模拟家庭环境中中风后患者康复活动监测(AMoR)平台的测量特性。

IF 2.2 4区 医学 Q1 REHABILITATION Topics in Stroke Rehabilitation Pub Date : 2024-07-14 DOI:10.1080/10749357.2024.2377520
Simone Garcia Oliveira, Samuel Lourenço Nogueira, Nicoly Ribeiro Uliam, Paulo Matheus Girardi, Thiago Luiz Russo
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引用次数: 0

摘要

目的:本研究旨在评估康复活动监测(AMoR)平台的测量特性,包括在模拟家庭环境中进行日常生活活动(ADL)时的步数计算、久坐时间和姿势变化:方法:21 名中风后慢性期患者在 ADL 方案中使用 AMoR 平台,并由摄像机进行监控。使用斯皮尔曼相关系数、平均绝对百分误差(MAPE)、类内相关系数(ICC)和布兰-阿尔特曼图分析来估计 AMoR 平台和视频在步数计算、坐/卧时间以及从坐到站(SI-ST)和从坐到站(ST-SI)的姿势变化方面的有效性和可靠性:与视频相比,平台的计步(rs = 0.998)和坐/卧时间(rs = 0.992)具有很高的相关性,坐立姿势变化(rs = 0.850)和坐立姿势变化(rs = 0.851)具有很高的相关性。只有 SI-ST 姿势变化的误差率超过 5%(7.13%)。ICC 值显示,计步(ICC3,k = 0.999)和坐/卧时间(ICC3,k = 0.992)的一致性极佳,SI-ST(ICC3,k = 0.859)和 ST-SI (ICC3,k = 0.936)姿势变化的一致性良好。根据布兰-阿尔特曼图分析,计步、坐/卧时间和体位变化的差异值均在一致性范围内:AMoR平台对中风后患者在模拟环境中进行测试时的步数计算、坐/卧时间以及SI-ST和ST-SI姿势变化的识别具有有效性和可靠性。
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Measurement properties of activity monitoring for a rehabilitation (AMoR) platform in post-stroke individuals in a simulated home environment.

Aim: The aim of this study was to evaluate the measurement properties of activity monitoring for a rehabilitation (AMoR) platform for step counting, time spent in sedentary behavior, and postural changes during activities of daily living (ADLs) in a simulated home environment.

Methods: Twenty-one individuals in the post-stroke chronic phase used the AMoR platform during an ADL protocol and were monitored by a video camera. Spearman's correlation coefficient, mean absolute percent error (MAPE), intraclass correlation coefficient (ICC), and Bland-Altman plot analyses were used to estimate the validity and reliability between the AMoR platform and the video for step counting, time spent sitting/lying, and postural changes from sit-to-stand (SI-ST) and sit-to-stand (ST-SI).

Results: Validity of the platform was observed with very high correlation values for step counting (rs = 0.998) and time spent sitting/lying (rs = 0.992) and high correlation for postural change of SI-ST (rs = 0.850) and ST-SI (rs = 0.851) when compared to the video. An error percentage above 5% was observed only for the SI-ST postural change (7.13%). The ICC values show excellent agreement for step counting (ICC3, k = 0.999) and time spent sitting/lying (ICC3, k = 0.992), and good agreement for SI-ST (ICC3, k = 0.859) and ST-SI (ICC3, k = 0.936) postural change. Values of the differences for step counting, sitting/lying time, and postural change were within the limits of agreement according to the analysis of the Bland-Altman graph.

Conclusion: The AMoR platform presented validity and reliability for step counting, time spent sitting/lying, and identification of SI-ST and ST-SI postural changes during tests in a simulated environment in post-stroke individuals.

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来源期刊
Topics in Stroke Rehabilitation
Topics in Stroke Rehabilitation 医学-康复医学
CiteScore
5.10
自引率
4.50%
发文量
57
审稿时长
6-12 weeks
期刊介绍: Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.
期刊最新文献
Lateropulsion resolution and outcomes up to one year post-stroke: a prospective, longitudinal cohort study. The effects of kinesiophobia, fatigue, and quality of life on physical activity in patients with stroke. Cardiorespiratory fitness, physical activity, and fatigue three months after first-ever ischemic stroke. Turkish cultural adaptation, validity, and reliability of the stroke activity scale in individuals with Hemiparesis. Defining tibial anterior muscle morphology in first-ever chronic stroke patients using three-dimensional freehand ultrasound.
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