Validity of an android device for assessing mobility in people with chronic stroke and hemiparesis: a cross-sectional study
Abstract Background Incorporating instrument measurements into clinical assessments can improve the accuracy of results when assessing mobility related to activities of daily living. This can assist clinicians in making evidence-based decisions. In this context, kinematic measures are considered ess...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | Journal of NeuroEngineering and Rehabilitation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12984-024-01346-5 |
| _version_ | 1797199624674476032 |
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| author | M. Luz Sánchez-Sánchez Maria-Arantzazu Ruescas-Nicolau Anna Arnal-Gómez Marco Iosa Sofía Pérez-Alenda Sara Cortés-Amador |
| author_facet | M. Luz Sánchez-Sánchez Maria-Arantzazu Ruescas-Nicolau Anna Arnal-Gómez Marco Iosa Sofía Pérez-Alenda Sara Cortés-Amador |
| author_sort | M. Luz Sánchez-Sánchez |
| collection | DOAJ |
| description | Abstract Background Incorporating instrument measurements into clinical assessments can improve the accuracy of results when assessing mobility related to activities of daily living. This can assist clinicians in making evidence-based decisions. In this context, kinematic measures are considered essential for the assessment of sensorimotor recovery after stroke. The aim of this study was to assess the validity of using an Android device to evaluate kinematic data during the performance of a standardized mobility test in people with chronic stroke and hemiparesis. Methods This is a cross-sectional study including 36 individuals with chronic stroke and hemiparesis and 33 age-matched healthy subjects. A simple smartphone attached to the lumbar spine with an elastic band was used to measure participants’ kinematics during a standardized mobility test by using the inertial sensor embedded in it. This test includes postural control, walking, turning and sitting down, and standing up. Differences between stroke and non-stroke participants in the kinematic parameters obtained after data sensor processing were studied, as well as in the total execution and reaction times. Also, the relationship between the kinematic parameters and the community ambulation ability, degree of disability and functional mobility of individuals with stroke was studied. Results Compared to controls, participants with chronic stroke showed a larger medial-lateral displacement (p = 0.022) in bipedal stance, a higher medial-lateral range (p < 0.001) and a lower cranio-caudal range (p = 0.024) when walking, and lower turn-to-sit power (p = 0.001), turn-to-sit jerk (p = 0.026) and sit-to-stand jerk (p = 0.001) when assessing turn-to-sit-to-stand. Medial-lateral range and total execution time significantly correlated with all the clinical tests (p < 0.005), and resulted significantly different between independent and limited community ambulation patients (p = 0.042 and p = 0.006, respectively) as well as stroke participants with significant disability or slight/moderate disability (p = 0.024 and p = 0.041, respectively). Conclusion This study reports a valid, single, quick and easy-to-use test for assessing kinematic parameters in chronic stroke survivors by using a standardized mobility test with a smartphone. This measurement could provide valid clinical information on reaction time and kinematic parameters of postural control and gait, which can help in planning better intervention approaches. |
| first_indexed | 2024-04-24T07:18:43Z |
| format | Article |
| id | doaj.art-a2300b9cc2e84417b2952b3ea9292e96 |
| institution | Directory Open Access Journal |
| issn | 1743-0003 |
| language | English |
| last_indexed | 2024-04-24T07:18:43Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of NeuroEngineering and Rehabilitation |
| spelling | doaj.art-a2300b9cc2e84417b2952b3ea9292e962024-04-21T11:11:02ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032024-04-0121111610.1186/s12984-024-01346-5Validity of an android device for assessing mobility in people with chronic stroke and hemiparesis: a cross-sectional studyM. Luz Sánchez-Sánchez0Maria-Arantzazu Ruescas-Nicolau1Anna Arnal-Gómez2Marco Iosa3Sofía Pérez-Alenda4Sara Cortés-Amador5Physiotherapy in Motion. Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of ValenciaPhysiotherapy in Motion. Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of ValenciaPhysiotherapy in Motion. Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of ValenciaDepartment of Psychology, Sapienza University of RomePhysiotherapy in Motion. Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of ValenciaPhysiotherapy in Motion. Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of ValenciaAbstract Background Incorporating instrument measurements into clinical assessments can improve the accuracy of results when assessing mobility related to activities of daily living. This can assist clinicians in making evidence-based decisions. In this context, kinematic measures are considered essential for the assessment of sensorimotor recovery after stroke. The aim of this study was to assess the validity of using an Android device to evaluate kinematic data during the performance of a standardized mobility test in people with chronic stroke and hemiparesis. Methods This is a cross-sectional study including 36 individuals with chronic stroke and hemiparesis and 33 age-matched healthy subjects. A simple smartphone attached to the lumbar spine with an elastic band was used to measure participants’ kinematics during a standardized mobility test by using the inertial sensor embedded in it. This test includes postural control, walking, turning and sitting down, and standing up. Differences between stroke and non-stroke participants in the kinematic parameters obtained after data sensor processing were studied, as well as in the total execution and reaction times. Also, the relationship between the kinematic parameters and the community ambulation ability, degree of disability and functional mobility of individuals with stroke was studied. Results Compared to controls, participants with chronic stroke showed a larger medial-lateral displacement (p = 0.022) in bipedal stance, a higher medial-lateral range (p < 0.001) and a lower cranio-caudal range (p = 0.024) when walking, and lower turn-to-sit power (p = 0.001), turn-to-sit jerk (p = 0.026) and sit-to-stand jerk (p = 0.001) when assessing turn-to-sit-to-stand. Medial-lateral range and total execution time significantly correlated with all the clinical tests (p < 0.005), and resulted significantly different between independent and limited community ambulation patients (p = 0.042 and p = 0.006, respectively) as well as stroke participants with significant disability or slight/moderate disability (p = 0.024 and p = 0.041, respectively). Conclusion This study reports a valid, single, quick and easy-to-use test for assessing kinematic parameters in chronic stroke survivors by using a standardized mobility test with a smartphone. This measurement could provide valid clinical information on reaction time and kinematic parameters of postural control and gait, which can help in planning better intervention approaches.https://doi.org/10.1186/s12984-024-01346-5Functional mobilityStrokeHemiparesisAndroid deviceInertial sensorTimed up and go test |
| spellingShingle | M. Luz Sánchez-Sánchez Maria-Arantzazu Ruescas-Nicolau Anna Arnal-Gómez Marco Iosa Sofía Pérez-Alenda Sara Cortés-Amador Validity of an android device for assessing mobility in people with chronic stroke and hemiparesis: a cross-sectional study Journal of NeuroEngineering and Rehabilitation Functional mobility Stroke Hemiparesis Android device Inertial sensor Timed up and go test |
| title | Validity of an android device for assessing mobility in people with chronic stroke and hemiparesis: a cross-sectional study |
| title_full | Validity of an android device for assessing mobility in people with chronic stroke and hemiparesis: a cross-sectional study |
| title_fullStr | Validity of an android device for assessing mobility in people with chronic stroke and hemiparesis: a cross-sectional study |
| title_full_unstemmed | Validity of an android device for assessing mobility in people with chronic stroke and hemiparesis: a cross-sectional study |
| title_short | Validity of an android device for assessing mobility in people with chronic stroke and hemiparesis: a cross-sectional study |
| title_sort | validity of an android device for assessing mobility in people with chronic stroke and hemiparesis a cross sectional study |
| topic | Functional mobility Stroke Hemiparesis Android device Inertial sensor Timed up and go test |
| url | https://doi.org/10.1186/s12984-024-01346-5 |
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