当前位置： SCI文献检索 > ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION期刊下所有文献 > Evaluation of an activity monitor for the objective measurement of free-living physical activity in children with cerebral palsy.

Evaluation of an activity monitor for the objective measurement of free-living physical activity in children with cerebral palsy.

Abstract：

OBJECTIVE:To explore the use of an activity monitor (AM) to objectively characterize free-living physical activity (F-LPA) in children with mobility impairment resulting from cerebral palsy (CP). DESIGN:First, a validation study compared outcomes from the AM with video evidence. Second, multiday F-LPA was characterized. Relationships between laboratory measures and F-LPA were explored. SETTING:The evaluation study was conducted in a laboratory environment. F-LPA monitoring was conducted in the participants' free-living environment. PARTICIPANTS:Convenience sample of ambulatory children (N=15; 11 boys, 4 girls) aged 5 to 17 years with CP undergoing gait analysis. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Accuracy of the AM for sitting/lying time, upright time, stepping time, and strides taken. Daily volumes of F-LPA of children with CP. RESULTS:AM outcomes in comparison with video-based analysis were (mean ± SD) 97.4%±2.7%, 101.1%±1.5%, 99.5%±6.6%, 105.6%±15.8%, and 103.8%±10.1% for sitting/lying time, upright time, standing time, stepping time, and stride count, respectively. Participants' daily F-LPA demonstrated considerable variation: mean standing time ± SD, 2.33±.96h/d; mean stepping time ± SD, 1.68±.86h/d; mean steps per day ± SD, 8477±4528; and mean sit-to-stand transitions per day ± SD, 76±49. Laboratory-measured cadence and mobility level were related to F-LPA, but not directly. CONCLUSIONS:The AM demonstrated excellent ability to determine sitting/lying and upright times in children with CP. Stepping time and stride count had lower levels of agreement with video-based analysis but were comparable to findings in previous studies. Crouch gait and toe walking had an adverse effect on outcomes. The F-LPA data provided additional information on children's performance not related to laboratory measures, demonstrating the added value of using this objective measurement technique.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Tang KT,Richardson AM,Maxwell D,Spence WD,Stansfield BW

doi

10.1016/j.apmr.2013.07.019

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

2549-2558

issue

12

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(13)00584-4

journal_volume

94

pub_type

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