Topics in Stroke Rehabilitation最新文献

{"title":"The mediating roles of caregiver needs and caregiver readiness in the relation between family resilience and benefit finding in family caregivers of patients with stroke in China.","authors":"Qitong Zhao, Xinyue Zhao, Jingwei Zhang, Xiangmin Xu, Haoxin Kong, Shuhao Lin, Haijun Zhao, Mingxia Li","doi":"10.1080/10749357.2024.2387482","DOIUrl":"10.1080/10749357.2024.2387482","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to assess the effects of family resilience, caregiver needs, and caregiver readiness on benefit finding for family caregivers of patients with stroke and to examine the mediating role of caregiver needs and caregiver readiness between family resilience and benefit finding.</p><p><strong>Methods: </strong>In this cross-sectional study, convenience sampling was designed and used to recruit participants from three general hospitals in Jinan, Shandong Province, China, from February to September 2022, in which 340 participants completed the General Information Questionnaire, Chinese version of the Family Resilience Assessment Scale (C-FRAS), Caregiver Needs Assessment Scale (CNAS) Chinese version of the Caregiver Preparedness Scale (C-CPS), and Caregiver Benefit Finding Scale (CBFS). Model 6 in process version 4.0 was used to test the chain mediation model between family resilience and benefit finding for caregiver needs and caregiver readiness.</p><p><strong>Results: </strong>Correlation analysis showed that benefit finding in family caregivers was positively associated with family resilience and caregiver readiness and negatively associated with caregiver needs; mediation model tests showed that the total indirect effect of family resilience on benefit finding was 0.163, with the specific mediating effects of caregiver needs and caregiver readiness accounting for 33.74% and 59.51%, and the chain mediating effect of both accounting for 6.75%.</p><p><strong>Conclusions: </strong>Family resilience not only directly influences benefit finding for family caregivers but also indirectly affects benefit finding through caregiver needs and caregiver readiness. Caregiver needs and caregiver readiness have a mediating role between family resilience and benefit finding in family caregivers.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"260-269"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between energy intake and activities of daily living in patients with acute stroke at hospital discharge: a retrospective cohort study.","authors":"Masafumi Nozoe, Tatsuro Inoue, Miho Yamamoto, Rio Ikeji, Haruka Seike, Masato Ogawa","doi":"10.1080/10749357.2024.2392446","DOIUrl":"10.1080/10749357.2024.2392446","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the effects of energy intake on activities of daily living (ADL) in patients with acute stroke, with a focus on the differences between obese and non-obese patients.</p><p><strong>Methods: </strong>This retrospective observational study was conducted in a neurological hospital and included patients hospitalized for acute stroke. During the acute phase (1 week after admission), energy intake was assessed, and the main outcome was defined as the Functional Independence Measure in the motor domain (FIM-M) at discharge. All subjects were divided into two groups based on their body mass index (BMI) at admission, with BMI ≥ 25 defining the obese stroke group and BMI < 25 defining the non-obese stroke group. Linear regression analysis was performed to examine the relationship between energy intake and FIM-M in each group.</p><p><strong>Results: </strong>A total of 307 patients with acute stroke (median age: 72 years) were included in this study, with 118 patients (39%) in the obese stroke group. In the non-obese stroke group, a significant and independent relationship was observed between FIM-M and energy intake (β = 0.103, <i>p</i> = 0.031, adjusted R2 = 0.687). However, in the obese stroke group, no significant relationship was found between FIM-M and energy intake (β = 0.076, <i>p</i> = 0.302).</p><p><strong>Conclusion: </strong>In patients with acute stroke, energy intake positively affects functional outcomes in non-obese patients but not in obese patients. This study highlights the importance of considering obesity as a potential factor in determining energy intake in patients with acute stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"229-237"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommended moderate to vigorous physical activity levels for people in the chronic phase of stroke can be achieved in outpatient physiotherapy: a multicentre observational study.","authors":"Stéphanie Goncalves, Morgane Le Bourvellec, Noémie C Duclos, Stéphane Mandigout","doi":"10.1080/10749357.2024.2392447","DOIUrl":"10.1080/10749357.2024.2392447","url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation in the chronic phase of stroke should include 20 minutes of moderate to vigorous physical activity (MVPA). However, the level of compliance with MVPA guidelines in outpatient physiotherapy is unknown.</p><p><strong>Objectives: </strong>To investigate (1) whether people in the chronic phase of stroke perform the recommended 20 minutes of MVPA during outpatient physiotherapy sessions in France, (2) whether the person's clinical characteristics influence MVPA time and (3) which interventions contribute to achievement of recommended MVPA time.</p><p><strong>Methods: </strong>This was a multicentre, cross-sectional observational study of routine outpatient physiotherapy sessions in France in people in the chronic phase of stroke. The main measures included MVPA time (determined using a heart rate monitor), clinical tests and types of physiotherapy interventions (recorded by external investigator during 2 sessions for each participant).</p><p><strong>Results: </strong>84 people in the chronic phase of stroke and 152 outpatient physiotherapy sessions in 29 outpatient clinics were included (2021-2022). Median (interquartile range) MVPA time was 25 (7-45) minutes across all sessions. Fifty-nine percent of the sessions fulfilled MVPA guidelines. Among clinical tests, only the Mini-Mental Scale Examination was significantly associated with MVPA time. Endurance, balance, and functional lower limb training were associated with the achievement of MVPA guidelines.</p><p><strong>Conclusion: </strong>Outpatient physiotherapy sessions have the potential to meet the MVPA guidelines. Further research is needed to understand the variability of compliance with MVPA guidelines and to develop strategies to increase the integration of MVPA into outpatient physiotherapy sessions.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"219-228"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of stroke patients undergoing percutaneous endoscopic gastrostomy: a systematic review and meta-analysis.","authors":"Mohammed Maan Al-Salihi, Syed A Gillani, Ram Saha, Ahmed Abd Elazim, Maryam Sabah Al-Jebur, Shamser Singh Dalal, Farhan Siddiq, Ali Ayyad, Camilo R Gomez, Adnan I Qureshi","doi":"10.1080/10749357.2024.2392441","DOIUrl":"10.1080/10749357.2024.2392441","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous endoscopic gastrostomy (P.E.G.) is recommended for stroke patients with dysphagia to sustain oral nutrition.</p><p><strong>Objective: </strong>This study assesses the outcomes of stroke patients undergoing P.E.G. compared with those requiring nasogastric tube (N.G.T) or control group.</p><p><strong>Methods: </strong>We performed a thorough search across five electronic databases to gather pertinent studies. Outcomes were analyzed using relative risk (R.R.) for categorical data and mean difference (M.D.) for continuous data, each with 95% confidence intervals (C.I.). The single-arm meta-analysis results were presented as proportions or mean changes, also with 95% C.I.</p><p><strong>Results: </strong>We included 22 studies consisting of 996,567 patients. Our double-arm meta-analysis (924,134 patients) revealed no significant difference in post-hospitalization or in-hospital mortality between P.E.G. and control groups. However, P.E.G. patients showed a higher risk of aspiration pneumonia than control (R.R. = 11.72[3.75, 36.62], <i>p</i> < 0.00001). A comparison of P.E.G. and N.G.T. in three studies involving 691 patients indicated a non-significant difference in-hospital mortality risk (R.R. = 0.59, 95% C.I. [0.2, 1.72]). The single-arm analysis of stroke patients with P.E.G. identified a 19.8% in-hospital mortality, 13.6% rate of aspiration pneumonia, and 58% rate of pneumonia.</p><p><strong>Conclusion: </strong>Stroke patients undergoing P.E.G remain at high risk for aspiration pneumonia and with an in-hospital mortality suggesting the need for identifying the best candidates and timing for the procedure.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"294-306"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does exercise training combined with blood flow restriction improve muscle mass, lower extremity function, and walking capacity in hemiplegic patients? A randomized clinical trial.","authors":"Yali Feng, Fanglin Wen, Irfan Ahmad, Yuanyuan Chen, Wenwen Ye, Hang Jiang, Hao Li, Jinshan Dai, Le Li, Rui Hu, Can Teng, Ying Yin","doi":"10.1080/10749357.2025.2482390","DOIUrl":"https://doi.org/10.1080/10749357.2025.2482390","url":null,"abstract":"<p><strong>Background: </strong>Blood flow restriction creates a state with increased motor function that permits treatment modalities to induce muscle hypertrophy. Blood flow-restricted exercise training (BFRET) may induce motor learning and boost the facilitatory effect of exercise training (ET).</p><p><strong>Objective: </strong>This study investigated the effects of BFRET on post-stroke hemi paretic lower extremity function and walking capacity recovery.</p><p><strong>Methodology: </strong>This randomized clinical trial was conducted from September 2021 to October 2022 at the Department of Rehabilitation Medicine of the Second Affiliated Hospital of Chongqing Medical University in China. Participants were randomized 1:1 to BFRET or ET, each involving 30 minutes of training twice per day for 4 weeks.</p><p><strong>Main outcomes measures: </strong>The main outcomes were manual muscle testing (MMT) and Fugl-Meyer assessment scale-lower extremity (FMA-LE), the timed up and go test (TUGT), Outcomes were assessed by blinded raters after 4 weeks of training.</p><p><strong>Results: </strong>40 participants mean [SD] age 48.79[12.58] years, 30 males [75%], 20 were randomized to BFRET and 20 to ET. The mean (SD) time since stroke was 2.5 (1.3) years. The MMT scores showed greater strength by within-group comparisons and superior changes in hip flexion and plantar flexion in the BFRET group.</p><p><strong>Conclusions: </strong>BFRET is superior to ET alone in enhancing muscle mass and strength in the lower extremities. BFRET may improve the function of the lower extremities through physiological adaptations for muscle hypertrophy.</p><p><strong>Registration: </strong>URL: https://www.clinicaltrials.gov; Unique identifier: ChiCTR2100050206.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Test-retest reliability and practice effects of shape trail test in stroke patients.","authors":"Xiuzhen Liu, Ye Zhang, Fang Li, Lin Liu, Jubao Du, Wei Qun Song","doi":"10.1080/10749357.2025.2457282","DOIUrl":"https://doi.org/10.1080/10749357.2025.2457282","url":null,"abstract":"<p><strong>Objective: </strong>Executive dysfunction after stroke greatly affects stroke prognosis, so clinicians need to urgently focus on screening for it. This study aims to offer valuable data for research on post-stroke executive dysfunction by evaluating the test-retest reliability of the Shape Trail Test (STT) and the influence of the practice effect on scores among stroke patients.</p><p><strong>Methods: </strong>A total of 75 subacute stroke patients were included in the study. Based on the cutoff value for mild cognitive impairment(MCI) in the Chinese version of the Montreal Cognitive Assessment-Basic, the patients were divided into an MCI group and a cognitively normal (CN) group. The patients were asked to complete the Shape Trail Test (STT) on two different occasions within three days. The time taken to complete Part A and Part B were denoted as STT-A and STT-B respectively. The intraclass correlation coefficient(ICC), Pearson and Spearman correlation coefficients were used as metrics, and a paired t test was employed to evaluate the practice effect.</p><p><strong>Results: </strong>(1) The actual number of patients who completed the research was 71. The STT showed great test-retest reliability in stroke patients (ICC, STTA: 0.927 VS STTB: 0.881; Spearman, STTA: 0.824 VS STTB: 0.713, <i>n</i> = 71). The test-retest reliability of STTA is higher than that of STTB (ICC, STTA = 0.927＞STTB = 0.881; Spearman, STTA = 0.824＞STTB = 0.713; <i>n</i> = 71). The reliability of the MCI group was higher than that of the CN group (ICC, STTA:MCI = 0.94＞CN = 0.71; STTB:MCI = 0.87＞CN = 0.64). (2) Subgroup analysis revealed distinct practice effects between the MCI and CN groups. The MCI group showed no practice effect, while the CN group had a partial one. In the CN group, practice did not significantly impact STT-A scores (<i>p</i> = 0.782), but did affect STT-B scores (<i>p</i> = 0.035). In contrast, in the MCI group, no significant practice effects on the STT were observed (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>STT's test-retest reliability was moderate to high in stroke patients and varied by cognitive function. Subgroup analyses should precede assessments of STT's test-retest reliability in stroke patients. Patients with cognitive dysfunction showed no significant practice effects. Given that this research is carried out specifically within the Chinese context, extreme care should be taken in extending the study's findings to other populations.</p><p><strong>Registration: </strong>URL: http://www.clinicaltrials.gov. Unique identifier: NCT01322607.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of technology-based stroke interventions to improve upper limb functioning in low- and middle-income countries: a systematic review and meta-analysis.","authors":"Meiling Carbajal Galarza, Nathaly Olga Chinchihualpa Paredes, Sergio Alejandro Abanto Perez, Gustavo Saposnik, Maria Lazo-Porras","doi":"10.1080/10749357.2025.2469473","DOIUrl":"https://doi.org/10.1080/10749357.2025.2469473","url":null,"abstract":"<p><strong>Background: </strong>Stroke is one of the leading causes of disability worldwide, with low- and middle- income countries (LMICs) representing 69% of stroke incidence. Technology-based interventions offer potential for improving motor function and rehabilitation adherence; however, their impact in LMICs remains unknown.</p><p><strong>Objective: </strong>To measure the efficacy of technological interventions compared to conventional physical rehabilitation in improving post- stroke upper limb motor function in LMICs.</p><p><strong>Methods: </strong>We conducted a systematic review (PROSPERO registration: CRD42020213333) of randomized clinical trials (RCTs) from PubMed, Global Index Medicus, and Physiotherapy Evidence Databases. Studies included stroke survivors receiving technological interventions for upper limb rehabilitation. Effectiveness outcomes included upper limb motor function, performance for activities of daily living, and quality of life. A meta-analysis was performed using mean differences (MD) and 95% confidence intervals (95% CI). Risk of bias was assessed using the Cochrane Collaboration tool for RCTs.</p><p><strong>Results: </strong>Fifty studies were included after the screening phase, comprising a total of 2646 participants. Nine technological interventions were evaluated, including: virtual reality (40%), robotics (22%), telerehabilitation (10%), among others. Meta-analysis showed significant effect of immersive virtual reality on upper limb function using the Fugl-Meyer Scale (MD 5.65; 95% CI 4.88 to 6.43) and on daily activity performance using the Functional Independence Measure (MD 4,82; 95% CI 2,45-7,19). A significant difference was also found between telerehabilitation and conventional therapy using the modified Barthel index (MD of 3.28; 95% CI 0.86 to 5.70).</p><p><strong>Conclusions: </strong>Immersive virtual reality and telerehabilitation are effective interventions compared to conventional rehabilitation in LMICs.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction model of malnutrition in hospitalized patients with acute stroke.","authors":"Rong Tang, Bi Guan, Jiaoe Xie, Ying Xu, Shu Yan, Jianghong Wang, Yan Li, Liling Ren, Haiyan Wan, Tangming Peng, Liangnan Zeng","doi":"10.1080/10749357.2024.2377521","DOIUrl":"10.1080/10749357.2024.2377521","url":null,"abstract":"<p><strong>Objective: </strong>The prognosis of stroke patients is greatly threatened by malnutrition. However, there is no model to predict the risk of malnutrition in hospitalized stroke patients. This study developed a predictive model for identifying high-risk malnutrition in stroke patients.</p><p><strong>Methods: </strong>Stroke patients from two tertiary hospitals were selected as the objects. Binary logistic regression was used to build the model. The model's performance was evaluated using various metrics including the receiver operating characteristic curve, Hosmer-Lemeshow test, sensitivity, specificity, Youden index, clinical decision curve, and risk stratification.</p><p><strong>Results: </strong>A total of 319 stroke patients were included in the study. Among them, 27% experienced malnutrition while in the hospital. The prediction model included all independent variables, including dysphagia, pneumonia, enteral nutrition, Barthel Index, upper arm circumference, and calf circumference (all <i>p</i> < 0.05). The AUC area in the modeling group was 0.885, while in the verification group, it was 0.797. The prediction model produces greater net clinical benefit when the risk threshold probability is between 0% and 80%, as revealed by the clinical decision curve. All <i>p</i> values of the Hosmer test were > 0.05. The optimal cutoff value for the model was 0.269, with a sensitivity of 0.849 and a specificity of 0.804. After risk stratification, the MRS scores and malnutrition incidences increased significantly with escalating risk levels (<i>p</i> < 0.05) in both modeling and validation groups.</p><p><strong>Conclusions: </strong>This study developed a prediction model for malnutrition in stroke patients. It has been proven that the model has good differentiation and calibration.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"173-187"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a plantar fascia stretching on ankle passive range of motion, balance, gait, and ankle stability in patients with chronic stroke: a randomized controlled study.","authors":"Younghwan Kwag, Donghwan Park","doi":"10.1080/10749357.2024.2448928","DOIUrl":"10.1080/10749357.2024.2448928","url":null,"abstract":"<p><strong>Objectives: </strong>The plantar fascia stretching intervention can correct balance ability and induces a change spatiotemporal parameter doing gait ability. Our objective is to compare the effects of a 4-week program of plantar fascia stretching with those of calf stretching exercise on ankle dorsiflexion passive range of motion (DF-PROM), open and closed eyes static balance ability, gait parameters, and foot and ankle disability index in chronic post-stroke condition.</p><p><strong>Methods: </strong>Participants were randomized to either the plantar fascia stretching (<i>n</i> = 10) or calf stretching (<i>n</i> = 10) group. Each group performed 5 times per week for 4 weeks and 3 sets of Calf stretch, and Plantar fascia stretch. Each set comprised 10 repetitions. Ankle DF-PROM, open and closed eyes static balance ability, gait parameters, and foot and ankle disability index were measured after 4 weeks of training.</p><p><strong>Results: </strong>After 4 weeks of training, the plantar fascia stretching group showed significant improvement in all outcome measures compared with baseline (<i>p</i> < 0.05). Furthermore, ankle DF-PROM, open and closed eyes static balance ability, cadence, and foot and ankle disability index showed greater improvement in the plantar fascia stretching group compared to the calf stretching group (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>This study demonstrated that plantar fascia stretching exercise improved ankle DF-PROM, open and closed eyes static balance ability, cadence, and foot and ankle disability index in chronic post-stroke condition.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"109-118"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement properties of activity monitoring for a rehabilitation (AMoR) platform in post-stroke individuals in a simulated home environment.","authors":"Simone Garcia Oliveira, Samuel Lourenço Nogueira, Nicoly Ribeiro Uliam, Paulo Matheus Girardi, Thiago Luiz Russo","doi":"10.1080/10749357.2024.2377520","DOIUrl":"10.1080/10749357.2024.2377520","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the measurement properties of activity monitoring for a rehabilitation (AMoR) platform for step counting, time spent in sedentary behavior, and postural changes during activities of daily living (ADLs) in a simulated home environment.</p><p><strong>Methods: </strong>Twenty-one individuals in the post-stroke chronic phase used the AMoR platform during an ADL protocol and were monitored by a video camera. Spearman's correlation coefficient, mean absolute percent error (MAPE), intraclass correlation coefficient (ICC), and Bland-Altman plot analyses were used to estimate the validity and reliability between the AMoR platform and the video for step counting, time spent sitting/lying, and postural changes from sit-to-stand (SI-ST) and sit-to-stand (ST-SI).</p><p><strong>Results: </strong>Validity of the platform was observed with very high correlation values for step counting (rs = 0.998) and time spent sitting/lying (rs = 0.992) and high correlation for postural change of SI-ST (rs = 0.850) and ST-SI (rs = 0.851) when compared to the video. An error percentage above 5% was observed only for the SI-ST postural change (7.13%). The ICC values show excellent agreement for step counting (ICC3, k = 0.999) and time spent sitting/lying (ICC3, k = 0.992), and good agreement for SI-ST (ICC3, k = 0.859) and ST-SI (ICC3, k = 0.936) postural change. Values of the differences for step counting, sitting/lying time, and postural change were within the limits of agreement according to the analysis of the Bland-Altman graph.</p><p><strong>Conclusion: </strong>The AMoR platform presented validity and reliability for step counting, time spent sitting/lying, and identification of SI-ST and ST-SI postural changes during tests in a simulated environment in post-stroke individuals.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"119-129"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}