Validity of the Actigraph GT3x and influence of the sensor positioning for the assessment of active energy expenditure during four activities of daily living in stroke subjects

Compagnat, Maxence; Mandigout, Stéphane; Chaparro, David; Daviet, J.C.; Salle, JY

doi:10.1177/0269215518788116

Cited by 23 publications

(19 citation statements)

References 28 publications

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“…20 Physical activity participation (amount and intensity) was measured by accelerometers (Actigraph GTX3) worn by patients on their waist for three days immediately following admission to inpatient rehabilitation, three days preceding inpatient rehabilitation discharge, and three days following their threemonth follow-up assessment. 21,22 Patients were asked to wear the accelerometers at their waist (unaffected side) continuously for three days with removal only for bathing. Adherence to wearing the accelerometer as instructed was defined as wear time of greater than 90% of the assigned three days.…”

Section: Methodsmentioning

confidence: 99%

The impact of a patient-directed activity program on functional outcomes and activity participation after stroke during inpatient rehabilitation—a randomized controlled trial

et al. 2020

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Objective: Individuals post stroke are inactive, even during rehabilitation, contributing to ongoing disability and risk of secondary health conditions. Our aims were to (1) conduct a randomized controlled trial to examine the efficacy of a “Patient-Directed Activity Program” on functional outcomes in people post stroke during inpatient rehabilitation and (2) examine differences three months post inpatient rehabilitation discharge. Design: Randomized control trial. Setting: Inpatient rehabilitation facility. Subjects: Patients admitted to inpatient rehabilitation post stroke. Interventions: Patient-Directed Activity Program (PDAP) or control (usual care only). Both groups underwent control (three hours of therapy/day), while PDAP participants were prescribed two additional 30-minute activity sessions/day. Main measures: Outcomes (Stroke Rehabilitation Assessment of Movement Measure, Functional Independence Measure, balance, physical activity, Stroke Impact Scale) were collected at admission and discharge from inpatient rehabilitation and three-month follow-up. Results: Seventy-three patients (PDAP ( n = 37); control ( n = 36)) were included in the primary analysis. Patients in PDAP completed a total of 23.1 ± 16.5 sessions (10.7 ± 8.5 upper extremity; 12.4 ± 8.6 lower extremity) during inpatient rehabilitation. No differences were observed between groups at discharge in functional measures. PDAP completed significantly more steps/day (PDAP = 657.70 ± 655.82, control = 396.17 ± 419.65; P = 0.022). The Stroke Impact Scale showed significantly better memory and thinking (PDAP = 86.2 ± 11.4, control = 80.8 ± 16.7; P = 0.049), communication (PDAP = 93.6 ± 8.3, control = 89.6 ± 12.4; P = 0.042), mobility (PDAP = 62.2 ± 22.5, control = 53.8 ± 21.8; P = 0.038), and overall recovery from stroke (PDAP = 62.1 ± 19.1, control = 52.2 ± 18.7; P = 0.038) for PDAP compared to control. At three months post discharge, PDAP ( n = 11) completed significantly greater physical activity ( P = 0.014; 3586.5 ± 3468.5 steps/day) compared to control ( n = 10; 1760.9 ± 2346.3 steps/day). Conclusion: Functional outcome improvement was comparable between groups; however, PDAP participants completed more steps and perceived greater recovery.

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Section: Methodsmentioning

confidence: 99%

The impact of a patient-directed activity program on functional outcomes and activity participation after stroke during inpatient rehabilitation—a randomized controlled trial

et al. 2020

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“…Clinicians and researchers have used AM in various ways, including assessing the effectiveness of cardiac rehabilitation 15 and other behavioral interventions. 16 Additionally, AM have been used to quantify activity in populations such as children with cerebral palsy 17 and adults after stroke, 18 and have been used in rehabilitation settings like skilled nursing facilities and inpatient rehabilitation to gauge the intensity of exercises and patient participation during treatment sessions. 19,20 AM vary depending on the manufacturer and model but are often worn at waistlevel or on the distal aspect of the arm or leg.…”

Section: Distance Measurementsmentioning

confidence: 99%

Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical Commentary

Taylor

Ford

Queen

et al. 2021

International Journal of Sports Physical Therapy

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Background and Purpose Poor outcomes after anterior cruciate ligament reconstruction (ACLr), including the relatively high risk of suffering a subsequent ACL injury, suggest the need to optimize rehabilitation and return-to-sport testing. The purpose of this commentary is to introduce clinicians to the concept of monitoring training load during rehabilitation, to review methods of quantifying internal and external loads, and to suggest ways that these technologies can be incorporated into rehabilitation progressions and return-to-sport decisions after anterior ACLr. Description of Topic with Related Evidence Quantifying and identifying the effects of training load variables, external (distance, impacts, decelerations) and internal (heart rate, heart rate variability) workload, during rehabilitation can indicate both positive (improved physical, physiological, or psychological capacity) or negative (heightened risk for injury or illness) adaptations and allow for the ideal progression of exercise prescription. When used during return-to-sport testing, wearable technology can provide robust measures of movement quality, readiness, and asymmetry not identified during performance-based testing. Discussion / Relation to Clinical Practice Researchers have reported the actual in-game demands of men and women of various ages and competition levels during multi-directional sport. Wearable technology can provide similar variables during rehabilitation, home exercise programs, and during on-field transition back to sport to ensure patients have met the expected fitness capacity of their sport. Additionally, clinicians can use internal load measures to objectively monitor patient’s physiological responses to rehabilitation progressions and recovery rather than relying on subjective patient-reported data. Level of Evidence 5

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“…Advances in computing power and microelectronics enable these improvements in human performance assessment, with real-time physiological measurement capabilities and data processing to provide valuable information about the individual [17]. Currently available commercial systems include heart rate monitors [18], temperature sensors [19], accelerometers [20] and integrated sensors [21]. However, these apparatuses usually do not satisfy the requirements for more profound occupational research.…”

Section: Introductionmentioning

confidence: 99%

Applicability of Physiological Monitoring Systems within Occupational Groups: A Systematic Review

Bustos

Guedes

Baptista

et al. 2021

Sensors

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The emergence of physiological monitoring technologies has produced exceptional opportunities for real-time collection and analysis of workers’ physiological information. To benefit from these safety and health prognostic opportunities, research efforts have explored the applicability of these devices to control workers’ wellbeing levels during occupational activities. A systematic review is proposed to summarise up-to-date progress in applying physiological monitoring systems for occupational groups. Adhering with the PRISMA Statement, five databases were searched from 2014 to 2021, and 12 keywords were combined, concluding with the selection of 38 articles. Sources of risk of bias were assessed regarding randomisation procedures, selective outcome reporting and generalisability of results. Assessment procedures involving non-invasive methods applied with health and safety-related goals were filtered. Working-age participants from homogeneous occupational groups were selected, with these groups primarily including firefighters and construction workers. Research objectives were mainly directed to assess heat stress and physiological workload demands. Heart rate related variables, thermal responses and motion tracking through accelerometry were the most common approaches. Overall, wearable sensors proved to be valid tools for assessing physiological status in working environments. Future research should focus on conducting sensor fusion assessments, engaging wearables in real-time evaluation methods and giving continuous feedback to workers and practitioners.

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Validity of the Actigraph GT3x and influence of the sensor positioning for the assessment of active energy expenditure during four activities of daily living in stroke subjects

Abstract: This study found large differences and a poor agreement between the active energy expenditure as measured by the Actigraph and the Metamax according to the location of the sensor and the type of task performed by the subject.

Cited by 23 publications

References 28 publications

The impact of a patient-directed activity program on functional outcomes and activity participation after stroke during inpatient rehabilitation—a randomized controlled trial

The impact of a patient-directed activity program on functional outcomes and activity participation after stroke during inpatient rehabilitation—a randomized controlled trial

Incorporating Internal and External Training Load Measurements in Clinical Decision Making After ACL Reconstruction: A Clinical Commentary

Applicability of Physiological Monitoring Systems within Occupational Groups: A Systematic Review

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