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 .
Quantitative Measurement of Physical Activity in Acute Ischemic Stroke and Transient Ischemic Attack
Background and Purpose — The purpose of this study was to quantitatively measure and describe the amount and pattern of physical activity in patients within the first week after acute ischemic stroke and transient ischemic attack using accelerometers . Methods — A total of 100 patients with acute ischemic stroke or transient ischemic attack admitted to our acute stroke unit wore Actical accelerometers attached to both wrists and ankles and the hip for ⩽7 days . Patients were included within 72 hours of symptom onset . Accelerometer output was measured in activity counts ( AC ) . Patients were tested daily with Sc and inavian Stroke Scale . Results — Physical activity peaked in the morning and declined during the rest of the day . In patients with stroke , total AC were 71 % lower than in patients with transient ischemic attack . AC were 80 % lower in the paretic compared with those in the nonparetic arm in patients with ischemic stroke . For the legs AC were 44 % lower on the paretic side and an overall increase in AC with time was found . There was a significant increase in AC with increasing Sc and inavian Stroke Scale and a decrease in AC with increasing age . Conclusions — This study demonstrates the feasibility of using accelerometers to quantitatively and continuously measure physical activity simultaneously from all 4 extremities and the hip in patients with acute ischemic stroke and transient ischemic attack . Our study provides quantitative evidence of physical inactivity in patients with acute ischemic stroke . The method offers a low cost and noninvasive tool for future clinical interventional physiotherapeutic and early mobilization studies . Clinical Trial Registration — URL : http://www . clinical trials.gov . Unique identifier : NCT01560520
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 .