Evidence map›Paper›PMID 33807014›Full record

ArticleJournal of clinical medicine2021

A Novel Combination of Accelerometry and Ecological Momentary Assessment for Post-Stroke Paretic Arm/Hand Use: Feasibility and Validity.

Yi-An Chen, Marika Demers, Rebecca Lewthwaite, Nicolas Schweighofer, John R Monterosso, Beth E Fisher, Carolee Winstein

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Collaborative AI for precision neurorehabilitation: a roadmap.Journal of neuroengineering and rehabilitation · 2025
    Review
  4. Article
  5. Article
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  7. Article
  8. Article
  9. Article
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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

7 authors.

Yi-An ChenDepartment of Occupational Therapy, Georgia State University, 140 Decatur Street, Atlanta, GA 30303, USA.ORCID 0000-0001-5742-3088
Marika DemersDivision of Biokinesiology and Physical Therapy, University of Southern California, 1540 Alcazar Street, Los Angeles, CA 90089, USA.ORCID 0000-0003-4075-1418
Rebecca LewthwaiteDivision of Biokinesiology and Physical Therapy, University of Southern California, 1540 Alcazar Street, Los Angeles, CA 90089, USA.
Nicolas SchweighoferDivision of Biokinesiology and Physical Therapy, University of Southern California, 1540 Alcazar Street, Los Angeles, CA 90089, USA.
John R MonterossoDepartment of Psychology, University of Southern California, 3620 South McClintock Avenue, Los Angeles, CA 90089, USA.
Beth E FisherDivision of Biokinesiology and Physical Therapy, University of Southern California, 1540 Alcazar Street, Los Angeles, CA 90089, USA.
Carolee WinsteinDivision of Biokinesiology and Physical Therapy, University of Southern California, 1540 Alcazar Street, Los Angeles, CA 90089, USA.ORCID 0000-0001-9789-4626

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Use of the paretic arm and hand is a key indicator of recovery and reintegration after stroke. A sound methodology is essential to comprehensively identify the possible factors impacting daily arm/hand use behavior. We combined ecological momentary assessment (EMA), a prompt methodology capturing real-time psycho-contextual factors, with accelerometry to investigate arm/hand behavior in the natural environment. Our aims were to determine (1) feasibility and (2) measurement validity of the combined methodology. We monitored 30 right-dominant, mild-moderately motor impaired chronic stroke survivors over 5 days (6 EMA prompts/day with accelerometers on each wrist). We observed high adherence for accelerometer wearing time (80.3%), EMA prompt response (84.6%), and generally positive user feedback upon exit interview. The customized prompt schedule and the self-triggered prompt option may have improved adherence. There was no evidence of EMA response bias nor immediate measurement reactivity. An unexpected small but significant increase in paretic arm/hand use was observed over days (12-14 min), which may be the accumulated effect of prompting that provided a reminder to choose the paretic limb. Further research that uses this combined methodology is needed to develop targeted interventions that effectively change behavior and enable reintegration post-stroke.

Indexed as

accelerometryarm/hand useecological momentary assessmentstroke

Identifiers

PMID33807014
PMCPMC8005066

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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.