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 .
Accelerometry Measuring the Outcome of Robot-Supported Upper Limb Training in Chronic Stroke: A Randomized Controlled Trial
Purpose This study aims to assess the extent to which accelerometers can be used to determine the effect of robot-supported task-oriented arm-h and training , relative to task-oriented arm-h and training alone , on the actual amount of arm-h and use of chronic stroke patients in their home situation . Methods This single-blind r and omized controlled trial included 16 chronic stroke patients , r and omly allocated using blocked r and omization ( n = 2 ) to receive  task-oriented robot-supported arm-h and training or task-oriented ( unsupported ) arm-h and training . Training lasted 8 weeks , 4 times/week , 2 × 30 min/day using the (T-)TOAT ( (Technology-supported)-Task-Oriented-Arm-Training ) method . The actual amount of arm-h and use , was assessed at baseline , after 8 weeks training and 6 months after training cessation . Duration of use and intensity of use of the affected arm-h and during unimanual and bimanual activities were calculated . Results Duration and intensity of use of the affected arm-h and did not change significantly during and after training , with or without robot-support ( i.e. duration of use of unimanual use of the affected arm-h and : median difference of −0.17 % in the robot-group and −0.08 % in the control group between baseline and after training cessation ; intensity of the affected arm-h and : median difference of 3.95 % in the robot-group and 3.32 % in the control group between baseline and after training cessation ) . No significant between-group differences were found . Conclusions Accelerometer data did not show significant changes in actual amount of arm-h and use after task-oriented training , with or without robot-support . Next to the amount of use , discrimination between activities performed and information about quality of use of the affected arm-h and are essential to determine actual arm-h and performance . Trial Registration Controlled-trials.com IS RCT
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 .