trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Acceleration Metrics Are Responsive to Change in Upper Extremity Function of Stroke Survivors / M.A. Urbin in Archives of Physical Medicine and Rehabilitation, 2015/5 (2015)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2015/5 (2015) . - p. 854-861 Titre : Acceleration Metrics Are Responsive to Change in Upper Extremity Function of Stroke Survivors Type de document : Article Auteurs : M.A. Urbin ; Kimberly J. Waddell ; Catherine E. Lang Année de publication : 2015 Article en page(s) : p. 854-861 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Neurologie ; Rééducation et réadaptation Mots-clés : Accelerometry  Accélérométrie  Neurology  Paresis  Parésie  Stroke Résumé : Objectives To (1) determine whether acceleration metrics derived from monitoring outside of treatment are responsive to change in upper extremity (UE) function; and secondarily to (2) compare metric values during task-specific training and while in the free-living environment, and (3) establish metric associations with an in-clinic measure of movement capabilities. Design Before-after observational study. Setting Inpatient hospital (primary purpose); outpatient hospital (secondary purpose). Participants Individuals (n=8) with UE hemiparesis Intervention The inpatient sample was evaluated for UE movement capabilities and monitored with wrist-worn accelerometers for 22 hours outside of treatment before and after multiple sessions of task-specific training. The outpatient sample was evaluated for UE movement capabilities and monitored during a single session of task-specific training and the subsequent 22 hours outside clinical settings. Main Outcome Measures Action Research Arm Test (ARAT) and acceleration metrics quantified from accelerometer recordings. Results Five metrics improved in the inpatient sample, along with UE function as measured on the ARAT: use ratio, magnitude ratio, variation ratio, median paretic UE acceleration magnitude, and paretic UE acceleration variability. Metric values were greater during task-specific training than in the free-living environment, and each metric was strongly associated with ARAT score. Conclusions Multiple metrics that characterize different aspects of UE movement are responsive to change in function. Metric values are different during training than in the free-living environment, providing further evidence that what the paretic UE does in the clinic may not generalize to what it does in everyday life. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118436 [article]

Accuracy of an Algorithm in Predicting Upper Limb Functional Capacity in a United States Population / Jessica Barth in Archives of Physical Medicine and Rehabilitation, Vol. 103, n° 1 (2022)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 103, n° 1 (2022) . - p. 44-51 Titre : Accuracy of an Algorithm in Predicting Upper Limb Functional Capacity in a United States Population Type de document : Article Auteurs : Jessica Barth ; Kimberly J. Waddell ; Marghuretta D. Bland ; Catherine E. Lang Année de publication : 2022 Article en page(s) : p. 44-51 Note générale : https://doi.org/10.1016/j.apmr.2021.07.808 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Analyse multifactorielle ; Ergothérapie ; Kinésithérapie (spécialité) ; Membre supérieur ; Réadaptation Résumé : Objective To determine the accuracy of an algorithm, using clinical measures only, on a sample of persons with first-ever stroke in the United States (US). It was hypothesized that algorithm accuracy would fall in a range of 70%-80%. Design Secondary analysis of prospective, observational, longitudinal cohort; 2 assessments were done: (1) within 48 hours to 1 week poststroke and (2) at 12 weeks poststroke. Setting Recruited from a large acute care hospital and followed over the first 6 months after stroke. Participants Adults with first-ever stroke (N=49) with paresis of the upper limb (UL) at ≤48 hours who could follow 2-step commands and were expected to return to independent living at 6 months. Intervention Not applicable. Main Outcome Measures The overall accuracy of the algorithm with clinical measures was quantified by comparing predicted (expected) and actual (observed) categories using a correct classification rate. Results The overall accuracy (61%) and weighted κ (62%) were significant. Sensitivity was high for the Excellent (95%) and Poor (81%) algorithm categories. Specificity was high for the Good (82%), Limited (98%), and Poor (95%) categories. Positive predictive value (PPV) was high for Poor (82%) and negative predictive value (NPV) was high for all categories. No differences in participant characteristics were found between those with accurate or inaccurate predictions. Conclusions The results of the present study found that use of an algorithm with clinical measures only is better than chance alone (chance=25% for each of the 4 categories) at predicting a category of UL capacity at 3 months post troke. The moderate to high values of sensitivity, specificity, PPV, and NPV demonstrates some clinical utility of the algorithm within health care settings in the US. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=290230 [article]

Changes in Upper-Extremity Functional Capacity and Daily Performance During Outpatient Occupational Therapy for People With Stroke / Caitlin A. DOMAN in American journal of occupational therapy, Vol. 70, n° 3 (May/June 2016)  

[article]  inAmerican journal of occupational therapy > Vol. 70, n° 3 (May/June 2016) Titre : Changes in Upper-Extremity Functional Capacity and Daily Performance During Outpatient Occupational Therapy for People With Stroke Type de document : Article Auteurs : Caitlin A. DOMAN ; Kimberly J. Waddell ; Ryan R. BAILEY ; et al. Année de publication : 2016 Langues : Anglais (eng) Descripteurs : HE Vinci Changement ; Ergothérapie Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne Résumé : OBJECTIVE. This study explored how upper-extremity (UE) functional capacity and daily performance change during the course of outpatient rehabilitation in people with stroke. METHOD. Fifteen participants receiving outpatient occupational therapy services for UE paresis poststroke were enrolled. UE motor capacity was measured with the Action Research Arm Test (ARAT), and UE performance was measured using bilateral, wrist-worn accelerometers. Measurements were taken at or near the start of therapy, at every 10th visit or every 30 days throughout the duration of services, and at discharge. RESULTS. Three patterns were observed: (1) increase in ARAT scores and more normalized accelerometry profiles, (2) increase in ARAT scores but no change in accelerometry profiles, and (3) no change in ARAT scores or in accelerometry profiles. CONCLUSION. UE performance in daily life was highly variable, with inconsistencies between change in UE capacity and change in UE performance. UE capacity and performance are important constructs to assess separately during rehabilitation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=147546 [article]

Comparison of Self-Report Versus Sensor-Based Methods for Measuring the Amount of Upper Limb Activity Outside the Clinic / Kimberly J. Waddell in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 9 (2018)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 99, n° 9 (2018) . - p. 1913-1916 Titre : Comparison of Self-Report Versus Sensor-Based Methods for Measuring the Amount of Upper Limb Activity Outside the Clinic Type de document : Article Auteurs : Kimberly J. Waddell ; Catherine E. Lang Article en page(s) : p. 1913-1916 Langues : Anglais (eng) Descripteurs : HE Vinci Accident vasculaire cérébral (AVC) ; Adulte (19-44 ans) ; Autorapport ; Membre supérieur ; Rééducation et réadaptation Mots-clés : Accelerometry  Accélérométrie  Adult  Arm  Self report  Stroke Résumé : Objective To compare self-reported with sensor-measured upper limb (UL) performance in daily life for individuals with chronic (≥6mo) UL paresis poststroke. Design Secondary analysis of participants enrolled in a phase II randomized, parallel, dose-response UL movement trial. This analysis compared the accuracy and consistency between self-reported UL performance and sensor-measured UL performance at baseline and immediately post an 8-week intensive UL task-specific intervention. Setting Outpatient rehabilitation. Participants Community-dwelling individuals with chronic (≥6mo) UL paresis poststroke (N=64). Interventions Not applicable. Main Outcome Measures Motor Activity Log amount of use scale and the sensor-derived use ratio from wrist-worn accelerometers. Results There was a high degree of variability between self-reported UL performance and the sensor-derived use ratio. Using sensor-based values as a reference, 3 distinct categories were identified: accurate reporters (reporting difference +0.1), overreporters (difference >0.1), and underreporters (difference Conclusions Participants did not consistently or accurately self-report UL performance when compared with the sensor-derived use ratio. Although self-report and sensor-based assessments are moderately associated and appear similar conceptually, these results suggest self-reported UL performance is often not consistent with sensor-measured performance and the measures cannot be used interchangeably. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118908 [article]