Objectively measured arm use in daily life improves during the first 6 months poststroke: a longitudinal observational cohort study
Autor: | Carel G. M. Meskers, Malou H. J. Fanchamps, Ruud W. Selles, Johannes B. J. Bussmann, Gerard M. Ribbers, Gerrit Ruben Hendrik Regterschot |
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Přispěvatelé: | Rehabilitation medicine, AMS - Ageing & Vitality, AMS - Rehabilitation & Development, Amsterdam Neuroscience - Neurovascular Disorders, Rehabilitation Medicine, Plastic and Reconstructive Surgery and Hand Surgery |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Upper extremity Time Factors Stroke patient medicine.medical_treatment Movement Health Informatics Sitting lcsh:RC321-571 Cohort Studies 03 medical and health sciences 0302 clinical medicine Arm function Accelerometry Activities of Daily Living medicine Humans In patient Longitudinal Studies Generalized estimating equation Stroke lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Sensor Aged Monitoring Physiologic Rehabilitation business.industry Research Stroke Rehabilitation Recovery of Function Middle Aged medicine.disease Ambulatory monitoring Physical therapy Arm Female 0305 other medical science business 030217 neurology & neurosurgery Cohort study |
Zdroj: | Journal of NeuroEngineering and Rehabilitation, 18(1):51. BioMed Central Journal of NeuroEngineering and Rehabilitation Journal of NeuroEngineering and Rehabilitation, 18(1):51. BioMed Central Ltd. Journal of NeuroEngineering and Rehabilitation, Vol 18, Iss 1, Pp 1-10 (2021) Regterschot, G R H, Bussmann, J B J, Fanchamps, M H J, Meskers, C G M, Ribbers, G M & Selles, R W 2021, ' Objectively measured arm use in daily life improves during the first 6 months poststroke: a longitudinal observational cohort study ', Journal of NeuroEngineering and Rehabilitation, vol. 18, no. 1, 51 . https://doi.org/10.1186/s12984-021-00847-x |
ISSN: | 1743-0003 |
Popis: | Background It is unclear how arm use in daily life changes after stroke since studies investigating the change in arm use poststroke are scarce. The aim of this study was to investigate the change in arm use during the first six months poststroke. Secondary aim was to compare arm use changes between arm recovery clusters. Methods Arm use was measured during week 3, 12, and 26 poststroke with accelerometers on the wrists and the nonaffected leg. Outcomes were the amount of affected and nonaffected arm use during sitting and standing per day and per sit/stand hour, and the daily ratio between arms. Arm function was measured with the Fugl-Meyer Upper Extremity Scale to identify recovery clusters (poor/moderate/excellent). Generalized estimating equations compared arm use outcomes between time points and between recovery clusters. Results Thirty-three stroke patients participated. Affected arm use per day increased between week 3 and 12 (30 %; p = 0.04) and it increased per sit/stand hour between week 3–12 (31 %; p Conclusions Affected arm use and the ratio between arms increase during the first 26 weeks poststroke especially in patients with excellent arm recovery. |
Databáze: | OpenAIRE |
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