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Quantifying Poststroke Apathy With Actimeters.

Andrew M Goldfine1, Behdad Dehbandi1, Juliana M Kennedy1

  • 1From the Dept. of Neurology, Stony Brook Medicine, Stony Brook, NY (AMG); Burke Medical Research Institute, White Plains, NY (BD, JMK, BS, CS, DP); and Weill Cornell Medical College of Cornell University, New York, NY (BD, DP).

The Journal of Neuropsychiatry and Clinical Neurosciences
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Summary
This summary is machine-generated.

Wrist-worn actimeters may help measure poststroke apathy severity. While not a standalone diagnostic tool, this technology offers objective data for patients with an intact upper extremity.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Poststroke apathy is a common condition affecting patient recovery.
  • Objective measures for quantifying apathy severity are needed.
  • Wrist-worn actimeters offer a potential solution for objective assessment.

Purpose of the Study:

  • To test the hypothesis that wrist-worn actimeters can quantify poststroke apathy severity.
  • To explore the relationship between actimeter data and apathy scores.

Main Methods:

  • Studied 57 patients in acute rehabilitation for stroke.
  • Utilized wrist-worn actimeters to measure movement.
  • Assessed apathy using the Apathy Inventory score.
  • Accounted for motor deficits and patient age.

Main Results:

  • Each Apathy Inventory score increment correlated with 5.6 fewer minutes of movement per hour.
  • The statistical model explained only 34% of the variance in movement time (R²=0.34).
  • Actimeter data showed potential as an objective measure for apathy.

Conclusions:

  • Wrist-worn actimeters may objectively quantify poststroke apathy in patients with an intact upper extremity.
  • Actimetry alone is insufficient for diagnosing apathy.
  • Further research is needed to identify unexplained factors influencing movement time.