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Comparison of accelerometer-based arm, leg and trunk activity at weekdays and weekends during subacute inpatient rehabilitation after stroke
University of Gothenburg, Sweden; Sahlgrenska University Hospital, Sweden.
University of Gothenburg, Sweden; Sahlgrenska University Hospital, Sweden.
University of Gothenburg, Sweden.
RISE - Research Institutes of Sweden, ICT, Acreo.
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2019 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 51, no 6, p. 426-433Article in journal (Refereed) Published
Abstract [en]

Objective: To determine whether there are differences in arm, leg and trunk activity measured by acceleration between weekdays and weekends in people undergoing rehabilitation in the subacute stage after stroke. Design: Cross-sectional study. Patients: Twenty-eight individuals with stroke (mean age 55.4 years; severe to mild impairment) and 10 healthy controls. Methods: A set of 5 3-axial accelerometers were used on the trunk, wrists and ankles during 2 48-h sessions at weekdays and over a weekend. Day-time acceleration raw data were expressed as the signal magnitude area. Asymmetry between the affected and less-affected limb was calculated as a ratio. Results: Participants with stroke used their both arms and legs less at weekends than on weekdays (p<0.05, effect size 0.32–0.57). Asymmetry between the affected and less-affected arm was greater at weekends (p < 0.05, effect size 0.32). All activity measures, apart from the less-affected arm on weekdays, were lower in stroke compared with controls (p<0.05, effect size 0.4–0.8). No statistically significant differences were detected between weekday and weekend activity for the control group. One-third of participants perceived the trunk sensor as inconvenient to wear. Conclusion: Increased focus needs to be applied on activities carried out during weekends at rehabilitation wards.

Place, publisher, year, edition, pages
Foundation for Rehabilitation Information , 2019. Vol. 51, no 6, p. 426-433
Keywords [en]
Accelerometry, Ambulatory monitoring, Patient preference, Physical activity, Rehabilitation, Stroke, Wearable technology, Weekday weekend differences
National Category
Natural Sciences
Identifiers
URN: urn:nbn:se:ri:diva-39687DOI: 10.2340/16501977-2553Scopus ID: 2-s2.0-85068430522OAI: oai:DiVA.org:ri-39687DiVA, id: diva2:1341005
Note

Funding details: ALFGBG-775561; Funding details: Stiftelsen för Strategisk Forskning, SSF, SBE13-0086; Funding details: Stiftelsen Promobilia; Funding text 1: The authors thank all participants in this study. The study was funded by the Swedish Foundation for Strategic Research (SBE13-0086), the Swedish state under the agreement between the Swedish government and the country councils, the ALF-agreement (ALFGBG-775561), Swedish National Stroke Association, Rune and Ulla Amlöv Foundation for Neurology Research, JB Wenneström Foundation, Promobilia Foundation.

Available from: 2019-08-07 Created: 2019-08-07 Last updated: 2019-08-07Bibliographically approved

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