Advancing Neurorehabilitation and Recovery Through Human Movement Quantification via Wearable Sensing.

Wearable movement sensing has enormous potential to transform the field of neurorehabilitation and neural repair. This perspective paper discusses: (1) the case for wearable sensing as a compelling, scalable measurement tool, (2) moving from first generation to second generation research in wearable...

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Published in:Neurorehabilitation & Neural Repair Vol. 40; no. 9; pp. 746 - 760
Main Authors: Lang, Catherine E., Miller, Allison E., Macpherson, Chelsea E., Bland, Marghuretta D., Holleran, Carey L., Lohse, Keith R.
Format: pictorial tables/charts Journal Article
Published: Sage Publications Inc. Sep2026
Online Access:View this record in EBSCOhost
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      dt: Sep2026
      vid: 40
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Advancing Neurorehabilitation and Recovery Through Human Movement Quantification via Wearable Sensing.
      aug:
        au:
          Lang, Catherine E.
          Miller, Allison E.
          Macpherson, Chelsea E.
          Bland, Marghuretta D.
          Holleran, Carey L.
          Lohse, Keith R.
        affil: Program in Physical Therapy, WashU Medicine, Saint Louis, MO, USA
      sug:
        subj:
          Nervous System Diseases Rehabilitation
          Recovery
          Wearable Sensors Utilization
          Movement Evaluation
          Clinical Assessment Tools
          Research, Medical
          Data Analysis
          Motor Skills
          Digital Health
          Biological Markers Analysis
          Implementation Science
          Digital Technology
          Accelerometry
          Activities of Daily Living
          Functional Status
      ab: Wearable movement sensing has enormous potential to transform the field of neurorehabilitation and neural repair. This perspective paper discusses: (1) the case for wearable sensing as a compelling, scalable measurement tool, (2) moving from first generation to second generation research in wearable movement sensing, (3) the enormity in the potential range of use cases for wearable technology, and (4) challenges that lie ahead for moving from research space into clinical rehabilitation care. Wearable sensors, as a measurement tool, offer a data-rich avenue for measuring numerous dimensions of motor behavior in the clinic and in daily life, complementing other available tools. Second-generation research questions focus on determining how to quantify, for whom, when, and with what variable(s). Answering these second-generation questions requires substantial evidence at the individual use case level; we provide 1 exemplar variable and its evidence within stroke recovery and rehabilitation. Potential use cases for deployment of wearable movement sensors span developmental, acquired, and degenerative neurological conditions and variables extracted can be intended as digital biomarkers and/or digital clinical outcome assessments. As research progresses, we look forward to the translation of this measurement tool into routine clinical care and welcome implementation challenges related to readiness, approach, and presentation in the busy, complex, healthcare arena. Achieving the promise of wearable movement sensing will require extensive collaboration, as exemplified by Dr. Wolf, across research teams, disciplines, institutions, people with lived experience, and other stakeholders.
      pubtype: Academic Journal
      doctype:
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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