A Novel Approach to Ambulatory Monitoring: An Investigation into Everyday Walking Activity in Patients with Sub-Acute Stroke
نویسنده
چکیده
Walking is an essential task important to recovery after stroke. However, there is a limited understanding regarding the characteristics of walking in in-patients with stroke. The objectives of this thesis were to: 1) develop an instrument capable of acquiring temporal characteristics of everyday walking; 2) investigate the quantity and control of everyday walking; and 3) profile the task-specific link between walking and cardiorespiratory response. In study 1 we developed and validated a wireless monitoring system (ABLE system). Study 2 revealed low quantities of everyday walking (x̄ 4816 steps; SD 3247) characterized by short bout durations (x̄ 59.8s; SD 23.4) and asymmetric walking. In study 3 we observed a modest task-related response in HR (19.4% HRR); however, the intensity and duration of everyday walking did not approach the guidelines for aerobic benefit. Monitoring in-patient walking can help guide clinical decision making in developing methods to maximize recovery after stroke.
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