Journal: Archives of Physical Medicine and Rehabilitation

Abbreviation

Arch Phys Med Rehabil

Publisher

Elsevier

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ISSN

0003-9993
1532-821X

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Publications 1 - 10 of 12
  • Concurrent Validity of Different Sensor-Based Measures: Activity Counts Do Not Reflect Functional Hand Use in Children and Adolescents With Upper Limb Impairments
    Item type: Journal Article
    Rast, Fabian M.; Labruyere, Rob (2022)
    Archives of Physical Medicine and Rehabilitation
    Objective: To investigate the concurrent validity of 4 different outcome measures to determine daily functional hand use with wrist-worn inertial sensors in children with upper limb impairments. We hypothesized that the commonly used activity counts are biased by walking and wheeling activities, while measures that exclude arm movements during these periods with activity detection algorithms or by limiting the analysis to a range of functional forearm elevation would lead to more valid estimates of daily hand use. Design: Concurrent validity study with video-based observations of functional hand use serving as the criterion measure. Setting: The participants were videotaped while performing an activity circuit at the rehabilitation center and wearing inertial sensors. Participants: A convenience sample of 30 school-aged children and adolescents with upper limb impairments. Interventions: Not applicable. Main Outcome Measures: Spearman rank correlation coefficients ρ between the criterion measure and 4 sensor-based measures: activity counts, combining activity counts with activity detection algorithms (arm activity counts), limiting activity counts to a functional range of forearm elevation (functional activity counts), and a threshold-based approach limited to the same range of forearm elevation (gross arm movements). Results: Activity counts (ρ=0.43) and gross arm movements (ρ=0.57) did not reveal valid estimates of daily hand use. In contrast, arm and functional activity counts correlated significantly stronger with the criterion measure and revealed valid correlation coefficients of 0.78 and 0.71, respectively. Conclusions: Activity counts should not be used to measure daily hand use because they are biased by walking and wheeling activities. Arm and functional activity counts provide better and valid alternatives. The selection of these 2 approaches depends on the availability and accuracy of activity detection algorithms and on the users' willingness to wear additional sensors in daily life.
  • Slowed Down
    Item type: Journal Article
    Labruyere, Rob; Zimmerli, Marion; van Hedel, Hubertus J.A. (2013)
    Archives of Physical Medicine and Rehabilitation
  • Instrument Validity and Reliability of a Choice Response Time Test for Subjects With Incomplete Spinal Cord Injury: Relationship With Function
    Item type: Journal Article
    Labruyere, Rob; van Hedel, Hubertus J.A. (2011)
    Archives of Physical Medicine and Rehabilitation
  • Reporting Completeness of Intensity-, Dose-, and Dosage-Related Items in Active Pediatric Upper Limb Neurorehabilitation Trials: A Systematic Review
    Item type: Review Article
    Goikoetxea-Sotelo, Gaizka; van Hedel, Hubertus J.A. (2024)
    Archives of Physical Medicine and Rehabilitation
    Objective: To analyze the reporting completeness of the TIDieR items 8-12, in particular intensity, dose, and dosage, in active pediatric upper limb neurorehabilitation trials. Data Sources: We searched PubMed Central, Scopus, CINAHL, OTseeker, and Web of Science for eligible publications. Study Selection: We included publications analyzing active pediatric upper limb neurorehabilitation interventions and assessed the reporting completeness of 11 items for each intervention and control group. Data Extraction: Two raters independently screened titles and abstracts and selected the publications using the RYYAN platform. We unblinded the results after the raters had completed their selection and resolved the disagreements by discussion. We used the same procedures to review the full texts. Data Synthesis: We included 52 randomized controlled trials with 65 intervention and 48 control groups. Authors did not report all 11 items in any of the study groups. The overall reporting completeness varied between 1% (intensity) to 95% (length of the intervention). The reporting completeness of the TIDieR items ranged from 2% (modifications) to 64% (when and how much). We found no significant differences in the reporting completeness between the intervention and control groups. Conclusions: Information essential for dose-response calculations is often missing in randomized controlled trials of pediatric upper limb neurorehabilitation interventions. Reporting completeness should be improved, and new measures to accurately quantify intensity should be discussed and developed.
  • Curve Walking Is Not Better Than Straight Walking in Estimating Ambulation-Related Domains After Incomplete Spinal Cord Injury
    Item type: Journal Article
    Labruyere, Rob; van Hedel, Hubertus J.A. (2012)
    Archives of Physical Medicine and Rehabilitation
  • Increasing Patient Engagement During Virtual Reality-Based Motor Rehabilitation
    Item type: Journal Article
    Zimmerli, Lukas; Jacky, Mario; Lünenburger, Lars; et al. (2013)
    Archives of Physical Medicine and Rehabilitation
    Objective To investigate the influence of different design characteristics of virtual reality exercises on engagement during lower extremity motor rehabilitation. Design Correlational study. Setting Spinal cord injury (SCI) rehabilitation center. Participants Subjects with SCI (n=12) and control subjects (n=10). Interventions Not applicable. Main Outcome Measures Heart rate and electromyographic activity from both legs at the tibialis anterior, the gastrocnemius medialis, the rectus femoris, and the biceps femoris were recorded. Results Interactivity (ie, functionally meaningful reactions to motor performance) was crucial for the engagement of subjects. No significant differences in engagement were found between exercises that differed in feedback frequency, explicit task goals, or aspects of competition. Conclusions Functional feedback is highly important for the active participation of patients during robotic-assisted rehabilitation. Further investigations on the design characteristics of virtual reality exercises are of great importance. Exercises should thoroughly be analyzed regarding their effectiveness, while user preferences and expectations should be considered when designing virtual reality exercises for everyday clinical motor rehabilitation.
  • Accuracy of Sensor-Based Measurement of Clinically Relevant Motor Activities in Daily Life of Children With Mobility Impairments
    Item type: Journal Article
    Rast, Fabian Marcel; Jucker, Florence; Labruyère, Rob (2024)
    Archives of Physical Medicine and Rehabilitation
    Objective: This study aimed to determine the accuracy of 3 sensor configurations and corresponding algorithms deriving clinically relevant outcomes of everyday life motor activities in children undergoing rehabilitation. These outcomes were identified in 2 preceding studies assessing the needs of pediatric rehabilitation. The first algorithm estimates the duration of lying, sitting, and standing positions and the number of sit-to-stand transitions with data from a trunk and a thigh sensor. The second algorithm detects active and passive wheeling periods with data from a wrist and a wheelchair sensor. The third algorithm detects free and assisted walking periods and estimates the covered altitude change during stair climbing with data from a single ankle sensor and a sensor placed on walking aids. Design: The participants performed a semi-structured activity circuit while wearing inertial sensors on both wrists, the sternum, and the thigh and shank of the less-affected side. The circuit included watching a movie, playing, cycling, drinking, and moving around between facilities. Video recordings, which 2 independent researchers labeled, served as reference criteria to determine the algorithms’ performance. Setting: In-patient rehabilitation center. Participants: Thirty-one children and adolescents with mobility impairments who were able to walk or use a manual wheelchair for household distances (N=31). Interventions: Not applicable. Main Outcome Measure(s): The algorithms’ activity classification accuracies. Results: The activity classification accuracy was 97% for the posture detection algorithm, 96% for the wheeling detection algorithm, and 93% for the walking detection algorithm. Conclusion(s): The 3 sensor configurations and corresponding algorithms presented in this study revealed accurate measurements of everyday life motor activities in children with mobility impairments. To follow-up on this promising results, the sensor systems needs to be tested in long-term measurements outside the clinic before using the system to determine the children's motor performance in their habitual environment for clinical and scientific purposes.
  • Post-acute COVID-19 Syndrome: Brain Fog Phenotype, Patient-Centric Understanding, and Biopsychosocial-Oriented Treatment
    Item type: Journal Article
    Bender, Heidi A.; Williams, Natalie A.; Burnfield, Judith M.; et al. (2025)
    Archives of Physical Medicine and Rehabilitation
    Post-acute COVID-19 syndrome (PACS), a term used to describe ongoing symptoms after SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) (COVID-19) infection, includes prominent neuropsychological sequela, such as a subjective sense of brain fog. Brain fog can be persistent and interfere with quality of life and daily functioning across multiple domains. Rehabilitation professionals can comprehensively address PACS-related brain fog through a biopsychosocial framework of chronic illness. Through emphasizing a patient-centric perspective, rehabilitation practitioners can understand lifestyle protective factors, as well as the reciprocal relationships between emotional processing and behaviors that potentially maintain symptomology manifesting as brain fog. However, current practice models do not fully address the biopsychosocial components for adults suffering from PACS-related brain fog. To address gaps in the literature, we present a biopsychosocial framework for PACS-related brain fog and provide treatment strategies based on evidence from current literature of neuropsychiatric sequela of mild traumatic brain injury. These recommendations will provide practice guidance to rehabilitation professionals in (1) identifying common protective factors that can be optimized in the context of persistent PACS-related brain fog and (2) addressing these symptoms via integrative interventions, considering the biopsychosocial presentation of brain fog.
  • Electrically Assisted Movement Therapy in Chronic Stroke Patients With Severe Upper Limb Paresis: A Pilot, Single-Blind, Randomized Crossover Study
    Item type: Journal Article
    Carda, Stefano; Biasiucci, Andrea; Maesani, Andrea; et al. (2017)
    Archives of Physical Medicine and Rehabilitation
  • Reliability of ambulatory walking activity in patients with hematologic malignancies
    Item type: Journal Article
    Knols, Ruud H.; de Bruin, Eling; Aufdemkampe, Geert; et al. (2009)
    Archives of Physical Medicine and Rehabilitation
Publications 1 - 10 of 12