• Combined Individual Experience...

Treffer: Combined Individual Experience and Accelerometry Measurement of Upper Limb Use in Daily Activities in Real Time After Stroke.

Title:
Combined Individual Experience and Accelerometry Measurement of Upper Limb Use in Daily Activities in Real Time After Stroke.
Authors:
Senadheera I; Centre for Data Analytics and Cognition, La Trobe Business School, La Trobe University, Melbourne, VIC 3086, Australia.; Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia., Hettiarachchi P; Centre for Data Analytics and Cognition, La Trobe Business School, La Trobe University, Melbourne, VIC 3086, Australia.; Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia., Haslam B; Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia.; Neurorehabilitation and Recovery, The Florey, Melbourne, VIC 3086, Australia., Nawaratne R; Centre for Data Analytics and Cognition, La Trobe Business School, La Trobe University, Melbourne, VIC 3086, Australia., Pollack M; Centre for Rehab Innovations, The University of Newcastle, Callaghan, NSW 2308, Australia.; Hunter New England Health, New Lambton, NSW 2305, Australia., Hillier S; Allied Health and Human Performance, University of South Australia, Adelaide, SA 5001, Australia., Nilsson M; Centre for Rehab Innovations, The University of Newcastle, Callaghan, NSW 2308, Australia.; College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia., Alahakoon D; Centre for Data Analytics and Cognition, La Trobe Business School, La Trobe University, Melbourne, VIC 3086, Australia., Carey LM; Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia.; Neurorehabilitation and Recovery, The Florey, Melbourne, VIC 3086, Australia.
Source:
Sensors (Basel, Switzerland) [Sensors (Basel)] 2025 Dec 02; Vol. 25 (23). Date of Electronic Publication: 2025 Dec 02.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: MDPI Country of Publication: Switzerland NLM ID: 101204366 Publication Model: Electronic Cited Medium: Internet ISSN: 1424-8220 (Electronic) Linking ISSN: 14248220 NLM ISO Abbreviation: Sensors (Basel) Subsets: MEDLINE
Imprint Name(s):
Original Publication: Basel, Switzerland : MDPI, c2000-
MeSH Terms:
Accelerometry*/methods , Activities of Daily Living* , Stroke*/physiopathology , Upper Extremity*/physiopathology, Humans ; Male ; Female ; Middle Aged ; Stroke Rehabilitation/methods ; Aged ; Adult ; Recovery of Function/physiology
References:
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Grant Information:
2004443 National Health and Medical Research Council
Contributed Indexing:
Keywords: accelerometry; activity participation; experience sampling method; stroke rehabilitation; upper limb function
Entry Date(s):
Date Created: 20251211 Date Completed: 20251211 Latest Revision: 20251214
Update Code:
20251214
PubMed Central ID:
PMC12694002
DOI:
10.3390/s25237330
PMID:
41374708
Database:
MEDLINE

Weitere Informationen

Use of the upper limb to engage in everyday activities is a key indicator of functional recovery of stroke survivors. In addition to functional capacity, personal and environmental factors contribute to real-world upper limb use post-stroke. We aimed to combine data from the experience sampling method (ESM), a method used to capture real-time engagement in daily activities, with accelerometry, an objective measurement of arm use, to evaluate arm use behaviours of adult stroke survivors living in real-world environments. Thirty mild-moderately impaired stroke survivors and 30 age-standardized healthy individuals were monitored over 7 days, using accelerometers on both wrists and four ESM beeps per day to capture individual experiences in daily activities. Stroke survivors showed significantly lower use of the affected arm across all activity domains compared to the non-dominant arm of healthy participants and reported perceived lower skill and higher challenge levels. Physical context, motor capabilities and activity type were associated with affected arm use behaviour, with greater use observed during social settings and in physically demanding tasks. These findings demonstrate that combining ESM with accelerometry provides a novel, ecologically valid framework to capture and interpret the interplay between capacity, context, and behaviour in everyday life. This approach offers opportunities to design personalized, context-aware rehabilitation strategies that promote meaningful functional reintegration after stroke.