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A Method for Quantifying Upper Limb Performance in Daily Life Using Accelerometers
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Upper-limb activity in adults: referent values using accelerometry.

Ryan R Bailey1, Catherine E Lang

  • 1Programs in Physical Therapy and Occupational Therapy, Department of Neurology, Washington University School of Medicine, St. Louis, MO.

Journal of Rehabilitation Research and Development
|January 25, 2014
PubMed
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Upper-limb (UL) rehabilitation aims to restore daily function. Accelerometry shows that increased sedentary time, not other factors, reduces UL activity hours in adults, informing rehabilitation goals.

Area of Science:

  • Physical therapy and rehabilitation science.
  • Biomedical engineering and sensor technology.
  • Human movement and activity analysis.

Background:

  • Restoring upper-limb (UL) function is key in physical rehabilitation.
  • Real-world UL activity assessment is crucial, complementing clinical capacity measures.
  • Accelerometry offers objective quantification of UL activity outside clinical settings.

Purpose of the Study:

  • To characterize daily upper-limb (UL) activity duration in community-dwelling adults.
  • To investigate potential modifying factors influencing UL activity, including sedentary behavior, cognitive function, and demographics.
  • To establish a baseline for UL activity to inform rehabilitation outcome goals.

Main Methods:

  • Seventy-four adults wore accelerometers on both wrists for 25 hours.
Keywords:
accelerometryarm activitycapacitycognitive impairmentdepressionfunctionreal-world activityreferent datasedentary activityupper-limb activity

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  • Data on sedentary activity, cognitive impairment, depression, comorbidities, cohabitation, and age were collected.
  • Statistical analysis correlated UL activity duration with identified modifying factors.

    • Main Results:

    • Mean dominant UL activity was 9.1 hours daily.
    • The ratio of nondominant to dominant UL activity was 0.95.
    • Increased sedentary activity was significantly associated with decreased dominant UL activity hours.

    Conclusions:

    • Sedentary behavior is a key factor limiting real-world upper-limb (UL) activity.
    • These findings aid clinicians in setting patient-specific rehabilitation goals based on pre-impairment activity levels.
    • Accelerometry data can track UL rehabilitation progress effectively.