Validating accelerometry as a measure of physical activity and energy expenditure in chronic stroke.

If your doctor and therapists aren't doing this they have no objective idea of the movements you are doing. With NO objective diagnosis of your disability they will never be able to map protocols to recovery. 
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J78135&phrase=no&rec=136167&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 24(1) , Pgs. 18-23.

NARIC Accession Number: J78135.  What's this?
ISSN: 1074-9357.
Author(s): Serra, ; Balraj, Elizabeth; DiSanzo, Beth L.; Ivey, Frederick M.; Hafer-Macko, Charlene E.; Treuth, Margarita S.; Ryan, Alice S..
Publication Year: 2017.
Number of Pages: 6.
Abstract: Study determined count thresholds for the Actical brand accelerometer specific to stroke disability in order to more accurately estimate time spent at differing activity levels. Eighteen men and 10 women with chronic hemiparetic gait participated in the study. Actical accelerometers were placed on the participants’ non-paretic hip to obtain accelerometry counts during eight activities of varying intensity: (1) watching TV; (2) seated stretching; (3) standing stretching; (4) floor sweeping; (5) stepping in place; (6) over-ground walking; (7) lower-intensity treadmill walking (1.0 mph at 4-percent incline); and (8) higher-intensity treadmill walking (2.0 mph at 4-percent incline). Simultaneous portable monitoring enabled quantification of energy cost for each activity in metabolic equivalents (oxygen consumption in multiples of resting level). Measurements were obtained for 10 minutes of standard rest and 5 minutes during each of the eight activities. Regression analysis yielded the following new stroke-specific Actical minimum thresholds: 125 counts per minute (cpm) for sedentary/light activity, 667 cpm for light/moderate activity, and 1,546 cpm for moderate/vigorous activity. The authors conclude that the standard, commonly applied Actical thresholds are inappropriate for this unique population. The revised cut points better reflect activity levels after stroke and suggest significantly lower thresholds relative to those observed for the general population of healthy individuals.
Descriptor Terms: AMBULATION, BODY MOVEMENT, CARDIOPULMONARY FUNCTION, EVALUATION TECHNIQUES, EXERCISE, MEASUREMENTS, MEDICAL TECHNOLOGY, PERFORMANCE STANDARDS, STROKE.


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Citation: Serra, Validating accelerometry as a measure of physical activity and energy expenditure in chronic stroke.  Topics in Stroke Rehabilitation , 24(1), Pgs. 18-23. Retrieved 4/19/2018, from REHABDATA database.


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More information about this publication:
Topics in Stroke Rehabilitation.