Monitoring Upper-Extremity Activity in Daily Life Using Wireless Accelerometers

2006 ◽  
Author(s):  
Gitendra Uswatte
Keyword(s):  
Upper Extremity ◽  
Daily Life

scholarly journals Relation of Accelerometer and EMG Recordings for the Measurement of Upper Extremity Movement

1999 ◽  
Vol 13 (2) ◽  
pp. 77-82 ◽  
Author(s):  
Andreas Keil ◽  
Thomas Elbert ◽  
Edward Taub
Keyword(s):  
Upper Extremity ◽  
Real World ◽  
Daily Life ◽  
Upper Arm ◽  
Activities Of Daily Life ◽  
Strong Relation ◽  
Integrated Emg ◽  
Male Subjects ◽  
Upper Extremity Movement

Abstract In order to determine the value of accelerometry as a measure of real world outcome when a subject is outside the laboratory, accelerometer recordings from the wrist were compared with simultaneous electromyogram (EMG) recordings from the lower and upper arm. Accelerometer and EMG signals were recorded simultaneously by the “Kölner Vitaport System,” an ambulatory device. Six male subjects performed standardized tasks as well as activities of daily life (ADL). Low correlations between accelerometer counts and integrated EMG were found in the standardized tasks, whereas there were considerably higher correlations for ADL. However, there was a strong relation between several parameters derived from EMG and accelerometer recordings. The two techniques appear to measure different aspects of movement and may be complementary.

Satisfaction and performance in patient selected goals after grip reconstruction in tetraplegia

2010 ◽  
Vol 35 (7) ◽  
pp. 563-568 ◽  
Author(s):  
J. Wangdell ◽  
J. Fridén
Keyword(s):  
Upper Extremity ◽  
Daily Life ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Basic Activity ◽  
The Mean ◽  
And Performance ◽  
And Control ◽  
Better Than

Reconstruction of grip in tetraplegia aims to improve upper extremity performance and control in daily life. We evaluated the effects of surgery and rehabilitation on performance and satisfaction of patient identified activity goals in 20 patients (22 arms) who had grip reconstructions for both finger and thumb flexion. Patients assessed an improvement in both performance and satisfaction after surgery in all groups of activities assessed using the Canadian Occupational Performance Measure (COPM). The mean improvement at 6 and 12 months was 3.5 points better than the 2.5 points before surgery. Before surgery 36% of the goals identified were impossible to perform. After surgery, 78% of these goals were possible. The largest improvement was observed in the basic activity of ‘eating’ but significant improvement was also noted in activities generally regarded as complex and not measured in standard ADL such as ‘doing housework’ and taking part in ‘leisure’.

Universal Access in Practice: Usability Evauation of Cellular Telephones for Users with Disabilities

2002 ◽  
Vol 46 (6) ◽  
pp. 695-699
Author(s):  
Aaron M. Mooney ◽  
Maury A. Nussbaum ◽  
Tonya L. Smith-Jackson
Keyword(s):  
Upper Extremity ◽  
Universal Design ◽  
Daily Life ◽  
Universal Access ◽  
Subjective Evaluation ◽  
Design Features ◽  
Persons With Disabilities ◽  
Cellular Telephones ◽  
Limited Access ◽  
Objective And Subjective Evaluation

Cellular telephones provide a portable means of communication and facilitate many communication tasks in daily life. Persons with disabilities, however, have limited access to these devices, which may be due to product designs that do not always consider their needs. Usability evaluations can identify the needs and difficulties when using cellular telephones, and those with disabilities are also likely to benefit from focused evaluations. The usability of cellular telephones was investigated among those with visual and upper extremity disabilities. Both objective and subjective evaluation methods were used to determine the effects of several telephone display and keypad design features. Lateral key pitch is reported here. Objective and subjective measures were similar among participant categories, with the 12 mm and 13 mm levels of lateral pitch generally the best across all measures. Results suggest keypad design features to consider when designing accessible cellular telephones. Universal design implications are also discussed.

scholarly journals Objectively measured arm use in daily life improves during the first 6 months poststroke: a longitudinal observational cohort study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
G. R. H. Regterschot ◽  
J. B. J. Bussmann ◽  
Malou H. J. Fanchamps ◽  
Carel G. M. Meskers ◽  
Gerard M. Ribbers ◽  
...  
Keyword(s):  
Cohort Study ◽  
Upper Extremity ◽  
Generalized Estimating Equations ◽  
Daily Life ◽  
Observational Cohort Study ◽  
Life Changes ◽  
Stroke Patients ◽  
Time Points ◽  
Observational Cohort ◽  
Objectively Measured

Abstract Background It is unclear how arm use in daily life changes after stroke since studies investigating the change in arm use poststroke are scarce. The aim of this study was to investigate the change in arm use during the first six months poststroke. Secondary aim was to compare arm use changes between arm recovery clusters. Methods Arm use was measured during week 3, 12, and 26 poststroke with accelerometers on the wrists and the nonaffected leg. Outcomes were the amount of affected and nonaffected arm use during sitting and standing per day and per sit/stand hour, and the daily ratio between arms. Arm function was measured with the Fugl-Meyer Upper Extremity Scale to identify recovery clusters (poor/moderate/excellent). Generalized estimating equations compared arm use outcomes between time points and between recovery clusters. Results Thirty-three stroke patients participated. Affected arm use per day increased between week 3 and 12 (30 %; p = 0.04) and it increased per sit/stand hour between week 3–12 (31 %; p < 0.001) and between week 3 and 26 (48 %; p = 0.02). Nonaffected arm use per day decreased between week 3 and 12 (13 %; p < 0.001) and between week 3 and 26 (22 %; p < 0.001) and it decreased per sit/stand hour between week 3 and 26 (18 %; p = 0.003). The daily ratio increased between week 3 and 12 (43 %; p < 0.001) and between week 3 and 26 (95 %; p < 0.001). Changes in arm use did not differ significantly between recovery clusters (p = 0.11–0.62). Affected arm use was higher in the excellent recovery cluster (p < 0.001). Conclusions Affected arm use and the ratio between arms increase during the first 26 weeks poststroke especially in patients with excellent arm recovery.

scholarly journals Filiform-Fire Needle for Upper Extremity Spastic Paralysis After Stroke: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Siqiao Cao ◽  
Chen Xia ◽  
Shenxu Chen ◽  
Xiyi Yu ◽  
Ying Yuan ◽  
...  
Keyword(s):  
Acupuncture Therapy ◽  
Upper Extremity ◽  
Daily Life ◽  
The Other ◽  
Spastic Paralysis ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Fire Needle ◽  
Better Than

Abstract Background: Filiform-fire-needle（FFN）has been used in clinical treatment of upper extremity spastic paralysis after stroke(UESPAS). This study will evaluate the effect of filiform-fire-needle in the treatment of UESPAS under the background of standardized clinical research, and study the relationship between the efficacy and the course of treatment, so as to provide high-quality evidence-based basis for further clinical treatment and future research design.Methods: A prospective randomized controlled study was conducted to evaluate the clinical efficacy of FFN acupuncture therapy for patients with UESPAS. UESPAS patients were recruited in Changhai Hospital, Shanghai, China and they were randomly divided into FFN acupuncture group (F group), filiform needle acupuncture group (A group) or rehabilitation treatment group (R group). During the 20-day treatment, the same acupoints were taken in A group and F group. F group was treated once every 2 days for a total of 10 times, while A group and R group were treated 8 d in a row and then rest for for 2 days for a total of 16 times. In this study, the primary outcome indicators were modified Ashworth scale (MAS), secondary results including Fugl-Meyer assessment of Upper Extremity Motor Function (FMA-UE), National Institutes of Health Stroke Scale (NIHSS), Barthel index (BI). The above scales were evaluated before treatment, 10 days and 20 days after treatment. The safety was evaluated by self-made acupuncture adverse reaction observation table.Results: A significant difference was observed in MAS, FMA-UE, BI, NIHSS in the three groups from pre- to post treatment. From the evaluation of the changes of MAS, the curative effect of F group was better than the other two groups after 10 days of treatment, and F group was better than the R group on the 20th day, but there was no significant difference among the three groups after follow-up. The the difference of FMA-UE score showed F group was higher than the other two groups after 20 days of treatment and follow-up. The change of BI score in group F was higher than that in group R after 10 days of treatment, and the change of BI score in group F was higher than that in the other two groups after 20 days of treatment and follow-up. No significant change in the score of NIHSS was found in three groups.Conclusions: FFN acupuncture therapy has an advantage in relieving upper limb spasm and improving the activities of daily life of stroke patients in the short term, and in the long term, FFN has advantages in improving the motor ability of spastic limbs and improving the ability of daily life of patients.

scholarly journals Upper extremity impairments in type 1 diabetes with long duration; common problems with great impact on daily life

2017 ◽  
Vol 41 (6) ◽  
pp. 633-640 ◽  
Author(s):  
Kerstin Gutefeldt ◽  
Christina A. Hedman ◽  
Ingrid S. M. Thyberg ◽  
Margareta Bachrach-Lindström ◽  
Hans J. Arnqvist ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Upper Extremity ◽  
Daily Life ◽  
Long Duration ◽  
Common Problems

Counseling Adolescents With Hearing Loss Using a Narrative Therapy Approach

2009 ◽  
Vol 19 (2) ◽  
pp. 72-78
Author(s):  
Rebecca L. Nelson Crowell ◽  
Julie Hanenburg ◽  
Amy Gilbertson
Keyword(s):  
Hearing Loss ◽  
Process Evaluation ◽  
Narrative Therapy ◽  
Daily Life ◽  
Hearing Aid ◽  
Self Esteem ◽  
Therapy Approach ◽  
Self Worth ◽  
Counseling Adolescents

Abstract Audiologists have a responsibility to counsel patients with auditory concerns on methods to manage the inherent challenges associated with hearing loss at every point in the process: evaluation, hearing aid fitting, and follow-up visits. Adolescents with hearing loss struggle with the typical developmental challenges along with communicative challenges that can erode one's self-esteem and self-worth. The feeling of “not being connected” to peers can result in feelings of isolation and depression. This article advocates the use of a Narrative Therapy approach to counseling adolescents with hearing loss. Adolescents with hearing loss often have problem-saturated narratives regarding various components of their daily life, friendships, amplification, academics, etc. Audiologists can work with adolescents with hearing loss to deconstruct the problem-saturated narratives and rebuild the narratives into a more empowering message. As the adolescent retells their positive narrative, they are likely to experience increased self-esteem and self-worth.

Combining Values

2002 ◽  
Vol 7 (2) ◽  
pp. 1-4, 12 ◽  
Author(s):  
Christopher R. Brigham
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Evaluation Method ◽  
Proximal Phalanx ◽  
Common Error ◽  
The Third ◽  
Whole Person ◽  
Impairment Ratings ◽  
Upper Extremity Impairment ◽  
The Individual

Abstract To account for the effects of multiple impairments, evaluating physicians must provide a summary value that combines multiple impairments so the whole person impairment is equal to or less than the sum of all the individual impairment values. A common error is to add values that should be combined and typically results in an inflated rating. The Combined Values Chart in the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, includes instructions that guide physicians about combining impairment ratings. For example, impairment values within a region generally are combined and converted to a whole person permanent impairment before combination with the results from other regions (exceptions include certain impairments of the spine and extremities). When they combine three or more values, physicians should select and combine the two lowest values; this value is combined with the third value to yield the total value. Upper extremity impairment ratings are combined based on the principle that a second and each succeeding impairment applies not to the whole unit (eg, whole finger) but only to the part that remains (eg, proximal phalanx). Physicians who combine lower extremity impairments usually use only one evaluation method, but, if more than one method is used, the physician should use the Combined Values Chart.

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