Prompting arm activity after stroke: A clinical proof of concept study of wrist-worn accelerometers with a vibrating alert function:

摘要

BackgroundFrequent practice of functional movements after stroke may optimise motor recovery; however, it is challenging for patients to remember to integrate an impaired limb into daily activities. We report the activity responses of stroke patients receiving a vibrating alert delivered by a tri-axial accelerometer wristband to prompt movement of the impaired arm if hourly activity levels fell.MethodsAdults with upper limb impairment ≤28 days post-stroke wore the device for four weeks. Therapists and patients reviewed movement activity data twice weekly to agree ongoing rehabilitation activities and programme the wristband with a personalised prompt threshold (median baseline activity?+?5%, 25% or 50%).Results: Seven patients completed the programme (five males; mean?±?standard deviation (age) 64?±?5 years; days post-stroke 13?±?7; baseline/four-week Action Research Arm Test median (Interquartile range (IQR)) 39 (8, 44)/56 (11, 57)). Wristbands were worn for 89% of programme duration. A total of 1,288 pr...