The Accuracy of the Detection of Body Postures and Movements Using a Physical Activity Monitor in People after a Stroke

Malou H J Fanchamps, Herwin L D Horemans, Gerard M Ribbers, Henk J Stam, Johannes B J Bussmann, Malou H J Fanchamps, Herwin L D Horemans, Gerard M Ribbers, Henk J Stam, Johannes B J Bussmann

Abstract

Background: In stroke rehabilitation not only are the levels of physical activity important, but body postures and movements performed during one’s daily-life are also important. This information is provided by a new one-sensor accelerometer that is commercially available, low-cost, and user-friendly. The present study examines the accuracy of this activity monitor (Activ8) in detecting several classes of body postures and movements in people after a stroke.

Methods: Twenty-five people after a stroke participated in an activity protocol with either basic activities or daily-life activities performed in a laboratory and/or at home. Participants wore an Activ8 on their less-affected thigh. The primary outcome was the difference in registered time for the merged class “upright position” (standing/walking/running) between the Activ8 and the video recording (the reference method). Secondary analyses focused on classes other than “upright position”.

Results: The Activ8 underestimated the merged class “upright position” by 3.8% (775 s). The secondary analyses showed an overestimation of “lying/sitting” (4.5% (569 s)) and of “cycling” (6.5% (206 s)). The differences were lowest for basic activities in the laboratory and highest for daily-life activities at home.

Conclusions: The Activ8 is sufficiently accurate in detecting different classes of body postures and movements of people after a stroke during basic activities and daily-life activities in a laboratory and/or at home.

Keywords: accelerometry; activity monitoring; body postures and movements; physical behavior; stroke; validation.

Conflict of interest statement

The authors declare no conflicts of interest

Figures

Figure 1
Figure 1
The Activ8 attached to the front of the less-affected thigh.
Figure 2
Figure 2
The Bland–Altman plots (x-axis: mean of Activ8 and video recording; y-axis: difference, calculated as Activ8 minus video recording) of the body postures and movements for all data together. The solid lines are the mean difference and the upper and lower limits of agreement. For “standing” and “walking/running”, only data from the basic activities (performed in the laboratory or at home) were used. Each dot is one assessment.
Figure 2
Figure 2
The Bland–Altman plots (x-axis: mean of Activ8 and video recording; y-axis: difference, calculated as Activ8 minus video recording) of the body postures and movements for all data together. The solid lines are the mean difference and the upper and lower limits of agreement. For “standing” and “walking/running”, only data from the basic activities (performed in the laboratory or at home) were used. Each dot is one assessment.

References

    1. Bussmann J.B., van den Berg-Emons R.J. To total amount of activity..... and beyond: Perspectives on measuring physical behavior. Front. Psychol. 2013;4:463. doi: 10.3389/fpsyg.2013.00463.
    1. Biswas A., Oh P.I., Faulkner G.E., Bajaj R.R., Silver M.A., Mitchell M.S., Alter D.A. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: A systematic review and meta-analysis. Ann. Intern. Med. 2015;162:123–132. doi: 10.7326/M14-1651.
    1. Duncan M.J., Minatto G., Wright S.L. Dose-response between pedometer assessed physical activity, functional fitness, and fatness in healthy adults aged 50–80 years. Am. J. Hum. Biol. 2016;28:890–894. doi: 10.1002/ajhb.22884.
    1. Warburton D.E., Nicol C.W., Bredin S.S. Health benefits of physical activity: The evidence. CMAJ. 2006;174:801–809. doi: 10.1503/cmaj.051351.
    1. Gallanagh S., Quinn T.J., Alexander J., Walters M.R. Physical activity in the prevention and treatment of stroke. ISRN Neurol. 2011;2011:953818. doi: 10.5402/2011/953818.
    1. Gordon N.F., Gulanick M., Costa F., Fletcher G., Franklin B.A., Roth E.J., Shephard T. Physical activity and exercise recommendations for stroke survivors. Circulation. 2004;109:2031–2041. doi: 10.1161/01.CIR.0000126280.65777.A4.
    1. Cavill N., Kahlmeier S., Racioppi S. Physical Activity and Health in Europe: Evidence for Action. WHO Regional Office for Europe; Copenhagen, Denmark: 2006.
    1. Lindemann U., Zijlstra W., Aminian K., Chastin S.F., de Bruin E.D., Helbostad J.L., Bussmann J.B. Recommendations for standardizing validation procedures assessing physical activity of older persons by monitoring body postures and movements. Sensors. 2014;14:1267–1277. doi: 10.3390/s140101267.
    1. Gebruers N., Vanroy C., Truijen S., Engelborghs S., De Deyn P.P. Monitoring of physical activity after stroke: A systematic review of accelerometry-based measures. Arch. Phys. Med. Rehabil. 2010;91:288–297. doi: 10.1016/j.apmr.2009.10.025.
    1. Janssen W., Bussmann J., Selles R., Koudstaal P., Ribbers G., Stam H. Recovery of the sit-to-stand movement after stroke: A longitudinal cohort study. Neurorehabil. Neural Repair. 2010;24:763–769. doi: 10.1177/1545968310363584.
    1. Sanchez M.C., Bussmann J., Janssen W., Horemans H., Chastin S., Heijenbrok M., Stam H. Accelerometric assessment of different dimensions of natural walking during the first year after stroke: Recovery of amount, distribution, quality and speed of walking. J. Rehabil. Med. 2015;47:714–721. doi: 10.2340/16501977-1994.
    1. Kramer S.F., Cumming T., Churilov L., Bernhardt J. Measuring activity levels at an acute stroke ward: Comparing observations to a device. Biomed. Res. Int. 2013;2013:460482. doi: 10.1155/2013/460482.
    1. Rojer A.G.M., Reijnierse E.M., Trappenburg M.C., van Lummel R.C., Niessen M., van Schooten K.S., Pijnappels M., Meskers C.G.M., Maier A.B. Instrumented Assessment of Physical Activity Is Associated With Muscle Function but Not With Muscle Mass in a General Population. J. Aging Health. 2017:898264317721554. doi: 10.1177/0898264317721554.
    1. Van Uem J.M.T., Cerff B., Kampmeyer M., Prinzen J., Zuidema M., Hobert M.A., Graber S., Berg D., Maetzler W., Liepelt-Scarfone I. The association between objectively measured physical activity, depression, cognition, and health-related quality of life in Parkinson’s disease. Part. Relat. Disord. 2018;48:74–81. doi: 10.1016/j.parkreldis.2017.12.023.
    1. Paul L., Brewster S., Wyke S., Gill J.M., Alexander G., Dybus A., Rafferty D. Physical activity profiles and sedentary behaviour in people following stroke: A cross-sectional study. Disabil. Rehabil. 2016;38:362–367. doi: 10.3109/09638288.2015.1041615.
    1. Activ8 Physical Activity Monitor—. [(accessed on 27 June 2018)]; Available online:
    1. Horemans L.D.H., Kooijmans H., van den Berg-Emons H.J.G., Bussmann J.B.J. The new Activ8 Activity Monitor: Validation of detection of body postures and motions. Unpublished work.
    1. Holden M.K., Gill K.M., Magliozzi M.R., Nathan J., Piehl-Baker L. Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Phys. Ther. 1984;64:35–40. doi: 10.1093/ptj/64.1.35.
    1. Berg K.O., Wood-Dauphinee S.L., Williams J.I., Gayton D. Measuring balance in the elderly: Preliminary development of an instrument. Physiother. Can. 1989;41:304–311. doi: 10.3138/ptc.41.6.304.
    1. Bussmann H.B., Reuvekamp P.J., Veltink P.H., Martens W.L., Stam H.J. Validity and reliability of measurements obtained with an “activity monitor” in people with and without a transtibial amputation. Phys. Ther. 1998;78:989–998. doi: 10.1093/ptj/78.9.989.
    1. Van den Berg-Emons R.J., Bussmann J.B., Stam H.J. Accelerometry-based activity spectrum in persons with chronic physical conditions. Arch. Phys. Med. Rehabil. 2010;91:1856–1861. doi: 10.1016/j.apmr.2010.08.018.
    1. Taraldsen K., Askim T., Sletvold O., Einarsen E.K., Bjastad K.G., Indredavik B., Helbostad J.L. Evaluation of a body-worn sensor system to measure physical activity in older people with impaired function. Phys. Ther. 2011;91:277–285. doi: 10.2522/ptj.20100159.
    1. Treacy D., Hassett L., Schurr K., Chagpar S., Paul S.S., Sherrington C. Validity of Different Activity Monitors to Count Steps in an Inpatient Rehabilitation Setting. Phys. Ther. 2017;97:581–588. doi: 10.1093/ptj/pzx010.

Source: PubMed

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