Evidence map›Paper›PMID 37106460›Full record

ArticleJournal of neuroengineering and rehabilitation2023

Comparison of wrist actimetry variables of paretic upper limb use in post stroke patients for ecological monitoring.

Gilles Dusfour, Denis Mottet, Makii Muthalib, Isabelle Laffont, Karima Bakhti

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

NCT04291573 nacompletednot on this map

Recovering Arm Function in Chronic Post-stroke Patients Using Combined HD-tDCS and Virtual Reality Therapy

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2021 to 2025Enrolled58ConditionsChronic Post Stroke IndividualsArmsHD-tDCS, Sham HD-tDCS
NCT06509542 nacompletednot on this mapstarted 2024, after this paper: background citation

Measuring the Concurrent Validity of the Upper Limb Use Ratio With Accelerometers in an Ecological Situation After Stroke. ValidFUR

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2024 to 2025Enrolled25ConditionsCerebrovascular AccidentArmsObjective assessment of upper limb use during activities in ecological situation
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Gilles DusfourCARTIGEN, University Hospital of Montpellier, Montpellier, France. g-dusfour@chu-montpellier.fr.
Denis MottetEuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Alès, Montpellier, France.
Makii MuthalibEuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Alès, Montpellier, France.
Isabelle LaffontCARTIGEN, University Hospital of Montpellier, Montpellier, France.
Karima BakhtiEuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Alès, Montpellier, France.
Centre Hospitalier Universitaire de Montpellier · FRUniversité de Montpellier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo date, many wrist actimetric variables dedicated to measuring the upper limbs (UL) in post-stroke patients have been developed but very few comparisons have been made between them. The objective of this study was to compare different actimetric variables of the ULs between a stroke and healthy population.

methodsAccelerometers were worn continuously for a period of 7 days on both wrists of 19 post-stroke hemiparetic patients as well as 11 healthy subjects. Various wrist actimetry variables were calculated, including the Jerk ratio 50 (JR50, cumulative probability that the Jerk Ratio is between 1 and 2), absolute (FuncUse30) and relative (FuncUseRatio30) amounts of functional use of movements of the ULs with angular amplitude greater than 30°, and absolute (UH) and relative (UseHoursRatio) use hours.

resultsFuncUse30, FuncUseRatio30, UH, UseHoursRatio and JR50 of the paretic UL of stroke patients were significantly lower than in the non-dominant UL of healthy subjects. Comparing the ratio variables in stroke patients, FuncUseRatio30 was significantly lower than UseHoursRatio and JR50, suggesting a more clinically sensitive variable to monitor. In an exploratory analysis, FuncUseRatio tends to decrease with angular range of motion for stroke patients while it remains stable and close to 1 for healthy subjects. UseHoursRatio, FuncUseRatio30 and JR50 show linear correlation with Fugl-Meyer score (FM), with r

conclusionThis study determined that the FuncUseRatio30 variable provides the most sensitive clinical biomarker of paretic UL use in post-stroke patients, and that FuncUseHours-angular range of motion relationship allows the identification of the UL behaviour of each patient. This ecological information on the level of functional use of the paretic UL can be used to improve follow-up and develop patient-specific therapy.

Indexed as

StrokeStroke RehabilitationHumansParesisUpper ExtremityWristWrist JointActimetric variablesActimetryStrokeUpper limb hemiparesis

Identifiers

PMID37106460
PMCPMC10134627
OpenAlexW4367320555

What OpenQuestion holds

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LicenceCC BY
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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.