Upper Extremity Use in People with Hemiparesis in the First Few Weeks After Stroke
Abstract
The purposes of this report were to: 1) determine the amount of upper extremity use in people with hemiparesis post stroke during their inpatient rehabilitation stay, and 2) to examine the relationships between upper extremity use and impairments and activity limitations at this early time point after stroke. We studied 34 subjects with mild-to-moderate acute hemiparesis (mean time since stroke = 9.3 days) and 10 healthy control subjects. Upper extremity use was measured over 24 hours using bilateral wrist accelerometers. Upper extremity impairments and activity limitations were measured using standard clinical techniques and tests. We found that healthy control subjects use their dominant and nondominant upper extremities 8-9 hours per day. Hemiparetic subjects used their affected and unaffected upper extremities substantially less than control subjects, 3.3 and 6.0 hours per day, respectively. Seven of ten impairment level measures and each of the activity level measures were related to affected upper extremity use. The impairment measures that were related to upper extremity use were those measures that assessed the ability to activate muscles (ie active range of motion and force production) and the measurement of shoulder pain. Our data show that affected upper extremity use is minimal during the inpatient rehabilitation stay, especially given that patients in this setting are required to have 3 hours of therapy per day. We speculate that accelerometer measurements of upper extremity use could be used in a variety of settings and that the objective information they provide would be of great value to clinicians as they select treatments and evaluate progress.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In stroke, upper extremity activity, walking, and physical activity levels were investigated using step and activity counts.
“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 [44]
Upper extremity activity measures derived from accelerometers discriminated well between persons with stroke and healthy controls.
“Upper extremity activity measures derived from accelerometers discriminated well between persons with stroke and healthy controls [41, 42, 44, 50] as well as between patients with different impairment levels [40, 41].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [44]
Moderate correlations were found between arm activity measures (activity counts) and clinical assessments in individuals with acute stroke.
“Moderate correlations were found between arm activity measures (activity counts) and clinical assessments in individuals with acute stroke [40–42, 44].”
From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [44]
Cites
Interrater Reliability of a Modified Ashworth Scale of Muscle Spasticity
Bohannon, R. W., & Smith, M. B. (1987) · Physical Therapy · doi:10.1093/ptj/67.2.206 · Cited by 5,461 · see citing works
Technique to improve chronic motor deficit after stroke.
Taub, E., Miller, N. E., Novack, T. A., Cook, E. W., Fleming, W. C., Nepomuceno, C., Connell, J., & Crago, J. E. (1993) · PubMed · Cited by 1,557 · see citing works
The reliability of the functional independence measure: A quantitative review
Ottenbacher, K. J., Hsu, Y., Granger, C. V., & Fiedler, R. C. (1996) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(96)90184-7 · Cited by 1,415 · see citing works
Lyle, R. C. (1981) · International Journal of Rehabilitation Research · doi:10.1097/00004356-198112000-00001 · Cited by 1,335 · see citing works
The structure and stability of the functional independence measure
Linacre, J. M., Heinemann, A. W., Wright, B. D., Granger, C. V., & Hamilton, B. B. (1994) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/0003-9993(94)90384-0 · Cited by 1,276 · see citing works
Assessing Wolf Motor Function Test as Outcome Measure for Research in Patients After Stroke
Wolf, S. L., Catlin, P. A., Ellis, M. D., Archer, A. L., Morgan, B., & Reiss, A. (2001) · Stroke · doi:10.1161/01.str.32.7.1635 · Cited by 1,053 · see citing works
WOLF, S., LeCraw, D. E., BARTON, L., & Jann, B. B. (1989) · Experimental Neurology · doi:10.1016/s0014-4886(89)80005-6 · Cited by 892 · see citing works
Platz, T., Pinkowski, C., van Wijck, F., Kim, I.-H., Bella, P. D., & Johnson, G. R. (2005) · Clinical Rehabilitation · doi:10.1191/0269215505cr832oa · Cited by 892 · see citing works
Normative Values for Isometric Muscle Force Measurements Obtained With Hand-held Dynamometers
Andrews, A. W., Thomas, M. W., & Bohannon, R. W. (1996) · Physical Therapy · doi:10.1093/ptj/76.3.248 · Cited by 707 · see citing works
Bernhardt (2004) · doi:10.1161/01.str.0000120727.40792.40 · Cited by 593 · see citing works
Interrater reliability of the 7-level functional independence measure (FIM)
Dickson, H., & Köhler, F. (2020) · Journal of Rehabilitation Medicine · doi:10.2340/165019779527253256 · Cited by 577 · see citing works
Interrater reliability of the 7-level functional independence measure (FIM)
Hamilton, B., Laughlin, J., Fiedler, R., & Cv, G. (1994) · Journal of Rehabilitation Medicine · doi:10.2340/165019771994263115119 · Cited by 544 · see citing works
The reliability of the Wolf Motor Function Test for assessing upper extremity function after stroke
Morris, D. M., Uswatte, G., Crago, J. E., Cook, E. W., & Taub, E. (2001) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2001.23183 · Cited by 543 · see citing works
van der Lee, J. H., de Groot, V., Beckerman, H., WAGENAAR, R. C., Lankhorst, G. J., & Bouter, L. M. (2001) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2001.18668 · Cited by 499 · see citing works
Beckerman, H. (2001) · Journal of Rehabilitation Medicine · doi:10.1080/165019701750165916 · Cited by 379 · see citing works
Inter-rater reliability and validity of the Action Research arm test in stroke patients
Hsieh, C., Hsueh, I., Chiang, F.-M., & Lin, P.-H. (1998) · Age and Ageing · doi:10.1093/ageing/27.2.107 · Cited by 287 · see citing works
Winstein, C. J., Miller, J. P., Blanton, S., Taub, E., Uswatte, G., Morris, D. M., Nichols, D. S., & Wolf, S. L. (2003) · Neurorehabilitation and neural repair · doi:10.1177/0888439003255511 · Cited by 266 · see citing works
Zackowski, K. M. (2004) · Brain · doi:10.1093/brain/awh116 · Cited by 242 · see citing works
Uswatte, G., Foo, W. L., Olmstead, H., Lopez, K., Holand, A., & Simms, L. B. (2005) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2005.01.010 · Cited by 233 · see citing works
Uswatte, G., Miltner, W. H. R., Foo, B., Varma, M., Moran, S., & Taub, E. (2000) · Stroke · doi:10.1161/01.str.31.3.662 · Cited by 233 · see citing works
Lang, C. E., Wagner, J. M., Dromerick, A. W., & Edwards, D. F. (2006) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2006.09.003 · Cited by 217 · see citing works
Self-citationWeerdt, W. J. G. D. (1985) · Physiotherapy Canada · doi:10.3138/ptc.37.2.065 · Cited by 182 · see citing works
Frequency of hand use in healthy older persons
Kilbreath, S. L., & Heard, R. C. (2005) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(05)70040-4 · Cited by 168 · see citing works
Deficits in grasp versus reach during acute hemiparesis
Lang, C. E., Wagner, J. M., Bastian, A. J., Hu, Q., Edwards, D. F., Sahrmann, S. A., & Dromerick, A. W. (2005) · Experimental Brain Research · doi:10.1007/s00221-005-2350-6 · Cited by 145 · see citing works
Self-citationA triaxial accelerometer for measuring arm movements
Bernmark, E., & Wiktorin, C. (2002) · Applied Ergonomics · doi:10.1016/s0003-6870(02)00072-8 · Cited by 143 · see citing works
Management Patterns and Costs of Acute Ischemic Stroke
Jaime, J., Huybrechts, K. F., & Duchesne, I. (2000) · Stroke · doi:10.1161/01.str.31.3.582 · Cited by 143 · see citing works
Phillpot, S. R., Wolf, D., & Gleiter, H. (1995) · Journal of Applied Physics · doi:10.1063/1.360275 · Cited by 138 · see citing works
Dromerick, A. W., Lang, C. E., Birkenmeier, R. L., Hahn, M. G., Sahrmann, S. A., & Edwards, D. F. (2006) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2005.04.0075 · Cited by 135 · see citing works
Self-citationObservations on the design and specification of a wrist-worn human activity monitoring system
Redmond, D. P., & Hegge, F. W. (1985) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03200979 · Cited by 131 · see citing works
Long-term activity in upper- and lower-limb muscles of humans
Kern, D. S., Semmler, J. G., & Enoka, R. M. (2001) · Journal of Applied Physiology · doi:10.1152/jappl.2001.91.5.2224 · Cited by 130 · see citing works
Activity Patterns of Human Skeletal Muscles: Relation to Muscle Fiber Type Composition
Monster, A. W., Chan, H. C., & O'Connor, D. (1978) · Science · doi:10.1126/science.635587 · Cited by 119 · see citing works
Recovery of Grasp versus Reach in People with Hemiparesis Poststroke
Lang, C. E., Wagner, J. M., Edwards, D. F., Sahrmann, S. A., & Dromerick, A. W. (2006) · Neurorehabilitation and neural repair · doi:10.1177/1545968306289299 · Cited by 116 · see citing works
Self-citationPredicting Energy Expenditure of Physical Activity Using Hip- and Wrist-Worn Accelerometers
Chen, K. Y., Acra, S. A., Majchrzak, K. M., Donahue, C. L., Baker, L., Clemens, L. H., Sun, M., & Buchowski, M. S. (2003) · Diabetes Technology & Therapeutics · doi:10.1089/152091503322641088 · Cited by 114 · see citing works
Costs of Stroke Care according to Handicap Levels and Stroke Subtypes
Spieler, J.-F., Lanoë, J., & Amarenco, P. (2003) · Cerebrovascular Diseases · doi:10.1159/000075782 · Cited by 108 · see citing works
THE UNIFORM DATA SYSTEM FOR MEDICAL REHABILITATION REPORT OF FIRST ADMISSIONS FOR 1991
Granger, C. V., & Hamilton, B. B. (1993) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/00002060-199302000-00008 · Cited by 82 · see citing works
Relationships between Sensorimotor Impairments and Reaching Deficits in Acute Hemiparesis
Wagner, J. M., Lang, C. E., Sahrmann, S. A., Hu, Q., Bastian, A. J., Edwards, D. F., & Dromerick, A. W. (2006) · Neurorehabilitation and neural repair · doi:10.1177/1545968306286957 · Cited by 81 · see citing works
Self-citationFuglevand, A. J., Bilodeau, M., & Enoka, R. M. (1995) · Journal of Applied Physiology · doi:10.1152/jappl.1995.78.3.847 · Cited by 52 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Observation of Amounts of Movement Practice Provided During Stroke Rehabilitation
Lang, C. E., MacDonald, J. R., Reisman, D. S., Boyd, L. A., Kimberley, T. J., Schindler-Ivens, S., Hornby, T. G., Ross, S. A., & Scheets, P. L. (2009) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.04.005 · Cited by 707 · see citing works
Self-citationGetting Neurorehabilitation Right: What Can Be Learned From Animal Models?
Krakauer, J. W., Carmichael, S. T., Corbett, D., & Wittenberg, G. F. (2012) · Neurorehabilitation and Neural Repair · doi:10.1177/1545968312440745 · Cited by 591 · see citing works
Estimating Minimal Clinically Important Differences of Upper-Extremity Measures Early After Stroke
Lang, C. E., Edwards, D. F., Birkenmeier, R. L., & Dromerick, A. W. (2008) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2008.02.022 · Cited by 409 · see citing works
Self-citationLang, C. E., Bland, M. D., Bailey, R. R., Schaefer, S. Y., & Birkenmeier, R. L. (2012) · Journal of Hand Therapy · doi:10.1016/j.jht.2012.06.005 · Cited by 388 · see citing works
Self-citationMonitoring of Physical Activity after Stroke: A Systematic Review of Accelerometry-Based Measures
Gebruers, N., Vanroy, C., Truijen, S., Engelborghs, S., & De Deyn, P. P. (2010) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.10.025 · Cited by 293 · see citing works
Quantifying Real-World Upper-Limb Activity in Nondisabled Adults and Adults With Chronic Stroke
Bailey, R. R., Klaesner, J. W., & Lang, C. E. (2015) · Neurorehabilitation and neural repair · doi:10.1177/1545968315583720 · Cited by 263 · see citing works
Self-citationSchaefer, S. Y., Haaland, K. Y., & Sainburg, R. L. (2009) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2009.06.025 · Cited by 239 · see citing works
Rand, D., & Eng, J. J. (2011) · Neurorehabilitation and neural repair · doi:10.1177/1545968311408918 · Cited by 211 · see citing works
Remote Physical Activity Monitoring in Neurological Disease: A Systematic Review.
Block, V. A. J., Pitsch, E., Tahir, P., Cree, B. A. C., Allen, D. D., & Gelfand, J. M. (2016) · PLOS ONE · doi:10.1371/journal.pone.0154335 · Cited by 198 · see citing works
“Stott, 2009 [109] Undefined > 3 months StepWatch Activity Monitor (b*) Walking /gait/ LE physical activity Crosssectional >50 49 N/A 2–6 days Government / Private foundation”
InfluentialBehavioral interventions for reducing head motion during MRI scans in children
Greene, D. J., Koller, J. M., Hampton, J. M., Wesevich, V. G., Van, A. N., Nguyen, A. L., Hoyt, C. R., McIntyre, L., Earl, E., Klein, R. L., et al. (2018) · NeuroImage · doi:10.1016/j.neuroimage.2018.01.023 · Cited by 194 · see citing works
Johansson, D., Malmgren, K., & Alt Murphy, M. (2018) · Journal of Neurology · doi:10.1007/s00415-018-8786-y · Cited by 188 · see citing works
Computational neurorehabilitation: modeling plasticity and learning to predict recovery
Reinkensmeyer, D. J., Burdet, E., Casadio, M., Krakauer, J. W., Kwakkel, G., Lang, C. E., Swinnen, S. P., Ward, N., & Schweighofer, N. (2016) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-016-0148-3 · Cited by 181 · see citing works
Self-citationDoes Task-Specific Training Improve Upper Limb Performance in Daily Life Poststroke?
Waddell, K. J., Strube, M., Bailey, R. R., Klaesner, J. W., Birkenmeier, R. L., Dromerick, A. W., & Lang, C. E. (2016) · Neurorehabilitation and neural repair · doi:10.1177/1545968316680493 · Cited by 161 · see citing works
Self-citationNoorkõiv, M., Rodgers, H., & Price, C. I. (2014) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/1743-0003-11-144 · Cited by 141 · see citing works
Michielsen, M. E., Selles, R. W., Stam, H. J., Ribbers, G. M., & Bussmann, J. B. (2012) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2012.03.016 · Cited by 139 · see citing works
The Contribution of Kinematics in the Assessment of Upper Limb Motor Recovery Early After Stroke
van Dokkum, L. E. H., Hauret, I., Mottet, D., Froger, J., Metrot, J., & Laffont, I. (2013) · Neurorehabilitation and neural repair · doi:10.1177/1545968313498514 · Cited by 139 · see citing works
Schaefer, S. Y., Mutha, P. K., Haaland, K. Y., & Sainburg, R. L. (2011) · Cerebral Cortex · doi:10.1093/cercor/bhr237 · Cited by 135 · see citing works
Assessment of Arm Activity Using Triaxial Accelerometry in Patients With a Stroke
van der Pas, S. C., Verbunt, J. A., Breukelaar, D. E., van Woerden, R., & Seelen, H. A. (2011) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2011.02.021 · Cited by 131 · see citing works
Feasibility of High-Repetition, Task-Specific Training for Individuals With Upper-Extremity Paresis
Waddell, K. J., Birkenmeier, R. L., Moore, J. L., Hornby, T. G., & Lang, C. E. (2014) · American Journal of Occupational Therapy · doi:10.5014/ajot.2014.011619 · Cited by 129 · see citing works
Self-citationExploring the Role of Accelerometers in the Measurement of Real World Upper-Limb Use After Stroke
Hayward, K. S., Eng, J. J., Boyd, L. A., Lakhani, B., Bernhardt, J. A., & Lang, C. E. (2015) · Brain Impairment · doi:10.1017/brimp.2015.21 · Cited by 126 · see citing works
Self-citationLivingston‐Thomas, J. M., Nelson, P. A., Karthikeyan, S., Antonescu, S., Jeffers, M. S., Marzolini, S., & Corbett, D. (2016) · Neurotherapeutics · doi:10.1007/s13311-016-0423-9 · Cited by 121 · see citing works
Lee, S. I., Adans-Dester, C. P., Grimaldi, M., Dowling, A. V., Horak, P. C., Black-Schaffer, R. M., Bonato, P., & Gwin, J. T. (2018) · IEEE Journal of Translational Engineering in Health and Medicine · doi:10.1109/jtehm.2018.2829208 · Cited by 119 · see citing works
Wagner, J. M., Lang, C. E., Sahrmann, S. A., Edwards, D. F., & Dromerick, A. W. (2007) · Physical Therapy · doi:10.2522/ptj.20060135 · Cited by 115 · see citing works
Self-citationUpper-limb activity in adults: Referent values using accelerometry
Bailey, R. R., MSOT, Lang, C. E., & PT (2013) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2012.12.0222 · Cited by 114 · see citing works
Self-citationLang, C. E., Barth, J., Holleran, C. L., Konrad, J. D., & Bland, M. D. (2020) · Sensors · doi:10.3390/s20205744 · Cited by 105 · see citing works
Self-citationA Method for Quantifying Upper Limb Performance in Daily Life Using Accelerometers
Lang, C. E., Waddell, K. J., Klaesner, J. W., & Bland, M. D. (2017) · Journal of Visualized Experiments · doi:10.3791/55673 · Cited by 96 · see citing works
Self-citationMaenza, C., Good, D. C., Winstein, C. J., Wagstaff, D. A., & Sainburg, R. L. (2019) · Neurorehabilitation and neural repair · doi:10.1177/1545968319875951 · Cited by 94 · see citing works
The use of wearable sensors to assess and treat the upper extremity after stroke: a scoping review
Kim, G. J., Parnandi, A., Eva, S., & Schambra, H. M. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1957027 · Cited by 97 · see citing works
Doman, C., Waddell, K. J., Bailey, R. R., Moore, J. L., & Lang, C. E. (2016) · American Journal of Occupational Therapy · doi:10.5014/ajot.2016.020891 · Cited by 91 · see citing works
Self-citationThrane, G., Emaus, N., Askim, T., & Anke, A. (2011) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0676 · Cited by 89 · see citing works
A method to qualitatively assess arm use in stroke survivors in the home environment
Leuenberger, K., Gonzenbach, R. R., Wachter, S., Luft, A. R., & Gassert, R. (2016) · Medical & Biological Engineering & Computing · doi:10.1007/s11517-016-1496-7 · Cited by 86 · see citing works
Eliciting Upper Extremity Purposeful Movements Using Video Games
Rand, D., Schaham, N. G., Weingarden, H. P., Nota, A., & Zeilig, G. (2014) · Neurorehabilitation and neural repair · doi:10.1177/1545968314521008 · Cited by 84 · see citing works
Evaluation of white matter myelin water fraction in chronic stroke
Borich, M. R., MacKay, A. L., Vavasour, I. M., Rauscher, A., & Boyd, L. A. (2013) · NeuroImage Clinical · doi:10.1016/j.nicl.2013.04.006 · Cited by 81 · see citing works
Acceleration Metrics Are Responsive to Change in Upper Extremity Function of Stroke Survivors
Urbin, M. A., Waddell, K. J., & Lang, C. E. (2014) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2014.11.018 · Cited by 77 · see citing works
Self-citationReliability of maximal grip strength measurements and grip strength recovery following a stroke
Bertrand, A. M., Fournier, K., Brasey, M.-G. W., Kaiser, M.-L., Frischknecht, R., & Diserens, K. (2015) · Journal of Hand Therapy · doi:10.1016/j.jht.2015.04.004 · Cited by 78 · see citing works
Measuring functional arm movement after stroke using a single wrist-worn sensor and machine learning
Bochniewicz, E. M., Emmer, G., McLeod, A., Barth, J., Dromerick, A. W., & Lum, P. (2017) · Journal of Stroke and Cerebrovascular Diseases · doi:10.1016/j.jstrokecerebrovasdis.2017.07.004 · Cited by 73 · see citing works
Self-citationUrbin, M. A., Bailey, R. R., & Lang, C. E. (2015) · Neurology Report · doi:10.1097/npt.0000000000000085 · Cited by 69 · see citing works
Self-citationUrbin, M. A., Hong, X., Lang, C. E., & Carter, A. R. (2014) · Neurorehabilitation and neural repair · doi:10.1177/1545968314522349 · Cited by 68 · see citing works
Self-citationFor the ICARE Investigative Team, Winstein, C. J., Wolf, S. L., Dromerick, A. W., Lane, C. J., Nelsen, M. A., Lewthwaite, R., Blanton, S., Scott, C., Reiss, A., et al. (2013) · BMC Neurology · doi:10.1186/1471-2377-13-5 · Cited by 64 · see citing works
Self-citationReinkensmeyer, D. J., Guigon, E., & Maier, M. A. (2012) · Neural Networks · doi:10.1016/j.neunet.2012.02.002 · Cited by 61 · see citing works
Lamers, I., Kerkhofs, L., Raats, J., Kos, D., Wijmeersch, B. V., & Feys, P. (2013) · Multiple Sclerosis Journal · doi:10.1177/1352458513475832 · Cited by 62 · see citing works
Bailey, R. R., Birkenmeier, R. L., & Lang, C. E. (2015) · Topics in Stroke Rehabilitation · doi:10.1179/1074935714z.0000000040 · Cited by 58 · see citing works
Self-citationLum, P. S., Shu, L., Bochniewicz, E. M., Tran, T., Chang, L., Barth, J., & Dromerick, A. W. (2020) · Neurorehabilitation and neural repair · doi:10.1177/1545968320962483 · Cited by 60 · see citing works
Self-citationAccelerometer-Based Monitoring of Upper Limb Movement in Older Adults With Acute and Subacute Stroke
Narai, E., Hagino, H., Komatsu, T., & Togo, F. (2015) · Journal of Geriatric Physical Therapy · doi:10.1519/jpt.0000000000000067 · Cited by 57 · see citing works
Arm–Hand Use in Healthy Older Adults
Rand, D., & Eng, J. J. (2010) · American Journal of Occupational Therapy · doi:10.5014/ajot.2010.09043 · Cited by 52 · see citing works
Verbunt, J., Seelen, H. A. M., Ramos, F. P., Michielsen, B. H., Wetzelaer, W. L. H., & Moennekens, M. (2008) · BMC Neurology · doi:10.1186/1471-2377-8-7 · Cited by 49 · see citing works
Current therapy for the upper limb after stroke: a cross-sectional survey of UK therapists
Stockley, R., Peel, R., Jarvis, K. A., & Connell, L. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-030262 · Cited by 46 · see citing works
Simpson, L. A., Eng, J. J., Backman, C. L., & Miller, W. C. (2013) · PLoS ONE · doi:10.1371/journal.pone.0083405 · Cited by 45 · see citing works
Philip, B. A., & Frey, S. H. (2016) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2016.05.016 · Cited by 45 · see citing works
Connell, L., McMahon, N. E., & Adams, N. (2013) · Physiotherapy · doi:10.1016/j.physio.2013.09.003 · Cited by 44 · see citing works
Tri-axial accelerometer analysis techniques for evaluating functional use of the extremities
Hurd, W. J., Morrow, M. M. B., & Kaufman, K. R. (2013) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2013.03.010 · Cited by 44 · see citing works
Connell, L., McMahon, N. E., Simpson, L. A., Watkins, C. L., & Eng, J. J. (2014) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2014.05.025 · Cited by 43 · see citing works
Lee, S. I., Liu, X., Rajan, S., Ramasarma, N., Choe, E. K., & Bonato, P. (2019) · PLoS ONE · doi:10.1371/journal.pone.0212484 · Cited by 43 · see citing works
Minimal Clinically Important Difference of Scales Reported in Stroke Trials: A Review
Mishra, B., Sudheer, P., Agarwal, A., Nilima, N., Srivastava, M. V. P., & Vishnu, V. Y. (2024) · Brain Sciences · doi:10.3390/brainsci14010080 · Cited by 42 · see citing works
Lee, J.-Y., Kwon, S., Kim, W., Hahn, S. J., Park, J.-H., & Paik, N. (2018) · PLoS ONE · doi:10.1371/journal.pone.0209607 · Cited by 42 · see citing works
Morris, J. H., & van Wijck, F. (2012) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2012.02.025 · Cited by 41 · see citing works
Efficacy of Constraint-Induced Movement Therapy in Early Stroke Rehabilitation
Thrane, G., Askim, T., Stock, R., Indredavik, B., Gjone, R., Erichsen, A., & Anke, A. (2014) · Neurorehabilitation and neural repair · doi:10.1177/1545968314558599 · Cited by 41 · see citing works
Neuronal activity-dependent myelin repair after stroke
Jia, W., Kamen, Y., Pivoňková, H., & Káradóttir, R. T. (2019) · Neuroscience Letters · doi:10.1016/j.neulet.2019.03.005 · Cited by 42 · see citing works
Franck, J. A., Smeets, R., & Seelen, H. A. M. (2019) · PLoS ONE · doi:10.1371/journal.pone.0214651 · Cited by 41 · see citing works
Characterizing upper extremity motor behavior in the first week after stroke
Barth, J., Geed, S., Mitchell, A., Lum, P. S., Edwards, D. F., & Dromerick, A. W. (2020) · PLoS ONE · doi:10.1371/journal.pone.0221668 · Cited by 41 · see citing works
Self-citationA Method for Quantifying Upper Limb Performance in Daily Life Using Accelerometers
Lang, C. E., Waddell, K. J., Klaesner, J. W., & Bland, M. D. (2017) · Journal of Visualized Experiments · doi:10.3791/55673-v · Cited by 41 · see citing works
Self-citationMcLeod, A., Bochniewicz, E. M., Lum, P. S., Holley, R. J., Emmer, G., & Dromerick, A. W. (2015) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2015.08.435 · Cited by 37 · see citing works
Self-citationMotor System Plasticity in Stroke Models
Jones, T. A., Allred, R. P., Jefferson, S. C., Kerr, A. L., Woodie, D. A., Cheng, S.-Y., & Adkins, D. L. (2013) · Stroke · doi:10.1161/strokeaha.111.000037 · Cited by 37 · see citing works
Upper Limb Performance in Daily Life Improves Over the First 12 Weeks Poststroke
Waddell, K. J., Strube, M., Tabak, R. G., Haire-Joshu, D. L., & Lang, C. E. (2019) · Neurorehabilitation and neural repair · doi:10.1177/1545968319868716 · Cited by 37 · see citing works
Self-citationA Survey of Wearable Sensors and Machine Learning Algorithms for Automated Stroke Rehabilitation
Sengupta, N., Rao, A. S., Yan, B., & Palaniswami, M. S. (2024) · IEEE Access · doi:10.1109/access.2024.3373910 · Cited by 36 · see citing works
Greater Activation of Secondary Motor Areas Is Related to Less Arm Use After Stroke
Kokotilo, K. J., Eng, J. J., McKeown, M. J., & Boyd, L. A. (2009) · Neurorehabilitation and neural repair · doi:10.1177/1545968309345269 · Cited by 36 · see citing works
Quantitative Measurement of Physical Activity in Acute Ischemic Stroke and Transient Ischemic Attack
Strømmen, A. M., Christensen, T., & Jensen, K. (2014) · Stroke · doi:10.1161/strokeaha.114.006496 · Cited by 33 · see citing works
Scapular and Humeral Movement Patterns of People With Stroke During Range-of-Motion Exercises
Hardwick, D., & Lang, C. E. (2011) · Neurology Report · doi:10.1097/npt.0b013e318208efa1 · Cited by 34 · see citing works
Self-citationDigital Phenotyping in Clinical Neurology
Gupta, A. S. (2022) · Seminars in Neurology · doi:10.1055/s-0041-1741495 · Cited by 32 · see citing works
Fluet, G. G., Merians, A. S., Qiu, Q., Lafond, I., Saleh, S., Ruano, V., Delmonico, A. R., & Adamovich, S. (2012) · Neurology Report · doi:10.1097/npt.0b013e3182566f3f · Cited by 33 · see citing works
Revisiting dose and intensity of training: Opportunities to enhance recovery following stroke
Donnellan-Fernandez, K., Ioakim, A., & Hordacre, B. G. (2022) · Journal of Stroke and Cerebrovascular Diseases · doi:10.1016/j.jstrokecerebrovasdis.2022.106789 · Cited by 32 · see citing works
Kim, Y., Jung, H.-T., Park, J., Kim, Y., Ramasarma, N., Bonato, P., Choe, E. K., & Lee, S. I. (2019) · Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies · doi:10.1145/3369817 · Cited by 32 · see citing works
Muscle Activity After Stroke: Perspectives on Deploying Surface Electromyography in Acute Care
Steele, K. M., Papazian, C., & Feldner, H. A. (2020) · Frontiers in Neurology · doi:10.3389/fneur.2020.576757 · Cited by 31 · see citing works
Flynn, N., Kuys, S. S., Froude, E., & Cooke, D. M. (2019) · Australian Occupational Therapy Journal · doi:10.1111/1440-1630.12594 · Cited by 30 · see citing works
Developing Home-Based Virtual Reality Therapy Interventions
Lin, J. C.-H., Kelleher, C. L., & Engsberg, J. R. (2013) · Games for Health Journal · doi:10.1089/g4h.2012.0033 · Cited by 30 · see citing works
Hemispheric asymmetry in myelin after stroke is related to motor impairment and function
Lakhani, B., Hayward, K. S., & Boyd, L. A. (2017) · NeuroImage Clinical · doi:10.1016/j.nicl.2017.01.009 · Cited by 28 · see citing works
Chen, H., Lin, K., Hsieh, Y., Wu, C., Liing, R.-J., & Chen, C. (2017) · Clinical Rehabilitation · doi:10.1177/0269215517712042 · Cited by 30 · see citing works
Chin, L. F., Hayward, K. S., & Brauer, S. (2019) · Topics in Stroke Rehabilitation · doi:10.1080/10749357.2019.1690796 · Cited by 29 · see citing works
Everyday movement and use of the arms: Relationship in children with hemiparesis differs from adults
Sokal, B., Uswatte, G., Vogtle, L. K., Byrom, E., & Barman, J. (2015) · Journal of Pediatric Rehabilitation Medicine · doi:10.3233/prm-150334 · Cited by 28 · see citing works
Positioning to prevent or reduce shoulder range of motion impairments after stroke: a meta-analysis
Borisova, Y., & Bohannon, R. W. (2009) · Clinical Rehabilitation · doi:10.1177/0269215509334841 · Cited by 28 · see citing works
McLaren, R., Signal, N., Lord, S., Taylor, S., Henderson, J., & Taylor, D. (2019) · Disability and Rehabilitation · doi:10.1080/09638288.2019.1590471 · Cited by 26 · see citing works
Remote monitoring of stroke patients' rehabilitation using wearable accelerometers
Halloran, S., Tang, L., Guan, Y., Shi, J. Q., & Eyre, J. A. (2019) · International Symposium on Wearable Computers · doi:10.1145/3341163.3347731 · Cited by 25 · see citing works
Predictive value of upper-limb accelerometry in acute stroke with hemiparesis
Gebruers, N., Truijen, S., Engelborghs, S., & De Deyn, P. P. (2013) · Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2012.09.0166 · Cited by 24 · see citing works
Insights and Perspectives on Sensory-Motor Integration and Rehabilitation
Ackerley, R., Borich, M. R., Oddo, C. M., & Ionta, S. (2016) · Multisensory Research · doi:10.1163/22134808-00002530 · Cited by 24 · see citing works
The reliability of side to side measurements of upper extremity activity levels in healthy subjects
Acuna, M., Amasay, T., & Karduna, A. R. (2010) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-11-168 · Cited by 23 · see citing works
Stockley, R., O’Connor, D. A., Smith, P., Moss, S., Allsop, L., & Edge, W. (2017) · Rehabilitation Research and Practice · doi:10.1155/2017/9569178 · Cited by 24 · see citing works
Li, Y.-C., Liao, W.-W., Hsieh, Y., Lin, K., & Chen, C. (2019) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2019.08.483 · Cited by 23 · see citing works
Brogioli, M., Popp, W., Albisser, U., Brust, A. K., Frotzler, A., Gassert, R., Curt, A. E. P., & Starkey, M. L. (2016) · Journal of Neurotrauma · doi:10.1089/neu.2015.4362 · Cited by 22 · see citing works
Changes in Upper Limb Capacity and Performance in the Early and Late Subacute Phase After Stroke
Lundquist, C. B., Nguyen, B. T., Hvidt, T. B., Stabel, H. H., Christensen, J. R., & Brunner, I. C. (2022) · Journal of Stroke and Cerebrovascular Diseases · doi:10.1016/j.jstrokecerebrovasdis.2022.106590 · Cited by 21 · see citing works
Appel, C., Perry, L., & Jones, F. (2014) · Neurorehabilitation · doi:10.3233/nre-141108 · Cited by 21 · see citing works
Task Oriented Training and Evaluation at Home
Rowe, V. T., & Neville, M. (2017) · OTJR Occupational Therapy Journal of Research · doi:10.1177/1539449217727120 · Cited by 21 · see citing works
Factors Influencing Paretic Upper Limb Use During First 4 Weeks After Stroke
Chin, L. F., Hayward, K. S., & Brauer, S. (2020) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0000000000001539 · Cited by 21 · see citing works
Liew, S., Garrison, K. A., Ito, K. L., Heydari, P., Sobhani, M., Werner, J. M., Damásio, H., Winstein, C. J., & Aziz‐Zadeh, L. (2018) · Neural Plasticity · doi:10.1155/2018/3524960 · Cited by 20 · see citing works
Datta, S., Karmakar, C. K., Rao, A. S., Yan, B., & Palaniswami, M. S. (2020) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2020.2972285 · Cited by 20 · see citing works
Likitlersuang, J., & Zariffa, J. (2016) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2016.2636748 · Cited by 19 · see citing works
Whole-Body Movements Increase Arm Use Outcomes of Wrist-Worn Accelerometers in Stroke Patients
Regterschot, G. R. H., Selles, R. W., Ribbers, G. M., & Bussmann, J. B. J. (2021) · Sensors · doi:10.3390/s21134353 · Cited by 19 · see citing works
Ipsilesional Arm Motor Sequence Performance After Right and Left Hemisphere Damage
Silva, F. P. D. P., de Freitas, S. M. S. F., Silva, P. V., Banjai, R. M., & Alouche, S. R. (2014) · Journal of Motor Behavior · doi:10.1080/00222895.2014.924473 · Cited by 19 · see citing works
Murphy, M. A., Andersson, S., Danielsson, A., Wipenmyr, J., & Ohlsson, F. (2019) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-2553 · Cited by 18 · see citing works
Chin, L. F., Hayward, K. S., Soh, A. J. A., Tan, C. M., Wong, C. J. R., Loh, J. W., Loke, G. J. H., & Brauer, S. (2019) · Physiotherapy Research International · doi:10.1002/pri.1784 · Cited by 17 · see citing works
Demers, M., Bishop, L., Cain, A., Saba, J., Rowe, J. B., Zondervan, D. K., & Winstein, C. J. (2023) · Physical Therapy · doi:10.1093/ptj/pzad172 · Cited by 16 · see citing works
- Authors
- Lang, C. E., Wagner, J. M., Edwards, D. F., & Dromerick, A. W.
- Affiliations
- Washington University in St. Louis (US)
- MedStar National Rehabilitation Hospital (US)
- Corresponding author
- Lang, Catherine E.
- Venue
- Journal of Neurologic Physical Therapy
- Published
- 2007-06
- Volume
- 31
- Issue
- 2
- Pages
- 56-63
- ISSN
- 1085-049X (ISSN-L)
- 1557-0576
- OpenAlex
- W2048591099
- Cited by
- 216
- References
- 37
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 12 · 2023: 12 · 2022: 13 · 2021: 11 · 2020: 12 · 2019: 19 · 2018: 10 · 2017: 10 · 2016: 16 · 2015: 13 · 2014: 15 · 2013: 16 · 2012: 10
- FWCI
- 6.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurology Report (publishedVersion)
- PubMed (publishedVersion)
- Funders
- James S. McDonnell Foundation
- Foundation for Physical Therapy
- National Institutes of Health
- National Institute of Neurological Disorders and Stroke (R01NS041261, NS41261)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K01HD047669, HD 047669)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Life Sciences › Neuroscience › Cognitive Neuroscience › Spatial Neglect and Hemispheric Dysfunction
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Keywords
- hemiparesis, stroke, wrist accelerometer, inpatient rehabilitation, activity limitation, motor impairment, shoulder pain, muscle activation, range of motion, force generation, objective activity monitoring
- MeSH terms
- Stroke Rehabilitation, Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Hospitalization, Humans, Male, Middle Aged, Motor Activity, Paresis, Time Factors, Recovery of Function, Stroke, Physical Therapy Modalities, Upper Extremity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
