽  
pp. 173-182 ◽  
Author(s):  
F. C. Schasfoort ◽  
J. B. J. Bussmann ◽  
H. J. Stam
Keyword(s):  
Feasibility Study ◽  
Upper Limb ◽  
Daily Life ◽  
Activity Monitor ◽  
Ambulatory Measurement

The Stroke Upper-Limb Activity Monitor: Its Sensitivity to Measure Hemiplegic Upper-Limb Activity During Daily Life

2007 ◽  
Vol 88 (9) ◽  
pp. 1121-1126 ◽  
Author(s):  
Mark de Niet ◽  
Johannes B. Bussmann ◽  
Gerard M. Ribbers ◽  
Henk J. Stam
Keyword(s):  
Upper Limb ◽  
Daily Life ◽  
Activity Monitor

scholarly journals Objective measurement of upper limb activity and mobility during everyday behavior using ambulatory accelerometry: The upper limb activity monitor

2006 ◽  
Vol 38 (3) ◽  
pp. 439-446 ◽  
Author(s):  
Fabiënne C. Schasfort ◽  
J. B. J. (Hans) Busmann ◽  
Wim L. J. Martens ◽  
Henk J. Stam
Keyword(s):  
Upper Limb ◽  
Activity Monitor ◽  
Objective Measurement

Feasibility of Action Observation and Repetitive-Task Practice Combined for Chronic Stroke Survivor Upper Limb Outcomes

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505159p1-7512505159p1
Author(s):  
Christine Griffin ◽  
Marcia Bockbrader ◽  
Erinn Hade ◽  
Anne Kloos ◽  
John A. Buford
Keyword(s):  
Feasibility Study ◽  
Upper Limb ◽  
Action Observation ◽  
Stroke Survivor ◽  
Preliminary Evidence ◽  
Phase Iii ◽  
Task Practice ◽  
Phase Iii Study ◽  
Combined Intervention ◽  
Primary Author

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Both action observation and repetitive-task practice are efficacious interventions for poststroke upper limb hemiplegia individually, yet these interventions have not been combined before. A feasibility study was completed to determine preliminary evidence of the response to intervention and if a Phase III study should be completed to test efficacy of the combined intervention. The functional impact of improving post stroke upper limb performance could benefit millions of stroke survivors. Primary Author and Speaker: Christine Griffin Contributing Authors: Marcia Bockbrader, Erinn Hade, Anne Kloos, and John A. Buford

scholarly journals Upper Limb Performance in Daily Life Improves Over the First 12 Weeks Poststroke

2019 ◽  
Vol 33 (10) ◽  
pp. 836-847 ◽  
Author(s):  
Kimberly J. Waddell ◽  
Michael J Strube ◽  
Rachel G. Tabak ◽  
Debra Haire-Joshu ◽  
Catherine E. Lang
Keyword(s):  
Psychosocial Factors ◽  
Hierarchical Linear Modeling ◽  
Upper Limb ◽  
Daily Life ◽  
Negative Relationship ◽  
Perceived Barriers ◽  
Recovery Trajectory ◽  
Moderating Role ◽  
Over Time

Background. Upper limb (UL) performance, or use, in daily life is complex and likely influenced by many factors. While the recovery trajectory of UL impairment poststroke is well documented, little is known about the recovery trajectory of sensor-measured UL performance in daily life early after stroke and the potential moderating role of psychosocial factors. Objective. To examine the recovery trajectory of UL performance within the first 12 weeks poststroke and characterize the potential moderating role of belief, confidence, and motivation on UL performance. Methods. This was a longitudinal, prospective cohort study quantifying UL performance and related psychosocial factors early after stroke. UL performance was quantified via bilateral, wrist-worn accelerometers over 5 assessment sessions for 24 hours. Belief, confidence, and motivation to use the paretic UL, and self-perceived barriers to UL recovery were quantified via survey. Change in 4 accelerometer variables and the moderating role of psychosocial factors was tested using hierarchical linear modeling. The relationship between self-perceived barriers and UL performance was tested via Spearman rank-order correlation analysis. Results. UL performance improved over the first 12 weeks after stroke. Belief, confidence, and motivation did not moderate UL performance over time. There was a negative relationship between UL performance and self-perceived barriers to UL recovery at week 2, which declined over time. Conclusions. Sensor-measured UL performance can improve early after stroke. Early after stroke, rehabilitation interventions may not need to directly target belief, confidence, and motivation but may instead focus on reducing self-perceived barriers to UL recovery.

scholarly journals What is the feasibility and observed effect of two implementation packages for stroke rehabilitation therapists implementing upper limb guidelines? A cluster controlled feasibility study

2020 ◽  
Vol 9 (2) ◽  
pp. e000954
Author(s):  
Laura Jolliffe ◽  
Tammy Hoffmann ◽  
Leonid Churilov ◽  
Natasha A Lannin
Keyword(s):  
Feasibility Study ◽  
Upper Limb ◽  
Guideline Adherence ◽  
Stroke Rehabilitation ◽  
Group Differences ◽  
Evidence Based ◽  
Medical File ◽  
Group A ◽  
Group B ◽  
Implementation Package

BackgroundHand and arm activity after stroke improves with evidence-based rehabilitation. Therapists face known barriers when providing evidence-based rehabilitation and require support to implement guidelines. The aim of this study was to investigate the feasibility of two implementation packages on guideline adherence by occupational therapists and physiotherapists, and explore effect on patient upper limb outcomes.MethodThis was a non-randomised clustered feasibility study of occupational and physiotherapy rehabilitation services (n=3 inpatient and n=3 outpatient services). Services were allocated to one of three groups: (group A) facilitator-mediated implementation package, (group B) self-directed implementation package or (group C) usual care (control); we recruited n=1 inpatient and n=1 outpatient service per group. Outcomes of feasibility, adherence to guidelines (medical file audits) and patient upper limb impairment (Fugl-Meyer Upper Extremity Assessment), activity (Box and Block Test) and practice (minutes/week) were collected at baseline and after 3 months of intervention.Results29 therapists (8 in group A, 13 in groups B and 8 in group C) and 55 patients participated. Both the facilitator-mediated and the self-directed implementation packages were feasible to deliver in the rehabilitation setting. Therapists in group A improved with respect to guideline adherence (medical file audits; median within-group proportion difference of 0.29 (95% CI 0.22 to 0.36, p<0.0001) preintervention to postintervention). No significant within-group differences from baseline to postintervention were found in group B or group C, and no between-group differences were found for upper limb outcomes.ConclusionA facilitator-mediated package was acceptable to therapists working in stroke rehabilitation, and feasibility data suggest increased guideline uptake following implementation. An adequately powered study is planned to understand how to support therapists to provide evidence-based upper limb rehabilitation after stroke.Trial registration numberAustralian New Zealand Clinical Trials Registry (ACTRN12619000596101).

Sensory dynamic orthoses in mild to moderate upper limb tremor in multiple sclerosis: a mixed methods feasibility study

2016 ◽  
Vol 30 (11) ◽  
pp. 1060-1073 ◽  
Author(s):  
L Miller ◽  
F van Wijck ◽  
L Lamont ◽  
J Preston ◽  
M Hair
Keyword(s):  
Multiple Sclerosis ◽  
Mixed Methods ◽  
Feasibility Study ◽  
Upper Limb

scholarly journals Relationships between accelerometry and general compensatory movements of the upper limb after stroke

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Jessica Barth ◽  
Joeseph W. Klaesner ◽  
Catherine E. Lang
Keyword(s):  
Upper Limb ◽  
Daily Life ◽  
Secondary Analysis ◽  
Movement Patterns ◽  
Limb Movement ◽  
Standardized Assessments ◽  
Data Set ◽  
Compensatory Movement ◽  
Paretic Limb ◽  
Upper Limb Paresis

Abstract Background Standardized assessments are used in rehabilitation clinics after stroke to measure restoration versus compensatory movements of the upper limb. Accelerometry is an emerging tool that can bridge the gap between in- and out-of-clinic assessments of the upper limb, but is limited in that it currently does not capture the quality of a person’s movement, an important concept to assess compensation versus restoration. The purpose of this analysis was to characterize how accelerometer variables may reflect upper limb compensatory movement patterns after stroke. Methods This study was a secondary analysis of an existing data set from a Phase II, single-blind, randomized, parallel dose–response trial (NCT0114369). Sources of data utilized were: (1) a compensatory movement score derived from video analysis of the Action Research Arm Test (ARAT), and (2) calculated accelerometer variables quantifying time, magnitude and variability of upper limb movement from the same time point during study participation for both in-clinic and out-of-clinic recording periods. Results Participants had chronic upper limb paresis of mild to moderate severity. Compensatory movement scores varied across the sample, with a mean of 73.7 ± 33.6 and range from 11.5 to 188. Moderate correlations were observed between the compensatory movement score and each accelerometer variable. Accelerometer variables measured out-of-clinic had stronger relationships with compensatory movements, compared with accelerometer variables in-clinic. Variables quantifying time, magnitude, and variability of upper limb movement out-of-clinic had relationships to the compensatory movement score. Conclusions Accelerometry is a tool that, while measuring movement quantity, can also reflect the use of general compensatory movement patterns of the upper limb in persons with chronic stroke. Individuals who move their limbs more in daily life with respect to time and variability tend to move with less movement compensations and more typical movement patterns. Likewise, individuals who move their paretic limbs less and their non-paretic limb more in daily life tend to move with more movement compensations at all joints in the paretic limb and less typical movement patterns.

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