Arm impairment and walking speed explain real-life activity of the affected Arm and leg after strokeShow 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
2022-01-142022-01-142022-01-14Bibliographically approved