Encouraging arm use in stroke survivors: the impact of smart reminders during a home-based intervention

Journal of NeuroEngineering and Rehabilitation, Journal Year: 2024, Volume and Issue: 21(1)

Published: Dec. 21, 2024

Upper limb impairment post-stroke often leads to a predominant use of the less affected arm and consequent learned disuse side, hindering upper outcome. Wearable sensors such as accelerometers, combined with smart reminders (i.e., based on amount activity), offer potential approach promote increased improve during daily life. This study aimed evaluate efficacy wrist vibratory six-week home-based intervention in chronic stroke survivors. We evaluated impact primary outcome, Motor Activity Log-14 Item Version scores Amount Use (MAL-14 AOU), secondary outcomes MAL-14 Quality Movement (QOM) sensor-derived activity metrics from arm. A randomized controlled trial design was used for study: group received personalized individualized goals, while control did not receive any feedback. Mixed linear models assessed influence group, week period, initial level metrics. Forty-two participants were enrolled study. Overall, exhibited modest but clinically relevant increases AOU (+ 0.2 points) QOM after no statistically significant differences between group. Feasibility challenges noted, adherence wearing trackers sensor data quality. However, sufficiently available (n = 23), extracted significantly higher (p < 0.05). The strongly influenced both 0.01). investigated effectiveness incorporating increase among survivors While results regarding at home are promising, patient-reported remained below meaningful thresholds showed differences. Further, it is essential acknowledge feasibility issues missing data. NCT03294187.

Language: Английский

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Assessment of upper limb movement disorders using wearable sensors during functional tasks: a systematic review

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2022, Volume and Issue: unknown

Published: Oct. 13, 2022

Abstract Background Studies aiming to objectively quantify upper limb movement disorders during functional tasks using wearable sensors have recently increased, but there is a wide variety in described measurement and analyzing methods, hampering standardization of methods research clinics. Therefore, the primary objective this review was provide an overview sensor set-up type, included tasks, features used multiple pathological populations. The secondary select most sensitive for symptom detection quantification discuss application proposed clinical practice. Methods A literature search Scopus, Web Science, PubMed performed. Articles needed meet following criteria: (1) participants were adults/children with neurological disease, (2) (at least) one placed on evaluation (3) comparisons between: groups with/without disorders, before/after intervention, or scale assessment disorder. (4) Outcome measures from acceleration/angular velocity signals. Results total 101 articles included, which 56 researched Parkinson’s Disease. Wrist(s), hand index finger popular locations. frequent were: tapping, wrist pro/supination, keeping arms extended front body finger-to-nose. frequently calculated mean, standard deviation, root-mean-square, ranges, skewness, kurtosis entropy acceleration and/or angular velocity, combination dominant frequencies power Examples applications automatization discrimination between patient/control group different patient groups. Conclusion Current can support clinicians researchers pathology-dependent methodologies evaluations treatment effects. insights Disease studies accelerate development protocols remaining pathologies, provided that sufficient attention standardisation protocols, feasibility data analysis methods.

Language: Английский

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Characterizing Movement Patterns of Older Individuals with T2D in Free-Living Environments Using Wearable Accelerometers

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(23), P. 7404 - 7404

Published: Nov. 29, 2023

(1) Background: Type 2 Diabetes (T2D) is associated with reduced muscle mass, strength, and function, leading to frailty. This study aims analyze the movement patterns (MPs) of older individuals T2D across varying levels physical capacity (PC). (2) Methods: A cross-sectional was conducted among aged 60 or T2D. Participants (n = 103) were equipped a blinded continuous glucose monitoring (CGM) system an activity device for one week. PC tests performed at beginning end week, participants categorized into three groups: low (LPC), medium (MPC), normal (NPC). Group differences in MPs analyzed using non-parametric Kruskal–Wallis both categorical variables. Dunn post-hoc statistical subsequently carried out pairwise comparisons. For data analysis, we utilized pandas, Python-based analysis tool, analyses scipy.stats package Python. The significance level set p < 0.05. (3) Results: LPC group showed lower medio-lateral acceleration higher vertical antero-posterior compared NPC group. also had root mean square values (1.017 m/s2). Moreover, spent less time performing moderate vigorous (MVPA) fewer daily steps than MPC groups. (4) Conclusions: exhibited distinct first characterize their free-living environment. Several accelerometer-derived features identified that could differentiate between novel approach offers manpower-free alternative identify deterioration detect based on real behavior.

Language: Английский

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Análise do desempenho motor e funcional de pessoas com ataxia espinocerebelar durante a realização de tarefas em ambientes real e virtual: estudo transversal crossover

Published: Dec. 6, 2023

As tarefas de alcance e coordenação são amplamente utilizadas em programas tradicionais reabilitação física para pessoas com Ataxia.As terapias realidade virtual poderiam otimizar o desempenho motor desses indivíduos, no entanto, tipo interface pode influenciar desempenho, aprendizado engajamento durante a prática virtual.Assim, objetivo deste estudo foi explorar efeito diferentes interfaces (webcam touchscreen) físico funcional indivíduos ataxias hereditárias (AH) jogos virtuais computador.Para tanto, participaram dezessete voluntários diagnóstico AH entre 21 64 anos idade dezesseis compor grupo controle.Foram coletados dados sociodemográficos medidas funcionais clínicas.As do jogo foram realizadas sob ou touchscreen).Subgrupos participantes realizaram os utilizando as ordens (interface webcam, seguida touchscreen, vice-versa).Os erros absolutos (EA), variáveis (VE), número acertos antecipação utilizados refletir tarefa virtual.Como resultados, ataxia apresentaram mais

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