Evaluation of a Body-Worn Sensor System to Measure Physical Activity in Older People With Impaired Function.

Background. There is limited information on reliable and valid measures of physical activity in older people with impaired function. Objective. This study was conducted to compare the accuracy of single-axis accelerometers in recognizing postures and transitions and step counting with the accuracy o...

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Publicado en:Physical Therapy Vol. 91; no. 2; pp. 277 - 286
Autores principales: Taraldsen, Kristin, Askim, Torunn, Sletvold, Olav, Einarsen, Elin Kristin, BjÃ¥stad, Karianne Grüner, Indredavik, Bent, Helbostad, Jorunn Laegdheim
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2011
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Evaluation of a Body-Worn Sensor System to Measure Physical Activity in Older People With Impaired Function.
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          Taraldsen, Kristin
          Askim, Torunn
          Sletvold, Olav
          Einarsen, Elin Kristin
          BjÃ¥stad, Karianne Grüner
          Indredavik, Bent
          Helbostad, Jorunn Laegdheim
        affil: PhD student, Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway; Department of Geriatrics, St. Olav¿s Hospital, Trondheim University Hospital, Olav Kyrres g 17, N-7006 Trondheim, Norway
      sug:
        subj:
          Physical Activity Evaluation
          Persons with Disabilities
          Accelerometers
          Equipment Reliability
          Human
          Aged
          Cross Sectional Studies
          Clinical Assessment Tools
          Scales
          Barthel Index
          Data Analysis Software
          Videorecording
          P-Value
          Validation Studies
          Funding Source
          Body Positions
          Female
          Male
          Middle Age
          Aged, 80 and Over
          Stroke Physiopathology
          Hip Fractures Physiopathology
          Gait
          Aged: 65+ years
          Middle Aged: 45-64 years
          Aged, 80 & over
          Female
          Male
      ab: Background. There is limited information on reliable and valid measures of physical activity in older people with impaired function. Objective. This study was conducted to compare the accuracy of single-axis accelerometers in recognizing postures and transitions and step counting with the accuracy of video recordings in people with stroke (n=14), older inpatients (n=14), people with hip fracture (n=8), and a reference group of 10 adults who were healthy. Design. This was a cross-sectional study, evaluating the concurrent validity of small body-worn accelerometers against video observations as the criterion measure. Methods. Activity data were collected from 3 sensors (activPAL) attached to the thighs and the sternum and from registration of the same activities from video recordings. Participants performed a test protocol of in-bed, transfer, and walking activities. Results. The sensor system was highly accurate in classifying lying, sitting, and standing positions (100%) and in recognizing transitions from lying to sitting positions and from sitting to standing positions (100%). Placement of a sensor on the nonaffected leg resulted in less underestimation of step counts than placement on the affected leg. Still, the sensor system underestimated step counts during walking, especially at slow walking speeds (≤0.47 m/s) (limits of agreement=-2.01 to 16.54, absolute percent error=40.31). Limitations. The study was performed in a controlled setting and not during the natural performance of activities. Conclusions. The activPAL sensor system provides valid measures of postures and transitions in older people with impaired walking ability. Step counting needs to be improved for the sensor system to be acceptable for this population, especially at slow walking speeds.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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