Remote Physical Activity Monitoring in Neurological Disease: A Systematic Review
Open Access
- 28 April 2016
- journal article
- review article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 11 (4), e0154335
- https://doi.org/10.1371/journal.pone.0154335
Abstract
To perform a systematic review of studies using remote physical activity monitoring in neurological diseases, highlighting advances and determining gaps. Studies were systematically identified in PubMed/MEDLINE, CINAHL and SCOPUS from January 2004 to December 2014 that monitored physical activity for ≥24 hours in adults with neurological diseases. Studies that measured only involuntary motor activity (tremor, seizures), energy expenditure or sleep were excluded. Feasibility, findings, and protocols were examined. 137 studies met inclusion criteria in multiple sclerosis (MS) (61 studies); stroke (41); Parkinson's Disease (PD) (20); dementia (11); traumatic brain injury (2) and ataxia (1). Physical activity levels measured by remote monitoring are consistently low in people with MS, stroke and dementia, and patterns of physical activity are altered in PD. In MS, decreased ambulatory activity assessed via remote monitoring is associated with greater disability and lower quality of life. In stroke, remote measures of upper limb function and ambulation are associated with functional recovery following rehabilitation and goal-directed interventions. In PD, remote monitoring may help to predict falls. In dementia, remote physical activity measures correlate with disease severity and can detect wandering. These studies show that remote physical activity monitoring is feasible in neurological diseases, including in people with moderate to severe neurological disability. Remote monitoring can be a psychometrically sound and responsive way to assess physical activity in neurological disease. Further research is needed to ensure these tools provide meaningful information in the context of specific neurological disorders and patterns of neurological disability.Keywords
Funding Information
- National Center for Advancing Translational Sciences of NIH (KL2TR000143)
This publication has 157 references indexed in Scilit:
- Validation of patient determined disease steps (PDDS) scale scores in persons with multiple sclerosisBMC Neurology, 2013
- Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancyThe Lancet, 2012
- Physical inactivity in Parkinson’s diseaseZeitschrift für Neurologie, 2011
- Accelerometry and Its Association With Objective Markers of Walking Limitations in Ambulatory Adults With Multiple SclerosisArchives of Physical Medicine and Rehabilitation, 2010
- Circuit-Based Rehabilitation Improves Gait Endurance but Not Usual Walking Activity in Chronic Stroke: A Randomized Controlled TrialArchives Of Physical Medicine and Rehabilitation, 2009
- A behavioral observation system for quantifying arm activity in daily life after stroke.Rehabilitation Psychology, 2009
- Physical activity and quality of life in multiple sclerosis: Intermediary roles of disability, fatigue, mood, pain, self-efficacy and social supportPsychology, Health & Medicine, 2008
- Measuring Free-Living Physical Activity in Adults With and Without Neurologic Dysfunction With a Triaxial AccelerometerArchives of Physical Medicine and Rehabilitation, 2008
- Does the Relationship Between Physical Activity and Quality of Life Differ Based on Generic Versus Disease-Targeted Instruments?Annals of Behavioral Medicine, 2008
- Self-efficacy and environmental correlates of physical activity among older women and women with multiple sclerosisHealth Education Research, 2007