The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.
Ambulatory Monitoring of Arm Movement Using Accelerometry: An Objective Measure of Upper-Extremity Rehabilitation in Persons With Chronic Stroke
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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In the citing paper
“In stroke, upper extremity activity [40–51], walking, and physical activity levels were investigated in several studies using step and activity counts [52–62].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [48]
In the citing paper
“In stroke, arm activity measures discriminated effectively between individuals with stroke and healthy controls [45], and between different motor impairment levels [45, 47, 48].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [48]
In the citing paper
“An intervention study with stroke showed that participants wore accelerometers 76–89% of waking hours in a 3-day measurement [48, 49].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [48]
In the citing paper
“In stroke, the step counts and measures of upper extremity and physical activity were shown to be reliable [48, 49, 52, 56–59]”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [48]
In the citing paper
“In their study, 169 stroke survivors undergoing constraint-induced movement therapy wore an accelerometer on both wrists for a period of 3 days. The results indicated good patient compliance and showed that by simply taking the ratio of activity recorded on impaired and unimpaired arm using accelerometers, one can gather clinically-relevant information about upper extremity motor status.”
From A review of wearable sensors and systems with application in rehabilitation (2012) · cites this paper as [106]
In the citing paper
“Uswatte et al. [106,107] have shown that accelerometer data can provide objective information about real-world arm activity in stroke survivors.”
From A review of wearable sensors and systems with application in rehabilitation (2012) · cites this paper as [106]
Citations
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Flagged first, then by citations
Research works printed but not linked: 2
- Uswatte, 2004, Participant-centered and objective measures of real-world arm function in persons with stroke [abstract], Circulation, 109, e231
- Johnson, 2003, The validity and reliability of the 45-item upper extremity motor activity log [abstract], J Neurol Phys Ther, 27, 172
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Metadata
- 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)
- 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
- 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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