Actigraphy – A Useful Tool for Motor Activity Monitoring in Stroke Patients
Abstract
Aim: The aim of the present study was the evaluation of actigraphy as a tool to objectify the recovery process after motor paresis due to stroke. Methods: The motor activity of both arms of patients suffering from stroke was actigraphically recorded at four different time points during the course of rehabilitation: 24–36 h, 5–7 days, 3 months, and 6 months after stroke. Results: Motor activity monitored by wrist-worn actigraphs located at the impaired side revealed an increase in activity between the first two time points and the subsequent ones. Additionally, actigraphic recordings showed lower total motor activity at the impaired side as compared to the nonimpaired side. A significant positive correlation was found between the actigraphically recorded motor activity and the results of the Scandinavian Stroke scale, the Barthel Index, the Rankin Scale Score and with the Motoricity Index during the 1st week, which corresponds to the time when neurological deficits were most pronounced. Conclusion: Our results suggest that actigraphy is a useful tool in the objective evaluation of motor activity after stroke. Moreover, actigraphy covers additional aspects that are not reflected by the usual stroke scales in a clinical situation.
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The eight studies identified have demonstrated that accelerometry can be systematically applied as a method for measuring overall upper extremity activity.
“The eight studies identified for the present review, including a large multicentre clinical trial (n = 222) [14] and a prospective randomised controlled trial (n = 20) [17], have demonstrated that accelerometry can be systematically applied as a method for measuring overall upper extremity activity.”
From Accelerometer measurement of upper extremity movement after stroke: a systematic review of clinical studies (2014) · cites this paper as [14]
Cites
Functional evaluation : Barthel index
Mahonery, F. I. (1965) · Medical Entomology and Zoology · Cited by 12,762 · see citing works
Measurements of acute cerebral infarction: a clinical examination scale.
Brott, T. G., Adams, H. P., Olinger, C. P., Marler, J. R., Barsan, W. G., Biller, J., Spilker, J. A., Holleran, R. S., EBERLE, R. W., & Hertzberg, V. (1989) · Stroke · doi:10.1161/01.str.20.7.864 · Cited by 5,918 · see citing works
Classification and natural history of clinically identifiable subtypes of cerebral infarction
Bamford, J., Sandercock, P., Dennis, M., Warlow, C., & Burn, J. (1991) · The Lancet · doi:10.1016/0140-6736(91)93206-o · Cited by 3,294 · see citing works
The Role of Actigraphy in the Study of Sleep and Circadian Rhythms
Ancoli-Israel, S., Cole, R., Alessi, C., Chambers, M., Moorcroft, W., & Pollak, C. P. (2003) · Sleep · doi:10.1093/sleep/26.3.342 · Cited by 2,751 · see citing works
Cerebral Vascular Accidents in Patients over the Age of 60: II. Prognosis
Rankin, J. O. (1957) · Scottish Medical Journal · doi:10.1177/003693305700200504 · Cited by 2,491 · see citing works
Nudo, R. J., Wise, B. M., SiFuentes, F., & Milliken, G. W. (1996) · Science · doi:10.1126/science.272.5269.1791 · Cited by 1,911 · see citing works
The Barthel ADL Index: A standard measure of physical disability?
Wade, D. T., & Collin, C. (1988) · International Disability Studies · doi:10.3109/09638288809164105 · Cited by 1,587 · see citing works
Chollet, F., Piero, V. D., Wise, R. J. S., Brooks, D. J., Dolan, R. J., & Frackowiak, R. S. J. (1991) · Annals of Neurology · doi:10.1002/ana.410290112 · Cited by 1,096 · see citing works
Recovery of upper extremity function in stroke patients: The Copenhagen stroke study
Nakayama, H., Jørgensen, H. S., Raaschou, H. O., & Olsen, T. S. (1994) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/0003-9993(94)90161-9 · Cited by 1,057 · see citing works
Clinical interpretation and use of stroke scales
Kasner, S. E. (2006) · The Lancet Neurology · doi:10.1016/s1474-4422(06)70495-1 · Cited by 947 · see citing works
Motor Evaluation in Vascular Hemiplegia
Demeurisse, G., Demol, O., & Robaye, E. (2008) · European Neurology · doi:10.1159/000115178 · Cited by 828 · see citing works
Willer, C., Ramsay, S. C., Wise, R. J. S., Friston, K. J., & Frackowiak, R. S. J. (1993) · Annals of Neurology · doi:10.1002/ana.410330208 · Cited by 740 · see citing works
Reorganization of the human ipsilesional premotor cortex after stroke
Fridman, E. A. (2004) · Brain · doi:10.1093/brain/awh082 · Cited by 435 · see citing works
Sadeh, A., Lavie, P., Scher, A., Tirosh, E., & Epstein, R. (1991) · PEDIATRICS · doi:10.1542/peds.87.4.494 · Cited by 335 · see citing works
A comparison of five stroke scales with measures of disability, handicap, and quality of life.
de Haan, R. J., Horn, J., Limburg, M., van der Meulen, J., & Bossuyt, P. M. (1993) · Stroke · doi:10.1161/01.str.24.8.1178 · Cited by 263 · see citing works
Dromerick, A. W., Edwards, D. F., & Diringer, M. N. (2003) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2003.01.0001 · Cited by 233 · see citing works
The emerging science of functional assessment: Our tool for outcomes analysis
Granger, C. V. (1998) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(98)90000-4 · Cited by 199 · see citing works
Actigraphy in the Assessment of Insomnia
Vallières, A., & Morin, C. M. (2003) · SLEEP · doi:10.1093/sleep/26.7.902 · Cited by 194 · see citing works
Neuroplasticity and brain repair after stroke
Cramer, S. C., & Riley, J. D. (2008) · Current Opinion in Neurology · doi:10.1097/wco.0b013e3282f36cb6 · Cited by 183 · see citing works
Examining outcome measures in a clinical study of stroke.
Wood-Dauphinée, S., Williams, J. I., & Shapiro, S. H. (1990) · Stroke · doi:10.1161/01.str.21.5.731 · Cited by 122 · see citing works
Dickstein, R., Shefi, S., Marcovitz, E., & Villa, Y. (2004) · Clinical Neurophysiology · doi:10.1016/j.clinph.2003.11.018 · Cited by 102 · see citing works
Corbetta, M., Burton, H., Sinclair, R. J., Conturo, T. E., Akbudak, E., & McDonald, J. W. (2002) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.262669099 · Cited by 89 · see citing works
New Actigraphic Assessment Method for Periodic Leg Movements (PLM)
Kazenwadel, J., Pollmächer, T., Trenkwalder, C., Oertel, W. H., Kohnen, R., Kiinzel, M., & Krüger, H.-P. (1995) · SLEEP · doi:10.1093/sleep/18.8.689 · Cited by 80 · see citing works
Evidence of cortical reorganization in hemiparetic patients.
Brion, J. P., Demeurisse, G., & Capon, A. (1989) · Stroke · doi:10.1161/01.str.20.8.1079 · Cited by 80 · see citing works
CONCEPTUAL BASIS OF OUTCOME MEASURES
Keith, R. A. (1995) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/00002060-199501000-00013 · Cited by 78 · see citing works
Short-term recovery of limb muscle strength after acute stroke
Andrews, A. W., & Bohannon, R. W. (2003) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2003.50003 · Cited by 74 · see citing works
Modified constraint-induced therapy in subacute stroke: A case report
Page, S. J., Sisto, S., Johnston, M. V., Levine, P., & Hughes, M. B. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.28007 · Cited by 70 · see citing works
A new approach in the assessment of motor activity in Parkinson's disease.
van Hilten, J. J., Middelkoop, H. A. M., KERKHOF, G. A., & Roos, R. A. C. (1991) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.54.11.976 · Cited by 66 · see citing works
Reorganisation of cerebral circuits in human ischemic brain disease
Seitz, R. J., Bütefisch, C. M., Kleiser, R., & Hömberg, V. (2004) · Restorative Neurology and Neuroscience · doi:10.3233/rnn-2004-00265 · Cited by 53 · see citing works
Measuring Activity Patterns Using Actigraphy in Multiple Sclerosis
Kos, D., Nagels, G., D'hooghe, M. B., Duquet, W., Ilsbroukx, S., Delbeke, S., & Kerckhofs, E. (2007) · Chronobiology International · doi:10.1080/07420520701282364 · Cited by 49 · see citing works
Measurement of stroke rehabilitation outcome in the 1980s.
Granger, C. V., & Hamilton, B. B. (1990) · PubMed · Cited by 47 · see citing works
Wrist Actigraphy Validation of Exercise Movement in COPD
Bauldoff, G. S., Ryan‐Wenger, N. A., & Diaz, P. T. (2007) · Western Journal of Nursing Research · doi:10.1177/0193945906297371 · Cited by 22 · see citing works
Activity monitoring in sleep research, medicine and psychopharmacology.
Klösch, G., Gruber, G., Anderer, P., & Saletu, B. (2001) · PubMed · Cited by 14 · see citing works
Self-citationMotorische Aktivität und subjektive Befindlichkeit bei depressiven Patienten
Lemke, M. R., Broderick, A., & Hartmann, W. (1998) · Fortschritte der Neurologie · Psychiatrie · doi:10.1055/s-2007-995238 · Cited by 7 · see citing works
Mochio, S., Oka, H., Katayama, K., & Sato, H. (1997) · PubMed · Cited by 4 · see citing works
(1965) · PubMed
Flagged first, then by citations
Cited by
Sorted by citations
Lang, 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
Monitoring 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
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”
BackgroundInfluentialLiao, W.-W., Wu, C., Hsieh, Y., Lin, K., & Chang, W.-Y. (2011) · Clinical Rehabilitation · doi:10.1177/0269215511416383 · Cited by 172 · see citing works
Noorkõiv, 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
Accelerometer Use with Children, Older Adults, and Adults with Functional Limitations
Strath, S. J., Pfeiffer, K. A., & Whitt‐Glover, M. C. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3182399eb1 · Cited by 129 · see citing works
Exploring 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
Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
Choi, Y., & Paik, N. (2018) · Journal of Visualized Experiments · doi:10.3791/56241 · Cited by 114 · see citing works
Choi, Y., Ku, J. H., Lim, H., Kim, Y. H., & Paik, N. (2016) · Restorative Neurology and Neuroscience · doi:10.3233/rnn-150626 · Cited by 112 · 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
Urbin, M. A., Bailey, R. R., & Lang, C. E. (2015) · Neurology Report · doi:10.1097/npt.0000000000000085 · Cited by 69 · see citing works
Measuring Activity Levels at an Acute Stroke Ward: Comparing Observations to a Device
Kramer, S. F., Cumming, T. B., Churilov, L. P., & Bernhardt, J. (2013) · BioMed Research International · doi:10.1155/2013/460482 · Cited by 55 · see citing works
Recommendations for ICT use in Alzheimer's disease assessment: Monaco CTAD expert meeting
Robert, P. H., Konig, A., Andrieu, S., Bremond, F., Chemin, I., Chung, P. C., Dartigues, J. F., Dubois, B., Feutren, G., Guillemaud, R., et al. (2013) · The Journal of nutrition, health and aging · doi:10.1007/s12603-013-0046-3 · Cited by 46 · see citing works
Beveridge, C., Knutson, K. L., Spampinato, L. M., Flores, A., Meltzer, D. O., Cauter, E. V., & Arora, V. M. (2015) · Journal of the American Geriatrics Society · doi:10.1111/jgs.13520 · Cited by 45 · see citing works
A review of current information and communication technologies: can they be used to assess apathy?
König, A., Aalten, P., Verhey, F. R. J., Ben-Sadoun, G., Petit, P., Robert, P. H., & David, R. (2013) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4017 · Cited by 35 · 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
Differential actigraphy for monitoring asymmetry in upper limb motor activities
Rabuffetti, M., Meriggi, P., Pagliari, C., Bartolomeo, P., & Ferrarin, M. (2016) · Physiological Measurement · doi:10.1088/0967-3334/37/10/1798 · Cited by 27 · see citing works
Circadian Factors in Stroke: A Clinician’s Perspective
Коростовцева, Л. С., & Kolomeichuk, S. N. (2023) · Cardiology and Therapy · doi:10.1007/s40119-023-00313-w · Cited by 22 · see citing works
Cheung, J. C., So, B. P.-H., Ho, K. H. M., Wong, D. W., Lam, A. H. F., & Cheung, D. S. K. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.913213 · Cited by 22 · see citing works
Suitability of accelerometry as an objective measure for upper extremity use in stroke patients
Heye, A.-L., Kersting, C., Kneer, M., & Barzel, A. (2022) · BMC Neurology · doi:10.1186/s12883-022-02743-w · Cited by 15 · see citing works
Kashihara, M., Nakao, S., Kawasaki, J., Takata, S., Nagahiro, S., Kaji, R., & Yasui, N. (2011) · The Journal of Medical Investigation · doi:10.2152/jmi.58.227 · Cited by 15 · see citing works
Actigraphic measurement of the upper limbs movements in acute stroke patients
Iacovelli, C., Caliandro, P., Rabuffetti, M., Padua, L., Simbolotti, C., Reale, G., Ferrarin, M., & Rossini, P. M. (2019) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-019-0603-z · Cited by 15 · see citing works
Bezuidenhout, L., Joseph, C., Einarsson, U., Thurston, C., Hagströmer, M., & Conradsson, D. M. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.2012838 · Cited by 13 · see citing works
Factors associated with upper extremity use after stroke: a scoping review of accelerometry studies
Gagné-Pelletier, L., Poitras, I., Roig, M., & Mercier, C. (2025) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-025-01568-1 · Cited by 12 · see citing works
12 versus 24 h bed rest after acute ischemic stroke thrombolysis: a preliminary experience
Silver, B., Hamid, T., Khan, M., Napoli, M. D., Behrouz, R., Saposnik, G., Sarafin, J.-A. M., Martin, S., Moonis, M., Henninger, N., et al. (2019) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2019.116618 · Cited by 9 · see citing works
Laterality of Damage Influences the Relationship Between Impairment and Arm Use After Stroke
Yadav, G., Haaland, K. Y., & Mutha, P. K. (2019) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617718001261 · Cited by 7 · see citing works
Kojima, M., & Nagano, A. (2019) · Scientific Reports · doi:10.1038/s41598-019-40460-6 · Cited by 7 · see citing works
Urbanski, H., Kohama, S., West, G., Glynn, C., Williams-Karnesky, R., Earl, E., Neuringer, M. N., Renner, L., Weiss, A., Stenzel-Poore, M., et al. (2012) · Translational Stroke Research · doi:10.1007/s12975-012-0191-8 · Cited by 7 · see citing works
Cramer, S. C., & Nudo, R. J. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511777547.017 · Cited by 6 · see citing works
Pellegrini, M., Lannin, N. A., Mychasiuk, R., Graco, M., Kramer, S. F., & Giummarra, M. J. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20053984 · Cited by 5 · see citing works
Rapid Neurological Recovery Post Thrombolysis: Mechanisms and Implications
Machumpurath, B., Reddy, M., & Yan, B. (2013) · Neuroscience & Medicine · doi:10.4236/nm.2013.41006 · Cited by 5 · see citing works
Leocádio-Miguel, M. A., & Araújo, J. F. (2021) · Springer eBooks · doi:10.1007/978-3-030-85074-6_37 · Cited by 4 · see citing works
Pignolo, L., Tonin, P., Nicotera, P., Bagetta, G., & Scuteri, D. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.813282 · Cited by 4 · see citing works
Lee, B., Kurihara, J., Tokuda, K., Ogasawara, E., Akiyoshi, C., & Shiihara, Y. (2011) · Journal of Physical Therapy Science · doi:10.1589/jpts.23.361 · Cited by 4 · see citing works
de Castro, K. N., Brown, E. V. D., Neilan, R. M., & Wallace, S. E. (2021) · Frontiers in Virtual Reality · doi:10.3389/frvir.2021.642434 · Cited by 3 · see citing works
Fuchs, A., Laures-Gore, J. S., Choo, A. L., Rice, K. G., Moore, E., & Rodriguez, A. D. (2025) · Aphasiology · doi:10.1080/02687038.2025.2516829 · Cited by 1 · see citing works
TOKUDA, K., Lee, B., KURIHARA, J., Matsumoto, T., Kazama, H., Shirakura, K., & Shiihara, Y. (2013) · Rigakuryoho Kagaku · doi:10.1589/rika.28.15 · Cited by 1 · see citing works
Actigraphy Signal Analysis System for Sleep and Wake Studies
Athavale, Y. R. (2021) · doi:10.32920/ryerson.14654643 · Cited by 1 · see citing works
The role of the lectin VIP36 in the early secretory pathway
Reiterer, V. (2010) · edoc (University of Basel) · doi:10.5451/unibas-005405317
Self-citationActigraphic monitoring of the upper limbs movements in acute stroke patients
Iacovelli, C., Caliandro, P., Rabuffetti, M., Simbolotti, C., Padua, L., Reale, G., & Rossini, P. M. (2016) · Gait & Posture · doi:10.1016/j.gaitpost.2016.07.066
Bastani, A., Ayala, A. M. C., Lizama, L. E. C., Elmalik, A., Amatya, B., Khan, F., & Galea, M. P. (2024) · Journal of Stroke Medicine · doi:10.1177/25166085241309700
Heye, A.-L., Kersting, C., Kneer, M., & Barzel, A. (2022) · Figshare · doi:10.6084/m9.figshare.20079284
Heye, A.-L., Kersting, C., Kneer, M., & Barzel, A. (2022) · Figshare · doi:10.6084/m9.figshare.20079281
- Authors
- Reiterer, V., Sauter, C., Klösch, G., Lalouschek, W., & Zeitlhofer, J.
- Affiliations
- University of Basel (CH)
- Medical University of Vienna (AT)
- Venue
- European Neurology
- Publisher
- S. Karger AG
- Published
- 2008
- Volume
- 60
- Issue
- 6
- Pages
- 285-291
- ISSN
- 0014-3022 (ISSN-L)
- 1421-9913
- OpenAlex
- W1993914336
- Cited by
- 44
- References
- 36
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 4 · 2019: 4 · 2018: 1 · 2016: 5 · 2015: 4 · 2014: 2 · 2013: 5 · 2012: 2
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Keywords
- actigraphy, stroke, motor paresis, motor activity monitoring, stroke rehabilitation, Scandinavian Stroke Scale, Barthel Index, modified Rankin Scale
- MeSH terms
- Stroke Rehabilitation, Female, Humans, Male, Middle Aged, Monitoring, Physiologic, Motor Activity, Paresis, Wrist, Muscle, Skeletal, Stroke
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