Accepted Manuscript Investigating measures of intensity during a structured upper limb exercise programme in stroke rehabilitation: An exploratory study Louise A. Connell, PhD Naoimh E. McMahon, MA Lisa A. Simpson, MSc Caroline L. Watkins, PhD Janice J. Eng, PhD PII:
S0003-9993(14)00421-3
DOI:
10.1016/j.apmr.2014.05.025
Reference:
YAPMR 55865
To appear in:
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Received Date: 25 April 2014 Accepted Date: 29 May 2014
Please cite this article as: Connell LA, McMahon NE, Simpson LA, Watkins CL, Eng JJ, Investigating measures of intensity during a structured upper limb exercise programme in stroke rehabilitation: An exploratory study, ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION (2014), doi: 10.1016/ j.apmr.2014.05.025. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT TITLE PAGE
2
Running head
3
Measuring exercise intensity after stroke
4
Title
5
Investigating measures of intensity during a structured upper limb exercise programme in
6
stroke rehabilitation: An exploratory study
7
Authors
8
Louise A. Connell1, PhD
9
Naoimh E. McMahon1, MA
Caroline L. Watkins1, PhD
12
Janice J. Eng3, PhD
13
Author Institutions
15 16
Lancashire, Preston, PR1 2HE.
2. Graduate Program in Rehabilitation Sciences, University of British Columbia,
17 18
SC
1. Clinical Practice Research Unit, School of Health, University of Central
AC C
14
M AN U
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TE D
Lisa A. Simpson2, MSc
EP
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RI PT
1
212-2177 Wesbrook Mall, Vancouver, British Columbia, Canada, V6T 1Z3
3. Department of Physical Therapy, University of British Columbia, 212-2177
19
Wesbrook Mall, Vancouver, British Columbia, Canada, V6T 1Z3 (institution
20
where study was performed).
21
Funding 1
ACCEPTED MANUSCRIPT This article presents independent research funded by a National Institute for Health Research
23
(NIHR) Career Development Fellowship. The views expressed are those of the authors and
24
not necessarily those of the NHS, the NIHR or the Department of Health.
25
Conflicts of interest
26
None declared
27
Correspondence
28
Louise Connell,
29
Senior Research Fellow,
30
Brook 426,
31
Clinical Practice Research Unit,
32
School of Health,
33
University of Central Lancashire,
34
Preston,
35
PR1 2HE
Phone: 01772 893725
38
Email: [email protected]
AC C
EP
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39
M AN U
TE D
36
SC
RI PT
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2
ACCEPTED MANUSCRIPT 1
TITLE
2
Investigating measures of intensity during a structured upper limb exercise programme in
3
stroke rehabilitation: An exploratory study
RI PT
4 ABSTRACT
6
Objectives: To use three measures of intensity (i) time, (ii) observed repetitions and (iii)
7
wrist accelerometer activity counts to describe the intensity of exercise carried out when
8
completing a structured upper limb exercise programme. To explore if a relationship exists
9
between wrist accelerometer activity counts and observed repetitions.
M AN U
SC
5
Design: Observational study design.
11
Setting: Rehabilitation centre research laboratory.
12
Participants: Thirteen community dwelling stroke survivors with upper limb hemiparesis.
13
Intervention: Not applicable.
14
Main Outcome Measures: Time engaged in exercise, total repetitions and accelerometer
15
activity counts for the affected upper limb.
16
Results: Mean session time was 48.5 minutes (SD 7.8 minutes). Participants were observed
17
to be engaged in exercises for 63.8% (SD 7.5%) of the total session time. The median number
18
of observed repetitions per session was 340 (IQR 199-407) of which 251 (IQR 80-309) were
19
purposeful repetitions. Wrist accelerometers showed the stroke survivors’ upper limbs to be
20
moving for 75.7% (SD 15.9%) of the total session time. Purposeful repetitions and activity
21
counts were found to be significantly correlated (rs=0.627, p
S0003-9993(14)00421-3
DOI:
10.1016/j.apmr.2014.05.025
Reference:
YAPMR 55865
To appear in:
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Received Date: 25 April 2014 Accepted Date: 29 May 2014
Please cite this article as: Connell LA, McMahon NE, Simpson LA, Watkins CL, Eng JJ, Investigating measures of intensity during a structured upper limb exercise programme in stroke rehabilitation: An exploratory study, ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION (2014), doi: 10.1016/ j.apmr.2014.05.025. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT TITLE PAGE
2
Running head
3
Measuring exercise intensity after stroke
4
Title
5
Investigating measures of intensity during a structured upper limb exercise programme in
6
stroke rehabilitation: An exploratory study
7
Authors
8
Louise A. Connell1, PhD
9
Naoimh E. McMahon1, MA
Caroline L. Watkins1, PhD
12
Janice J. Eng3, PhD
13
Author Institutions
15 16
Lancashire, Preston, PR1 2HE.
2. Graduate Program in Rehabilitation Sciences, University of British Columbia,
17 18
SC
1. Clinical Practice Research Unit, School of Health, University of Central
AC C
14
M AN U
11
TE D
Lisa A. Simpson2, MSc
EP
10
RI PT
1
212-2177 Wesbrook Mall, Vancouver, British Columbia, Canada, V6T 1Z3
3. Department of Physical Therapy, University of British Columbia, 212-2177
19
Wesbrook Mall, Vancouver, British Columbia, Canada, V6T 1Z3 (institution
20
where study was performed).
21
Funding 1
ACCEPTED MANUSCRIPT This article presents independent research funded by a National Institute for Health Research
23
(NIHR) Career Development Fellowship. The views expressed are those of the authors and
24
not necessarily those of the NHS, the NIHR or the Department of Health.
25
Conflicts of interest
26
None declared
27
Correspondence
28
Louise Connell,
29
Senior Research Fellow,
30
Brook 426,
31
Clinical Practice Research Unit,
32
School of Health,
33
University of Central Lancashire,
34
Preston,
35
PR1 2HE
Phone: 01772 893725
38
Email: [email protected]
AC C
EP
37
39
M AN U
TE D
36
SC
RI PT
22
2
ACCEPTED MANUSCRIPT 1
TITLE
2
Investigating measures of intensity during a structured upper limb exercise programme in
3
stroke rehabilitation: An exploratory study
RI PT
4 ABSTRACT
6
Objectives: To use three measures of intensity (i) time, (ii) observed repetitions and (iii)
7
wrist accelerometer activity counts to describe the intensity of exercise carried out when
8
completing a structured upper limb exercise programme. To explore if a relationship exists
9
between wrist accelerometer activity counts and observed repetitions.
M AN U
SC
5
Design: Observational study design.
11
Setting: Rehabilitation centre research laboratory.
12
Participants: Thirteen community dwelling stroke survivors with upper limb hemiparesis.
13
Intervention: Not applicable.
14
Main Outcome Measures: Time engaged in exercise, total repetitions and accelerometer
15
activity counts for the affected upper limb.
16
Results: Mean session time was 48.5 minutes (SD 7.8 minutes). Participants were observed
17
to be engaged in exercises for 63.8% (SD 7.5%) of the total session time. The median number
18
of observed repetitions per session was 340 (IQR 199-407) of which 251 (IQR 80-309) were
19
purposeful repetitions. Wrist accelerometers showed the stroke survivors’ upper limbs to be
20
moving for 75.7% (SD 15.9%) of the total session time. Purposeful repetitions and activity
21
counts were found to be significantly correlated (rs=0.627, p
