Ann Rehabil Med.  2019 Jun;43(3):262-268. 10.5535/arm.2019.43.3.262.

Effort Assessment of Stroke Patients in Physiotherapy Session by Accelerometry and Perceived Exertion Score: Preliminary Study

Affiliations
  • 1HAVAE EA6310, Institut GEIST, University of Limoges, Limoges, France. justine.lacroix@unilim.fr
  • 2Department of Physical Medicine and Rehabilitation, Jean Rebeyrol Hospital, CHU Limoges, Limoges, France.

Abstract


OBJECTIVE
To determine whether post-stroke patient's perceived exertion correlates with effort intensity score as measured by a wearable sensor and to assess whether estimates of perceived exertion are correlated to the cerebral hemisphere involved in the stroke.
METHODS
We evaluated the effort intensity score during physiotherapy sessions using a wearable sensor and subjects assessed their perceived exertion using the modified Borg CR10 Scale.
RESULTS
Fifty-seven subacute stroke patients participated in the study. The correlation between perceived exertion rating and measured effort intensity was insignificant"”mean (r=−0.04, p=0.78) and peak (r=−0.05, p=0.70). However, there was a significant difference (p<0.02) in the perceived exertion ratings depending on the cerebral hemisphere where the stroke occurred. Patients with left-hand side lesions rated their perceived exertion as 4.5 (min-max, 0.5-8), whereas patients with right-hand side lesions rated their perceived exertion as 5.0 (2-8).
CONCLUSION
While there was an insignificant correlation between perceived exertion and effort intensity measured by a wearable sensor, a consistent variations in perceived exertion estimates according to the side of the cerebral lesion was identified and established.

Keyword

Borg scale; Physical activity; Intensity; Accelerometer; Rehabilitation

MeSH Terms

Accelerometry*
Cerebrum
Humans
Motor Activity
Rehabilitation
Stroke*

Reference

1. Billinger SA, Arena R, Bernhardt J, Eng JJ, Franklin BA, Johnson CM, et al. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2014; 45:2532–53.
2. Gordon NF, Gulanick M, Costa F, Fletcher G, Franklin BA, Roth EJ, et al. Physical activity and exercise recommendations for stroke survivors: an American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Circulation. 2004; 109:2031–41.
3. Danielsson A, Willen C, Sunnerhagen KS. Physical activity, ambulation, and motor impairment late after stroke. Stroke Res Treat. 2012; 2012:818513.
Article
4. Ng SS, Tsang WW, Cheung TH, Chung JS, To FP, Yu PC. Walkway length, but not turning direction, determines the six-minute walk test distance in individuals with stroke. Arch Phys Med Rehabil. 2011; 92:806–11.
Article
5. Touillet A, Guesdon H, Bosser G, Beis JM, Paysant J. Assessment of compliance with prescribed activity by hemiplegic stroke patients after an exercise programme and physical activity education. Ann Phys Rehabil Med. 2010; 53:250–65.
Article
6. Koopman AD, Eken MM, van Bezeij T, Valent LJ, Houdijk H. Does clinical rehabilitation impose sufficient cardiorespiratory strain to improve aerobic fitness? J Rehabil Med. 2013; 45:92–8.
Article
7. Wu T, Dong Y, Hu X, Li J, Shi ZH. Exercise intensity criteria for routine rehabilitation therapy for stroke patients. J Phys Ther Sci. 2015; 27:645–7.
Article
8. Camden MC. L’AVC cardioembolique: la semiologie et l’investigation etiologique. Le Clinicien. 2008; 5:61–6.
9. Gebruers N, Vanroy C, Truijen S, Engelborghs S, De Deyn PP. Monitoring of physical activity after stroke: a systematic review of accelerometry-based measures. Arch Phys Med Rehabil. 2010; 91:288–97.
Article
10. Westerterp KR. Assessment of physical activity: a critical appraisal. Eur J Appl Physiol. 2009; 105:823–8.
Article
11. Lacroix J, Daviet JC, Borel B, Kammoun B, Salle JY, Mandigout S. Physical activity level among stroke patients hospitalized in a rehabilitation unit. PM R. 2016; 8:97–104.
12. World Medical Association. Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects [Internet]. Ferney-Voltaire, France: The Nordic Cochrane Centre, The Cochrane Collaboration;2018. [cited 2018 Nov 15]. Available from: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/.
13. Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. MD State Med J. 1965; 14:61–5.
14. Brun V, Mousbeh Z, Jouet-Pastre B, Benaim C, Kunnert JE, Dhoms G, et al. Evaluation clinique de la marche de l’hemiplegique vasculaire: proposition d’une modification de la functional ambulation classification. Ann Readapt Med Phys. 2000; 43:14–20.
15. Gellez-Leman MC, Colle F, Bonan I, Bradai N, Yelnik A. Evaluation des incapacites fonctionnelles chez le patient hemiplegique: mise au point. Ann Readapt Med Phys. 2005; 48:361–8.
16. Borg G. Psychophysical scaling with applications in physical work and the perception of exertion. Scand J Work Environ Health. 1990; 16 Suppl 1:55–8.
Article
17. Manns PJ, Haennel RG. SenseWear armband and stroke: validity of energy expenditure and step count measurement during walking. Stroke Res Treat. 2012; 2012:247165.
Article
18. Sage M, Middleton LE, Tang A, Sibley KM, Brooks D, McIlroy W. Validity of rating of perceived exertion ranges in individuals in the subacute stage of stroke recovery. Top Stroke Rehabil. 2013; 20:519–27.
Article
19. Fanchini M, Ghielmetti R, Coutts AJ, Schena F, Impellizzeri FM. Effect of training-session intensity distribution on session rating of perceived exertion in soccer players. Int J Sports Physiol Perform. 2015; 10:426–30.
Article
20. Moore SA, Hallsworth K, Bluck LJ, Ford GA, Rochester L, Trenell MI. Measuring energy expenditure after stroke: validation of a portable device. Stroke. 2012; 43:1660–2.
21. Mandigout S, Lacroix J, Ferry B, Vuillerme N, Compagnat M, Daviet JC. Can energy expenditure be accurately assessed using accelerometry-based wearable motion detectors for physical activity monitoring in post-stroke patients in the subacute phase? Eur J Prev Cardiol. 2017; 24:2009–16.
Article
Full Text Links
  • ARM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr