Evidence map›Paper›PMID 31665030›Full record

ArticleJournal of neuroengineering and rehabilitation2019

Detection of body postures and movements in ambulatory adults with cerebral palsy: a novel and valid measure of physical behaviour.

Everett A Claridge, Rita J G van den Berg-Emons, Herwin L D Horemans, Wilma M A van der Slot, Nick van der Stam, Ada Tang, Brian W Timmons, Jan Willem Gorter, Johannes B J Bussmann

Abstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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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

9 authors.

Everett A ClaridgeSchool of Rehabilitation Sciences, McMaster University, 1400 Main St. W, Hamilton, Ontario, L8S 1C7, Canada.
Rita J G van den Berg-EmonsDepartment of Rehabilitation Medicine, Erasmus MC University Medical Centre, P.O. Box 2040, 3000, Rotterdam, CA, Netherlands.
Herwin L D HoremansDepartment of Rehabilitation Medicine, Erasmus MC University Medical Centre, P.O. Box 2040, 3000, Rotterdam, CA, Netherlands.
Wilma M A van der SlotDepartment of Rehabilitation Medicine, Erasmus MC University Medical Centre, P.O. Box 2040, 3000, Rotterdam, CA, Netherlands.
Nick van der StamDepartment of Rehabilitation Medicine, Erasmus MC University Medical Centre, P.O. Box 2040, 3000, Rotterdam, CA, Netherlands.
Ada TangSchool of Rehabilitation Sciences, McMaster University, 1400 Main St. W, Hamilton, Ontario, L8S 1C7, Canada.
Brian W TimmonsCanChild Centre for Childhood Disability Research, McMaster University, 1400 Main St. W, Hamilton, Ontario, L8S 1C7, Canada.
Jan Willem GorterSchool of Rehabilitation Sciences, McMaster University, 1400 Main St. W, Hamilton, Ontario, L8S 1C7, Canada.
Johannes B J BussmannDepartment of Rehabilitation Medicine, Erasmus MC University Medical Centre, P.O. Box 2040, 3000, Rotterdam, CA, Netherlands. j.b.j.bussmann@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate measurement of physical behaviour is paramount to better understand lifestyle, health, and functioning, particularly in adults with physical disability as they may be at higher risk of sedentary lifestyle and subsequent negative health consequences. This study aimed: 1) to evaluate the criterion validity of a novel and clinically applicable activity monitor (AM, Activ8), in the detection of body postures and movements in adults with spastic cerebral palsy (CP); and 2) to evaluate the extent that the AM's positioning affects validity.

methodsIn this cross-sectional study, 14 ambulatory adults with CP [9 men; mean (SD) age, 35.4 (13.1) years] performed standardized activities while wearing three Activ8 monitors - frontolateral thigh (primary position), frontal thigh, and pant pocket - and being video recorded (criterion measure). AM activity output was compared to synchronized video recordings. Absolute (seconds) and relative [(video time-AM time)/mean time, %] time differences between methods were calculated. Relative time differences of < 10% were indicative of good validity. Comparison of AM attachment positions was completed using Spearman Rho correlation coefficients and Meng's tests.

resultsCriterion validity of the AM (frontolateral thigh) was good (average relative time differences: 0.25% for sitting, 4.69% for standing, 2.46% for walking, 1.96% for upright activity, 3.19% for cycling), except for running (34.6%). Spearman Rho correlation coefficients were greater between video/frontolateral thigh position than video/frontal thigh position and video/pant pocket position for body posture and movement categories sitting, standing, walking, and upright activity (p < 0.01 for all).

conclusionsThe AM, positioned on the frontolateral thigh, demonstrated good criterion validity in ambulatory adults with CP. Though the Activ8 offers potential as an objective measure of physical activity, appropriate positioning is paramount for valid measurement.

Indexed as

ExercisePostureAccelerometryAdultCerebral PalsyCross-Sectional StudiesFemaleHumansMaleMiddle AgedMuscle SpasticityNeurophysiological MonitoringPersons with DisabilitiesReproducibility of ResultsRunningSitting PositionAccelerometryActivity monitorCerebral palsyObjective measurementPhysical activityPhysical behaviour

Identifiers

PMID31665030
PMCPMC6821000

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Registered trials

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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.