The Motor Activity Log-28

Uswatte, Gitendra; Taub, Edward; Morris, David; Light, Kathye E.; Thompson, Paul A.

doi:10.1212/01.wnl.0000238164.90657.c2

Cited by 398 publications

(348 citation statements)

References 22 publications

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“…Most of the studies included only reported UE impairment outcome measures. Apart from the Motor Activity Log, the selected outcome measures do not specifically assess UE activities of daily living (Uswatte et al, 2006). In addition, including outcome measures such as the Stroke Impact Scale in clinical trials of tDCS plus rehabilitation (Duncan et al, 2003) would give an insight into the effect of intervention on participants' quality of life.…”

Section: Discussionmentioning

confidence: 99%

Multiple sessions of transcranial direct current stimulation and upper extremity rehabilitation in stroke: A review and meta-analysis

Triccas

Burridge

Hughes

et al. 2016

Clinical Neurophysiology

108

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h i g h l i g h t stDCS and rehabilitation had small non-significant effect on upper extremity impairments. Varied tDCS and rehabilitation programmes were identified in selected studies. Future research needs to further analyse tDCS and therapy interventions in stroke. a b s t r a c tObjective: To systematically review the methodology in particular treatment options and outcomes and the effect of multiple sessions of transcranial direct current stimulation (tDCS) with rehabilitation programmes for upper extremity recovery post stroke. Methods: A search was conducted for randomised controlled trials involving tDCS and rehabilitation for the upper extremity in stroke. Quality of included studies was analysed using the Modified Downs and Black form. The extent of, and effect of variation in treatment parameters such as anodal, cathodal and bi-hemispheric tDCS on upper extremity outcome measures of impairment and activity were analysed using meta-analysis. Results: Nine studies (371 participants with acute, sub-acute and chronic stroke) were included. Different methodologies of tDCS and upper extremity intervention, outcome measures and timing of assessments were identified. Real tDCS combined with rehabilitation had a small non-significant effect of +0.11 (p = 0.44) and +0.24 (p = 0.11) on upper extremity impairments and activities at post-intervention respectively. Conclusion: Various tDCS methods have been used in stroke rehabilitation. The evidence so far is not statistically significant, but is suggestive of, at best, a small beneficial effect on upper extremity impairment. Significance: Future research should focus on which patients and rehabilitation programmes are likely to respond to different tDCS regimes.

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Section: Discussionmentioning

confidence: 99%

Multiple sessions of transcranial direct current stimulation and upper extremity rehabilitation in stroke: A review and meta-analysis

Triccas

Burridge

Hughes

et al. 2016

Clinical Neurophysiology

108

View full text Add to dashboard Cite

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“…The secondary outcome measures were: (1) Action Research Arm Test (ARAT), an UL functional measure which involves testing the ability to grasp, move, and release objects differing in size, weight, and shape by the affected UL (Lyle, 1981), (2) Motor Activity Log-28 (MAL), a semi-structured interview during which respondents rate how well (quality of movement scale) they use the paretic hand during 28 UL activities of daily living (Uswatte, Taub, Morris, Light, & Thompson, 2006) and (3) Stroke Impact Scale (3.0) (SIS) which evaluates function and quality of life in eight clinically relevant domains on the basis of self-report (Duncan, Bode, Min Lai, & Perera, 2003).…”

Section: Assessment and Outcome Measuresmentioning

confidence: 99%

A double-blinded randomised controlled trial exploring the effect of anodal transcranial direct current stimulation and uni-lateral robot therapy for the impaired upper limb in sub-acute and chronic stroke

Triccas

Burridge

Hughes

et al. 2015

NRE

111

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Abstract. BACKGROUND:Neurorehabilitation technologies such as robot therapy (RT) and transcranial Direct Current Stimulation (tDCS) can promote upper limb (UL) motor recovery after stroke. OBJECTIVE: To explore the effect of anodal tDCS with uni-lateral and three-dimensional RT for the impaired UL in people with sub-acute and chronic stroke. METHODS: A pilot randomised controlled trial was conducted. Stroke participants had 18 one-hour sessions of RT (Armeo ® Spring) over eight weeks during which they received 20 minutes of either real tDCS or sham tDCS during each session. The primary outcome measure was the Fugl-Meyer assessment (FMA) for UL impairments and secondary were: UL function, activities and stroke impact collected at baseline, post-intervention and three-month follow-up. RESULTS: 22 participants (12 sub-acute and 10 chronic) completed the trial. No significant difference was found in FMA between the real and sham tDCS groups at post-intervention and follow-up (p = 0.123). A significant 'time' x 'stage of stroke' was found for FMA (p = 0.016). A higher percentage improvement was noted in UL function, activities and stroke impact in people with sub-acute compared to chronic stroke. CONCLUSIONS: Adding tDCS did not result in an additional effect on UL impairment in stroke. RT may be of more benefit in the sub-acute than chronic phase.

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“…In this study, we were particularly interested in measuring the activity of the upper limbs. Uswatte et al provided significant evidence about the validity and reliability of accelerometry to measure upper-limb activity in stroke [4][5][6][7][8]. Details about the clinometric properties of upper-limb accelerometrybased measurements are published elsewhere [3].…”

Section: Introductionmentioning

confidence: 99%

Predictive value of upper-limb accelerometry in acute stroke with hemiparesis

et al. 2013

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Abstract-Few studies have investigated how well early activity measurements by accelerometers predict recovery after stroke. First, we assessed the predictive value of accelerometer-based measurements of upper-limb activity in patients with acute stroke with a hemiplegic arm. Second, we established the difference in arm activity between hospitalized stroke and nonstroke patients. In total, 129 patients with acute stroke and 19 controls participated. Activity of the upper limbs was monitored for 48 h, and these data were used to determine the predictive value of the activity variables compared with the modified Rankin Scale (mRS), which was assessed at 3 mo poststroke onset. The sensitivity and specificity in relation to the mRS were 0.80 and 0.77, respectively, for the activity of impaired arm (AIA) and 0.85 and 0.75, respectively, for the ratio variable calculated by dividing the AIA by the activity of the nonimpaired arm. The corresponding cutoff values were 597,546 counts for AIA and 0.33 for the ratio. The predictive value of AIA combined with age was 85% to the disability status defined as an mRS score of 2 or less.

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The Motor Activity Log-28

Abstract: The participant Motor Activity Log is reliable and valid in individuals with subacute stroke. It might be employed to assess the real-world effects of upper extremity neurorehabilitation and detect deficits in spontaneous use of the hemiparetic arm in daily life.

Cited by 398 publications

References 22 publications

Multiple sessions of transcranial direct current stimulation and upper extremity rehabilitation in stroke: A review and meta-analysis

Multiple sessions of transcranial direct current stimulation and upper extremity rehabilitation in stroke: A review and meta-analysis

A double-blinded randomised controlled trial exploring the effect of anodal transcranial direct current stimulation and uni-lateral robot therapy for the impaired upper limb in sub-acute and chronic stroke

Predictive value of upper-limb accelerometry in acute stroke with hemiparesis

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