Journal of Rehabilitation Research & Development (JRRD)

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Volume 53 Number 6, 2016
   Pages 641 — 658

Abstract — Validity of activity monitors in wheelchair users: A systematic review

KaLai Tsang, BS;1–2 Shivayogi V. Hiremath, PhD;3 Theresa M. Crytzer, DPT, ATP;1–2 Brad E. Dicianno, MD;1,4 Dan Ding, PhD1–2,5*

1Human Engineering Research Laboratories, Department of Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, PA; 2Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA; 3Department of Physical Therapy, Temple University, Philadelphia, PA; Departments of 4Physical Medicine and Rehabilitation and 5Bioengineering, University of Pittsburgh, Pittsburgh, PA

Abstract — Assessing physical activity (PA) in manual wheelchair users (MWUs) is challenging because of their different movement patterns in comparison to the ambulatory population. The aim of this review was to investigate the validity of portable monitors in quantifying PA in MWUs. A systematic literature search was performed. The data source was full reports of validation and evaluation studies in peer-reviewed journals and conference proceedings. Eligible articles between January 1, 1999, and September 18, 2015, were identified in three databases: PubMed, Institute of Electrical and Electronics Engineers, and Scopus. A total of 164 articles (158 from the databases and 6 from the citation/reference tracking) were identified, and 29 met the eligibility criteria. Two investigators independently extracted the characteristics from each selected article following a predetermined protocol and completed seven summary tables describing the study characteristics and key outcomes. In the identified studies, the monitors were used to assess three types of PA measures: energy cost, user movement, and wheelchair movement. The customized algorithms/monitors did not estimate energy cost in MWUs as well as the commercial monitors did in the ambulatory population; however, they showed fair accuracy in measuring both wheelchair and user movements.

Key words: activities of daily living, activity tracking, energy expenditure, manual wheelchair users, motion sensors, physical activities, physical fitness, portable activity monitors, prediction models, wheelchair use.

View HTML ¦ View PDF ¦ Contents Vol. 53, No. 6
This article and any supplementary material should be cited as follows:
Tsang K, Hiremath SV, Crytzer TM, Dicianno BE, Ding D. Validity of activity monitors in wheelchair users: A systematic review. J Rehabil Res Dev. 2016;53(6):641–58.

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