Feasibility of Wearable Technology to Quantify Amount and Extent of Community Ambulation Post-stroke: A Reasonable Request?

2020 ◽  
Vol 101 (11) ◽  
pp. e68
Author(s):  
Kanika Bansal ◽  
Michael Monaldi ◽  
Dorian Rose
Author(s):  
Mikaela L. Frechette ◽  
Brett M. Meyer ◽  
Lindsey J. Tulipani ◽  
Reed D. Gurchiek ◽  
Ryan S. McGinnis ◽  
...  

2014 ◽  
Vol 95 (10) ◽  
pp. e27
Author(s):  
Stephanie Marrocco ◽  
Lucas D. Crosby ◽  
Avril Mansfield ◽  
Bert M. Chesworth ◽  
Trevor Birmingham ◽  
...  

Author(s):  
Denise M. Peters ◽  
Emma S. O’Brien ◽  
Kira E. Kamrud ◽  
Shawn M. Roberts ◽  
Talia A. Rooney ◽  
...  

Abstract Background Extremity weakness, fatigue, and postural instability often contribute to mobility deficits in persons after stroke. Wearable technologies are increasingly being utilized to track many health-related parameters across different patient populations. The purpose of this systematic review was to identify how wearable technologies have been used over the past decade to assess gait and mobility in persons with stroke. Methods We performed a systematic search of Ovid MEDLINE, CINAHL, and Cochrane databases using select keywords. We identified a total of 354 articles, and 13 met inclusion/exclusion criteria. Included studies were quality assessed and data extracted included participant demographics, type of wearable technology utilized, gait parameters assessed, and reliability and validity metrics. Results The majority of studies were performed in either hospital-based or inpatient settings. Accelerometers, activity monitors, and pressure sensors were the most commonly used wearable technologies to assess gait and mobility post-stroke. Among these devices, spatiotemporal parameters of gait that were most widely assessed were gait speed and cadence, and the most common mobility measures included step count and duration of activity. Only 4 studies reported on wearable technology validity and reliability metrics, with mixed results. Conclusion The use of various wearable technologies has enabled researchers and clinicians to monitor patients’ activity in a multitude of settings post-stroke. Using data from wearables may provide clinicians with insights into their patients’ lived-experiences and enrich their evaluations and plans of care. However, more studies are needed to examine the impact of stroke on community mobility and to improve the accuracy of these devices for gait and mobility assessments amongst persons with altered gait post-stroke.


2016 ◽  
Vol 21 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Silvia Convento ◽  
Cristina Russo ◽  
Luca Zigiotto ◽  
Nadia Bolognini

Abstract. Cognitive rehabilitation is an important area of neurological rehabilitation, which aims at the treatment of cognitive disorders due to acquired brain damage of different etiology, including stroke. Although the importance of cognitive rehabilitation for stroke survivors is well recognized, available cognitive treatments for neuropsychological disorders, such as spatial neglect, hemianopia, apraxia, and working memory, are overall still unsatisfactory. The growing body of evidence supporting the potential of the transcranial Electrical Stimulation (tES) as tool for interacting with neuroplasticity in the human brain, in turn for enhancing perceptual and cognitive functions, has obvious implications for the translation of this noninvasive brain stimulation technique into clinical settings, in particular for the development of tES as adjuvant tool for cognitive rehabilitation. The present review aims at presenting the current state of art concerning the use of tES for the improvement of post-stroke visual and cognitive deficits (except for aphasia and memory disorders), showing the therapeutic promises of this technique and offering some suggestions for the design of future clinical trials. Although this line of research is still in infancy, as compared to the progresses made in the last years in other neurorehabilitation domains, current findings appear very encouraging, supporting the development of tES for the treatment of post-stroke cognitive impairments.


2016 ◽  
Author(s):  
Jufang Li ◽  
Linda Denise Oakley ◽  
Roger L. Brown ◽  
Yun Li ◽  
Maiyun Ye ◽  
...  

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