Abstract
Unilateral and bilateral arm activity during rehabilitation in people with and without affected arm function
International Journal of Stroke, Vol.16(1, Supplement), pp.3-34
Stroke Society of Australasia Annual Scientific Meeting (Perth, Australia, 13-Oct-2021 - 15-Oct-2021)
2021
Abstract
Background:
Despite arm rehabilitation often being a neurorehabilitation focus, little is known about unilateral and bilateral arm activity patterns of patients undergoing rehabilitation in hospital settings.
Aim:
To examine differences in arm activity patterns in rehabilitation inpatients with affected (stroke patients) and unaffected (lower limb orthopaedic patients with no known arm impairment) arm function.
Methods:
Wrist-mounted tri-axial accelerometers recorded continuous accelerometer data from each wrist for four consecutive, complete days (Thursday-Sunday). Data were split into: rehabilitation clinician working hours (9am-5pm), evening (6pm-8pm), and overnight (midnight-4am). Differences in magnitude and duration of activity were assessed using Cohen’s d effect size (ES).
Results:
The stroke cohort (n = 40) had significantly (p < 0.05), lower overall arm activity magnitude compared to the orthopaedic cohort (n = 15) of large effect size: affected arm (ES = 1.11,−53%), unaffected arm (ES = 0.77,−33%) and bilateral (ES = 0.99,−42%). Arm activity duration differences were less noticeable. The largest differences between cohorts were observed during the evenings compared to during rehabilitation hours; both magnitude and duration were noticeably higher in the orthopaedic group. The orthopaedic group had predominantly, moderate effect size (mean ES = 0.53), significantly lower activity magnitude and duration for both arms used unilaterally and bilaterally on days without compared to with scheduled rehabilitation. Conversely, negligible magnitude (all ES < 0.21), non-significant differences for all arm activity magnitude and duration measures existed in the stroke cohort on days without compared to with scheduled rehabilitation.
Conclusion:
Unexpectedly, arm activity for the stroke cohort was not noticeably lower on days without scheduled rehabilitation. This may have implications for design of rehabilitation programs.
Details
- Title
- Unilateral and bilateral arm activity during rehabilitation in people with and without affected arm function
- Authors
- I Rosbergen (Author) - Sunshine Coast Hospital and Health ServiceI Tonello (Author) - Sunshine Coast Hospital and Health ServiceR Grimley (Author) - Sunshine Coast Hospital and Health ServiceL Munks (Author) - Sunshine Coast Hospital and Health ServiceRoss Allan Clark (Author) - University of the Sunshine Coast, Queensland, School of Health and Behavioural Sciences - Legacy
- Publication details
- International Journal of Stroke, Vol.16(1, Supplement), pp.3-34
- Conference details
- Stroke Society of Australasia Annual Scientific Meeting (Perth, Australia, 13-Oct-2021 - 15-Oct-2021)
- Publisher
- Sage Publications Ltd.
- DOI
- 10.1177/17474930211036296
- ISSN
- 1747-4949
- Organisation Unit
- School of Health - Public Health; School of Health and Behavioural Sciences - Legacy; University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99579107002621
- Output Type
- Abstract
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