Planned maintenance
A system upgrade is planned for 10/12-2024, at 12:00-13:00. During this time DiVA will be unavailable.
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Arm impairment and walking speed explain real-life activity of the affected Arm and leg after stroke
University of Gothenburg, Sweden; Sahlgrenska University Hospital, Sweden.
University of Gothenburg, Sweden.
RISE Research Institutes of Sweden. Umeå University, Sweden.
RISE Research Institutes of Sweden, Digital Systems, Smart Hardware.
Show others and affiliations
2021 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 53, no 6, article id jrm00210Article in journal (Refereed) Published
Abstract [en]

Objective: To determine to what extent accelerometer-based arm, leg and trunk activity is associated with sensorimotor impairments, walking capacity and other factors in subacute stroke. Design: Cross-sectional study. Patients: Twenty-six individuals with stroke (mean age 55.4 years, severe to mild motor impairment). Methods: Data on daytime activity were collected over a period of 4 days from accelerometers placed on the wrists, ankles and trunk. A forward stepwise linear regression was used to determine associations between free-living activity, clinical and demographic variables. Results: Arm motor impairment (Fugl-Meyer Assessment) and walking speed explained more than 60% of the variance in daytime activity of the more-affected arm, while walking speed alone explained 60% of the more-affected leg activity. Activity of the less-affected arm and leg was associated with arm motor impairment (R2=0.40) and independence in walking (R2=0.59). Arm activity ratio was associated with arm impairment (R2=0.63) and leg activity ratio with leg impairment (R2=0.38) and walking speed (R2=0.27). Walking-related variables explained approximately 30% of the variance in trunk activity. Conclusion: Accelerometer-based free-living activity is dependent on motor impairment and walking capacity. The most relevant activity data were obtained from more-affected limbs. Motor impairment and walking speed can provide some information about real-life daytime activity levels.

Place, publisher, year, edition, pages
Foundation for Rehabilitation Information , 2021. Vol. 53, no 6, article id jrm00210
Keywords [en]
Accelerometry, Ambulatory monitoring, Clinical research, Outcome assessment (healthcare), Outcome measures, Rehabilitation, Stroke, Wearable technology, adult, aged, arm injury, cerebrovascular accident, complication, cross-sectional study, female, human, male, middle aged, pathology, physiology, procedures, stroke rehabilitation, very elderly, walking speed, Aged, 80 and over, Arm Injuries, Cross-Sectional Studies, Humans
National Category
Neurology
Identifiers
URN: urn:nbn:se:ri:diva-58179DOI: 10.2340/16501977-2838Scopus ID: 2-s2.0-85111768366OAI: oai:DiVA.org:ri-58179DiVA, id: diva2:1628234
Note

Funding details: ALFGBG-775561, ALFGBG-826331; Funding details: Stiftelsen för Strategisk Forskning, SSF, SBE13–0086; Funding details: Svenska Sällskapet för Medicinsk Forskning, SSMF, S19-0074; Funding details: Forsknings- och utvecklingsstyrelsen för Göteborg och Södra Bohuslän, 808691; Funding text 1: The study was supported by grants from the Swedish Society for Medical Research (S19-0074), the Swedish state under an agreement between the Swedish government and the county councils, the ALF agreement (ALFGBG-775561, ALFGBG-826331); the Swedish Foundation for Strategic Research (SBE13-0086); the Local Research and Development Board for Gothenburg and S?dra Bohusl?n (808691), and the Foundation of the Swedish National Stroke Association; Funding text 2: Funding. The study was supported by grants from the Swedish Society for Medical Research (S19-0074), the Swedish state under an agreement between the Swedish government and the county councils, the ALF agreement (ALFGBG-775561, ALFGBG-826331); the Swedish Foundation for Strategic Research (SBE13–0086); the Local Research and Development Board for Gothenburg and Södra Bohuslän (808691), and the Foundation of the Swedish National Stroke Association

Available from: 2022-01-14 Created: 2022-01-14 Last updated: 2022-01-14Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textScopus
By organisation
RISE Research Institutes of SwedenSmart Hardware
In the same journal
Journal of Rehabilitation Medicine
Neurology

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 47 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf