Physical activity levels measured by remote monitoring are consistently low in people with MS , stroke and dementia , and patterns of physical activity are altered in PD .
In MS , decreased ambulatory activity assessed via remote monitoring is associated with greater disability and lower quality of life .
In stroke , remote measures of upper limb function and ambulation are associated with functional recovery following rehabilitation and goal -directed interventions .
In PD , remote monitoring may help to predict falls .
In dementia , remote physical activity measures correlate with disease severity and can detect w and ering .
Conclusions These studies show that remote physical activity monitoring is feasible in neurological diseases , including in people with moderate to severe neurological disability .
Remote monitoring can be a psychometrically sound and responsive way to assess physical activity in neurological disease .
Objective To perform a systematic review of studies using remote physical activity monitoring in neurological diseases , highlighting advances and determining gaps .
Spontaneous arm movement activity assessed by accelerometry is a marker for early recovery after stroke
The factors determining recovery from hemiparetic stroke are manifold . We studied spontaneous arm movement activity in the acute phase after stroke as a predictor of recovery . Included in this prospect i ve study were 25 patients ( 63 ± 10 years ; 9 women , 16 men ) with acute middle cerebral artery stroke and 7 control patients without neurological disease ( 61 ± 14 years ; 3 women , 4 men ) .  Movement activity was measured continuously for 4 days in both arms using Actiwatches and analysed off-line .  Movement activity of the nonaffected arm ranged from < 10 to > 16 h per day in the stroke patients . Nine stroke patients with an initial decline in arm movement activity showed no increase in movement activity in either arm over 4 days after stroke , and the other 16 patients improved steadily after admission ( p < 0.003 ) . C-reactive protein was elevated in the non-recovering patients ( 4.4 ± 4.9 mg/dl ) related to a low number of waking hours ( r = −0.512 , p < 0.01 ) . Stroke severity , location and treatment , as well as arterial blood pressure ( 162 ± 21 mmHg ) and body temperature ( 36.9 ± 06 ° C ) were not different among the groups . The impairment was still different among the two groups 3 months after stroke . Our results support the notion that in the acute stage after middle cerebral artery stroke there are patients with a secondary decline in general motor activity related to an enhanced sleep dem and as assessed with accelerometry . This impairment was related to elevated C-reactive protein
Physical activity levels measured by remote monitoring are consistently low in people with MS , stroke and dementia , and patterns of physical activity are altered in PD .
In MS , decreased ambulatory activity assessed via remote monitoring is associated with greater disability and lower quality of life .
In stroke , remote measures of upper limb function and ambulation are associated with functional recovery following rehabilitation and goal -directed interventions .
In PD , remote monitoring may help to predict falls .
In dementia , remote physical activity measures correlate with disease severity and can detect w and ering .
Conclusions These studies show that remote physical activity monitoring is feasible in neurological diseases , including in people with moderate to severe neurological disability .
Remote monitoring can be a psychometrically sound and responsive way to assess physical activity in neurological disease .
Objective To perform a systematic review of studies using remote physical activity monitoring in neurological diseases , highlighting advances and determining gaps .