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Accelerometers-embedded Lycra sleeves to test wear compliance and upper limb activity in people with stroke: A feasibility study

Kumar, Praveen; Brodie, Shannon; Molton, Jennifer; O'Reilly, Rosie; Steele, Jade; Pearce, Alex; Leake, Jason; Caleb-Solly, Praminda

Accelerometers-embedded Lycra sleeves to test wear compliance and upper limb activity in people with stroke: A feasibility study Thumbnail


Authors

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Dr Praveen Kumar Praveen.Kumar@uwe.ac.uk
Associate Professor in Stroke Rehabilitation

Shannon Brodie

Jennifer Molton

Rosie O'Reilly

Jade Steele

Alex Pearce

Jason Leake Jason.Leake@uwe.ac.uk
Hourly Paid Demonstrator - E - FET - EDM - UEDM0000

Praminda Caleb-Solly



Abstract

Introduction To establish a possible effect of Lycra sleeves, accurate recording of wear time is critical. The aim of this study was to test whether an accelerometer-embedded Lycra sleeve can measure wear compliance and record upper-limb (UL) movements/activity in people with stroke. Methods Seven adults with stroke resulting in unilateral UL weakness were approached for participation in this study as a convenience sample, and five participants were recruited. Participants wore accelerometer-embedded Lycra sleeve on their affected arm for 8 to 10 hrs/d for 14 days and were prescribed four simple UL exercises. They completed a diary to record daily sleeve wear time and exercise times. Upper-limb function, shoulder muscle strength, range of movement, and pain were assessed at days 1 and 14. Results Seven participants were approached, and five participants (72 ± 10 years) were recruited. The mean time since stroke was 20 months. Using an acceleration movement threshold of 0.01 g (g = acceleration of gravity) and the constructed algorithm, the sleeve donning and doffing time was identified. The mean accelerometer and diary-recorded wear time were 11.64 hrs/d (SD, 2.64) and 11.27 hrs/d (SD, 2.03), respectively. Individual spikes above threshold indicated UL activity but could not distinguish participant-recorded exercises from daily UL use. Arm function showed improvement in three of five participants. Conclusions Accelerometers provide a practical method to record wear time of a Lycra sleeve, overcoming the necessity for patients to keep diaries, which can often be unreliable. A more sensitive accelerometer that can detect the direction of the acceleration and movement should be considered in future studies. Clinical Relevance Accelerometers provide accurate data on Lycra sleeve wear time and may help with monitoring adherence.

Journal Article Type Article
Acceptance Date Jul 24, 2021
Online Publication Date Dec 21, 2021
Publication Date Apr 1, 2023
Deposit Date Aug 6, 2021
Publicly Available Date Dec 22, 2022
Journal Journal of Prosthetics and Orthotics
Print ISSN 1040-8800
Publisher Lippincott, Williams & Wilkins
Peer Reviewed Peer Reviewed
Volume 35
Issue 2
Pages 122-128
DOI https://doi.org/10.1097/JPO.0000000000000406
Keywords Accelerometers, Lycra Sleeves, Wear compliance, Upper limb Activity, Stroke
Public URL https://uwe-repository.worktribe.com/output/7605085
Related Public URLs https://journals.lww.com/jpojournal/Abstract/2023/04000/Accelerometers_Embedded_Lycra_Sleeves_to_Test_Wear.7.aspx

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Accelerometers-embedded Lycra sleeves to test wear compliance and upper limb activity in people with stroke: A feasibility study (331 Kb)
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http://creativecommons.org/licenses/by-nc/4.0/

Publisher Licence URL
http://creativecommons.org/licenses/by-nc/4.0/

Copyright Statement
This is the author’s accepted manuscript of the article ‘Kumar, P., Brodie, S., Molton, J., O'Reilly,, R., Steele, J., Pearce,, A., …Caleb-Solly, J. L. P. P. C. (2023). Accelerometers-embedded Lycra sleeves to test wear compliance and upper limb activity in people with stroke: A feasibility study. Journal of Prosthetics and Orthotics, 35(2), 122-128’. DOI: https://doi.org/10.1097/JPO.0000000000000406

The final published version is available here: https://journals.lww.com/jpojournal/Abstract/2023/04000/Accelerometers_Embedded_Lycra_Sleeves_to_Test_Wear.7.aspx


Accelerometers-embedded Lycra sleeves to test wear compliance and upper limb activity in people with stroke: A feasibility study (138 Kb)
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Licence
http://creativecommons.org/licenses/by-nc/4.0/

Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved

Copyright Statement
This is the author’s accepted manuscript of the article ‘Kumar, P., Brodie, S., Molton, J., O'Reilly,, R., Steele, J., Pearce,, A., …Caleb-Solly, J. L. P. P. C. (2023). Accelerometers-embedded Lycra sleeves to test wear compliance and upper limb activity in people with stroke: A feasibility study. Journal of Prosthetics and Orthotics, 35(2), 122-128’. DOI: https://doi.org/10.1097/JPO.0000000000000406

The final published version is available here: https://journals.lww.com/jpojournal/Abstract/2023/04000/Accelerometers_Embedded_Lycra_Sleeves_to_Test_Wear.7.aspx








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