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 .
Test-Retest Reliability of 24 Hours of Activity Monitoring in Individuals With Parkinson's Disease in Home and Community
Background / Objective . This study examined the test-retest reliability of an activity monitor ( AM ) in home and community setting s in individuals with Parkinson 's disease ( PD ) . Methods . Nine independent community dwellers with idiopathic PD were recruited ( 8 males and 1 female ; median age = 66 years , range 46 - 71 ; Hoehn & Yahr score 2 ) . Patients wore the AM for 3 separate sessions in the home and community with 7 days between each session . The first 2 sessions lasted 24 hours each , and the third session lasted 48 hours . Reliability indices and measures of variability were obtained by using intraclass correlation coefficients ( ICC ) and generalizability coefficients . The functional activity measures included the percentage of time spent in sleeping positions , sitting , st and ing , and walking ; the number of transitions between sit and st and ; the total number of transitions ; the number of walking periods lasting 5 and 10 seconds ; and stride frequency . Results . The ICCs for functional activities between the first and second consecutive days for the 48-hour session ( third session ) ranged from .76 to .92 . The ICCs for the 7- and 14-day intervals ranged from .45 to .96 , with walking-related measures showing the highest ICCs ( range = .81 to .96 ) . Across the three 24-hour periods ( sessions 1 and 2 , and the first 24 hours of session 3 ) , the ICCs for walking-related measures were again high ranging from .87 to .92 . Walking-related measures demonstrated the highest generalizability coefficients , indicating these measures have the highest test-retest reliability in comparison to other functional activity measures . Conclusions . The present study shows that 24 hours of recording with an AM is a sufficient duration of time to reliably record patients ' functional activity in the home and community setting s. In addition , the highest test-retest reliability for activities across 7- and 14-day intervals were found for walking-related measures in individuals with PD , indicating these measures have the highest stability compared to the other measures of functional activity
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 .