Quantified measurement of activity provides insight into motor function and recovery in neurological disease

作者: M E Busse

DOI: 10.1136/JNNP.2003.020180

关键词: DiseasePhysical therapyNeuromuscular diseaseMotor functionAmbulatoryMuscle disorderPhysical medicine and rehabilitationMultiple sclerosisGaitMedicineRivermead post-concussion symptoms questionnaireSurgeryPsychiatry and Mental healthClinical neurology

摘要: Background: A direct quantitative measurement of locomotor activity in an individual’s own environment over extended period may help evaluating the impact impairments neurological disorders. Objective: To investigate reliability and validity monitoring patients healthy subjects. Methods: Initial studies were completed on 10 subjects mobility restricted patients. Validity was investigated using 7 days ambulatory with Step Watch™ step monitor, laboratory based measures gait Rivermead Mobility Index (RMI) multiple sclerosis, Parkinson’s disease, a primary muscle disorder. Additionally, 30 participated study. Two clinical illustrations are provided. Results: The mean (range) right count both proved reliable measure (intra-class correlations 0.89 0.86 respectively). day 5951 (2886?9955) subjects, 3818 (1611?5391) 3003 (716?5302) those muscular disorders, 2985 (689–5340) sclerosis. moderate correlation noted between speed (r?=?0.45, p?=?0.01) grouped but not RMI (rs?=?0.3, p?=?0.11). Conclusion: Ambulatory provides valid levels. Neurological patients, living independently, demonstrate lower levels than matched controls. as outcome has potential for improving evaluation ambulation providing insight into participation.

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