Evidence map›Paper›PMID 25742378›Full record

ArticleJournal of neurologic physical therapy : JNPT2015

Validity of body-worn sensor acceleration metrics to index upper extremity function in hemiparetic stroke.

M A Urbin, Ryan R Bailey, Catherine E Lang

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of neurologic physical therapy : JNPT, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01146379 (Dose Response of Movement Practice During Stroke Rehabilitation), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01146379 phase2completednot on this map

Dose Response of Movement Practice During Stroke Rehabilitation

TypeinterventionalSponsorWashington University School of MedicineRan2010 to 2015Enrolled85ConditionsStrokeArmsIntensive task-specific upper extremity rehabilitation
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

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  9. An Algorithm for Activity Recognition and Assessment of Adults Poststroke.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

M A UrbinProgram in Physical Therapy (M.A.U., R.R.B., C.E.L.), Program in Occupational Therapy (C.E.L.), and Department of Neurology (C.E.L.), Washington University School of Medicine, St. Louis, Missouri.
Ryan R Bailey
Catherine E Lang
Washington University in St. Louis · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
DOCTORAL TRAINING PROGRAM IN MOVEMENT SCIENCET32HD007434 · NICHD · WASHINGTON UNIVERSITY · PI Michael D Harris, Catherine Lang · 1993 to 2026
$4.2M
Translation of in-clinic Gains to Gains in Daily Life After StrokeR01HD068290 · NICHD · WASHINGTON UNIVERSITY · PI LANG, CATHERINE · 2012 to 2021
$4.0M
Translation of In-Clinic Gains to Gains in Daily LifeR37HD068290 · NICHD · WASHINGTON UNIVERSITY · PI Catherine Lang · 2022 to 2026
$2.7M
Washington University Institute of Clinical and Translational SciencesTL1TR000449 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$2.5M
Moderating Post-Stroke Hemiparesis with the Cross Education PhenomenonF32NS086392 · NINDS · WASHINGTON UNIVERSITY · PI URBIN, MICHAEL A. · 2014 to 2015
$73k
NCATS NIH HHS TL1 TR000449NCATS NIH HHS UL1 TR000448NICHD NIH HHS R01 HD068290NICHD NIH HHS R01HD068290NICHD NIH HHS R37 HD068290NICHD NIH HHS T32 HD007434NICHD NIH HHS T32HD007434NINDS NIH HHS F32 NS086392
6 · The paper itself

Abstract

background and purposeAccelerometers have been used to capture real-world use of the paretic upper extremity in people with stroke. It may be possible to characterize different aspects of the recorded acceleration to gain insight about movement capabilities during task-specific behavior. These measures may be of value for guiding rehabilitation. We undertook a study to identify the acceleration characteristics that have a stable association with upper extremity function and sensitivity to within-participant fluctuations in function over multiple sessions of task-specific training.

methodsTwenty-seven adults 6 months or more poststroke with upper extremity paresis participated. Signals from wrist-worn accelerometers were sampled at 30 Hz during 7 sessions of task-specific training. Paretic upper extremity function was evaluated with the Action Research Arm Test. We used Spearman correlations to examine within-session associations between acceleration metrics and Action Research Arm Test performance. A mixed model was used to determine which metrics were sensitive to within-participant fluctuations in upper extremity function across the 7 training sessions.

resultsUpper extremity function correlated with bilateral acceleration variability and use ratio during 5 and 6 sessions, respectively. Time accelerating between 76% and 100% of peak acceleration correlated with function in 6 sessions. Variability of the paretic upper extremity acceleration and the ratio of acceleration variability between upper extremities were associated with function during all 7 sessions. Variability in both the acceleration of the paretic upper extremity, and acceleration of the paretic and nonparetic extremities combined were sensitive to within-participant fluctuations in function across training sessions. DISCUSSION AND

conclusionsMultiple features of the acceleration profile track with upper extremity function within and across sessions of task-specific training. It may be possible to monitor these features with accelerometers to index upper extremity function outside of clinical settings.Video Abstract available for more insights from the authors (see Supplemental Digital Content 1, http://links.lww.com/JNPT/A91).

Indexed as

Activities of Daily LivingAccelerometryAgedAged, 80 and overHumansMaleMiddle AgedParesisReproducibility of ResultsStroke

Identifiers

PMID25742378
PMCPMC4366304
OpenAlexW1963546294

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.