Validity of activity monitors in wheelchair users: A systematic review

Tsang, Kalai; Hiremath, Shivayogi V.; Crytzer, Theresa M.; Dicianno, Brad E.; Ding, Dan

doi:10.1682/jrrd.2016.01.0006

Cited by 28 publications

(23 citation statements)

References 53 publications

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“…Physical activity questionnaires are often inaccurate [ 7 – 9 ] and the availability of accelerometer-based consumer-grade devices is scarce, especially when compared to the availability of such systems for the general population [ 10 , 11 ]. Activity monitors used for research purposes involve as many as six body-bound units which makes them expensive and impractical for daily use in free living conditions [ 12 ]. In contrast, most monitors for the general population consist of one body-bound unit.…”

Section: Introductionmentioning

confidence: 99%

Validity of consumer-grade activity monitor to identify manual wheelchair propulsion in standardized activities of daily living

et al. 2018

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BackgroundHypoactive lifestyle contributes to the development of secondary complications and lower quality of life in wheelchair users. There is a need for objective and user-friendly physical activity monitors for wheelchair-dependent individuals in order to increase physical activity through self-monitoring, goal setting, and feedback provision.ObjectiveTo determine the validity of Activ8 Activity Monitors to 1) distinguish two classes of activities: independent wheelchair propulsion from other non-propulsive wheelchair-related activities 2) distinguish five wheelchair-related classes of activities differing by the movement intensity level: sitting in a wheelchair (hands may be moving but wheelchair remains stationary), maneuvering, and normal, high speed or assisted wheelchair propulsion.MethodsSixteen able-bodied individuals performed sixteen various standardized 60s-activities of daily living. Each participant was equipped with a set of two Activ8 Professional Activity Monitors, one at the right forearm and one at the right wheel. Task classification by the Active8 Monitors was validated using video recordings. For the overall agreement, sensitivity and positive predictive value, outcomes above 90% are considered excellent, between 70 and 90% good, and below 70% unsatisfactory.ResultsDivision in two classes resulted in overall agreement of 82.1%, sensitivity of 77.7% and positive predictive value of 78.2%. 84.5% of total duration of all tasks was classified identically by Activ8 and based on the video material. Division in five classes resulted in overall agreement of 56.6%, sensitivity of 52.8% and positive predictive value of 51.9%. 59.8% of total duration of all tasks was classified identically by Activ8 and based on the video material.ConclusionsActiv8 system proved to be suitable for distinguishing between active wheelchair propulsion and other non-propulsive wheelchair-related activities. The ability of the current system and algorithms to distinguish five various wheelchair-related activities is unsatisfactory.

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Section: Introductionmentioning

confidence: 99%

Validity of consumer-grade activity monitor to identify manual wheelchair propulsion in standardized activities of daily living

et al. 2018

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“…One strategy for promoting regular PA is to provide people with an accurate estimate of everyday PA level [5]. Thus, a number of studies have developed and validated sensor-based activity monitors for individuals with SCI to quantify movement of the individual, wheelchair movement, and physiological changes, both in the laboratory and under free-living conditions [6–10].…”

Section: Introductionmentioning

confidence: 99%

Mobile health-based physical activity intervention for individuals with spinal cord injury in the community: A pilot study

et al. 2019

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Low levels of physical activity (PA) and high levels of sedentary behavior in individuals with spinal cord injury (SCI) have been associated with secondary conditions such as pain, fatigue, weight gain, and deconditioning. One strategy for promoting regular PA is to provide people with an accurate estimate of everyday PA level. The objective of this research was to use a mobile health-based PA measurement system to track PA levels of individuals with SCI in the community and provide them with a behavior-sensitive, just-in-time-adaptive intervention (JITAI) to improve their PA levels. The first, second, and third phases of the study, each with a duration of one month, involved collecting baseline PA levels, providing near-real-time feedback on PA level (PA Feedback), and providing PA Feedback with JITAI, respectively. PA levels in terms of energy expenditure in kilocalories, and minutes of light- and moderate- or vigorous-intensity PA were assessed by an activity monitor during the study. Twenty participants with SCI took part in this research study with a mean (SD) age of 39.4 (12.8) years and 12.4 (12.5) years since injury. Sixteen participants completed the study. Sixteen were male, 16 had paraplegia, and 12 had complete injury. Within-participant comparisons indicated that only two participants had higher energy expenditure (>10%) or lower energy expenditure (<-10%) during PA Feedback with JITAI compared to the baseline. However, eleven participants (69.0%) had higher light- and/or moderate-intensity PA during PA Feedback with JITAI compared to the baseline. To our knowledge, this is the first study to test a PA JITAI for individuals with SCI that responds automatically to monitored PA levels. The results of this pilot study suggest that a sensor-enabled mobile JITAI has potential to improve PA levels of individuals with SCI. Future research should investigate the efficacy of JITAI through a clinical trial.

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“…Reliable and valid measures of LTPA are required to assess the effectiveness of LTPA-8 enhancing interventions. Review articles 6,7,8 have catalogued the measurement properties of 9 wearable and self-report physical activity measures that have been used in SCI research.…”

Section: Introductionmentioning

confidence: 99%

Construct validation of the leisure time physical activity questionnaire for people with SCI (LTPAQ-SCI)

et al. 2020

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Validity of activity monitors in wheelchair users: A systematic review

Cited by 28 publications

References 53 publications

Validity of consumer-grade activity monitor to identify manual wheelchair propulsion in standardized activities of daily living

Validity of consumer-grade activity monitor to identify manual wheelchair propulsion in standardized activities of daily living

Mobile health-based physical activity intervention for individuals with spinal cord injury in the community: A pilot study

Construct validation of the leisure time physical activity questionnaire for people with SCI (LTPAQ-SCI)

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