論文

査読有り
2016年10月

Accelerometer-Based Monitoring of Upper Limb Movement in Older Adults With Acute and Subacute Stroke

JOURNAL OF GERIATRIC PHYSICAL THERAPY
  • Emi Narai
  • ,
  • Hiroshi Hagino
  • ,
  • Taiki Komatsu
  • ,
  • Fumiharu Togo

39
4
開始ページ
171
終了ページ
177
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1519/JPT.0000000000000067
出版者・発行元
LIPPINCOTT WILLIAMS & WILKINS

Background and Purpose: Use of the affected extremity during daily life is important if disuse atrophy is to be prevented after stroke. This study examined whether objectively measured real-world upper limb movement is associated with the amount of use of the affected upper limb, as assessed by a standardized assessment tool in older adults with acute or subacute stroke. This study also examined whether the real-world upper limb movement is associated with the extent of impairment of upper and lower extremities.
Methods: The participants were 19 older adults with hemiparesis from acute or subacute stroke [17 (7) days after the stroke]. All the participants wore 3 accelerometers-1 on each wrist (bilateral accelerometry) and 1 on the waist-throughout a 24-hour period. They were interviewed about use of their upper limb in the real-world setting using a Motor Activity Log. Functions of the affected upper limb or upper and lower limbs were assessed using the National Institute of Health Stroke Scale, the Brunnstrom Recovery Stage (BRS), the Simple Test for Evaluating Hand Function, and the Functional Independence Measure tests.
Results and Discussion: Movement counts measured with the wrist accelerometer on the affected upper limb (unilateral accelerometry) over 24 hours and during the 12-hour daytime period (08:00 to 20:00) were significantly correlated with scores for affected upper limb use (the Motor Activity Log) and functions (the upper extremity BRS and the affected side Simple Test for Evaluating Hand Function), upper and lower extremity functions (the National Institute of Health Stroke Scale, the lower extremity BRS, and the motor Functional Independence Measure), and step counts measured over the same period. To estimate the affected upper limb use or disuse, we subtracted the movement counts of the unaffected upper limb from those of the affected upper limb. As a result, the subtracted counts over 24 hours and during the 12-hour daytime period were only related to scores for affected upper limb use and functions.
Conclusions: Bilateral accelerometry for monitoring upper limb movements in a real-world setting might be useful to clinicians for objective assessment of affected upper limb use or disuse and function among older adults with hemiparesis from acute or subacute stroke.

Web of Science ® 被引用回数 : 10

リンク情報
DOI
https://doi.org/10.1519/JPT.0000000000000067
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/26428901
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000388364500004&DestApp=WOS_CPL

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