Where to record motor activity: an evaluation of commonly used sites of placement for activity monitors

The aim of this study was to evaluate the role of the site of attachment of activity monitors. We compared mean diurnal and nocturnal motor activity measures as well as the daily pattern of motor activity of dominant and non-dominant wrist recordings over 5 successive days of 10 healthy right-handed and 10 left-handed subjects. In a second study we evaluated the relationship between truncal motor activity and wrist motor activity. No differences emerged between the diurnal and nocturnal measures as well as the diurnal activity pattern of the dominant and the non-dominant wrist. Additionally, no differences were found in relation to handedness. Our results show that it is inaccurate to regard wrist motor activity measurements as representative of an invariable percentage of truncal motor activity; the relation between the measurements of these two recording sites varies across the daytime period. During the nocturnal period bilateral wrist motor activity occurred frequently in absence of truncal motor activity. The reverse situation, however, may occur sporadically. This finding most likely reflects that integrated generalized movements like postural shifts are measured at all recording sites, while the small movements that occur at the distal extremities are predominantly recorded by wrist-worn monitors. In conclusion, it is apparent that for both diurnal and nocturnal studies on the assessment of motor activity, either wrist can be chosen as the recording site. Across the diurnal period the relation between motor activity recorded at the wrist and waist is subject to considerable variability.(ABSTRACT TRUNCATED AT 250 WORDS)