Cited by 233Stroke Rehabilitation and RecoveryCerebral Palsy and Movement DisordersMotor Control and Adaptation

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Ambulatory Monitoring of Arm Movement Using Accelerometry: An Objective Measure of Upper-Extremity Rehabilitation in Persons With Chronic Stroke

Uswatte, Gitendra, Foo, Wai Leong, Olmstead, Harry, Lopez, Kristine, Holand, Ashleigh, Simms, Leslie Box·2005·Archives of Physical Medicine and Rehabilitation

DOI 10.1016/j.apmr.2005.01.010

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Abstract

Objective To evaluate the reliability and validity of accelerometry for measuring upper-extremity rehabilitation outcome.Design Validation study.Setting Data recorded in the community.Participants Consecutive Constraint-Induced Movement therapy (CIMT) patients (n = 10) and volunteer community residents with stroke (n = 10). All participants were more than 1 year poststroke and had mild to moderate motor impairment of the more affected arm.Intervention All study participants were asked to wear accelerometers outside the laboratory for 3 days immediately before and after treatment, or for an approximately equivalent no-treatment period (controls).Main outcome measures Participants wore an accelerometer on each arm, the chest, and the more affected leg and completed the Motor Activity Log (MAL), which is a semistructured interview of real-world arm use.Results Test-retest reliability of transformed accelerometer recordings was greater than .86. There was also a large increase in the ratio of transformed more- to less-impaired arm recordings in CIMT therapy patients (d' = 0.9, P < .05), while there was no change for controls. The correlation between this parameter and the MAL was .74 (P < .001).Conclusions Accelerometry provides an objective, real-world index of upper-extremity rehabilitation outcome and has good psychometric properties.

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Uswatte, 2004, Participant-centered and objective measures of real-world arm function in persons with stroke [abstract], Circulation, 109, e231
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Authors: Uswatte, G., Foo, W. L., Olmstead, H., Lopez, K., Holand, A., & Simms, L. B.
Affiliations: University of Alabama (US)
ORCID: Uswatte, Gitendra
Venue: Archives of Physical Medicine and Rehabilitation
Publisher: Elsevier BV
Published: 2005-07
Volume: 86
Issue: 7
Pages: 1498-1501
ISSN: 0003-9993 (ISSN-L)
DOI: 10.1016/j.apmr.2005.01.010
OpenAlex: W2014857359
Cited by: 233
References: 8
Citations by year: 2026: 8 · 2025: 7 · 2024: 17 · 2023: 8 · 2022: 15 · 2021: 14 · 2020: 10 · 2019: 15 · 2018: 11 · 2017: 15 · 2016: 10 · 2015: 17 · 2014: 16 · 2013: 13 · 2012: 11
FWCI: 8.13
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Archives of Physical Medicine and Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD 34273, R01HD034273)
Topics: Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
Health Sciences › Medicine › Rehabilitation › Cerebral Palsy and Movement Disorders
Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
Keywords: accelerometry, ambulatory monitoring, upper limb rehabilitation, chronic stroke, constraint-induced movement therapy, arm use, Motor Activity Log, test-retest reliability, outcome measure validity, objective outcome measures
MeSH terms: Stroke Rehabilitation, Activities of Daily Living, Female, Humans, Male, Middle Aged, Movement, Reproducibility of Results, Case-Control Studies, Monitoring, Ambulatory, Stroke, Upper Extremity

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Ambulatory Monitoring of Arm Movement Using Accelerometry: An Objective Measure of Upper-Extremity Rehabilitation in Persons With Chronic Stroke

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