Shlomo Barak|Samuel S. Wu|Yunfeng Dai|Pamela W. Duncan|Andrea L. Behrman
Adherence to Accelerometry Measurement of Community Ambulation Poststroke
Kaye Academic College of Education|Sheba Medical Center|Edmond and Lily Safra Children's Hospital|University of Florida|University of Florida|Wake Forest University|University of Louisville|Neurological Surgery
background step activity monitor sam quantifies steps taken home community patient populations although sam used study individuals stroke adherence use sams addressed participants adherence wearing monitor critical obtaining accurate assessments objective purpose study determine rate predictors inferred adherence use sam stroke design crosssectional design used methods communitydwelling individuals n408 2 months stroke moderatetosevere gait impairment gait speed 08 ms studied step activity assessed 2 days sam inferred adherence established 3 periods 600 1200 pm 1201 pm 600 pm 601 pm 1200 adherence defined activity recorded 3 periods percentage participant adherence first day second day days either day calculated demographic clinical characteristics adherers nonadherers compared independent adherence predictors identified means stepwise logistic regression results inferred adherence rates first day second day days either day 68 61 53 76 respectively upper lower extremity impairment balance control endurance significantly different adherers nonadherers hand older age greater balance selfefficacy better walking endurance significant predictors adherence limitations participants individuals subacute stroke therefore findings study may generalized individuals acute chronic phases stroke recovery conclusions strategies improve adherence needed collecting data 1 day samples younger individuals low levels balance selfefficacy walking endurance