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. Author manuscript; available in PMC: 2023 Oct 1.
Published in final edited form as: Disabil Rehabil. 2021 Jul 30;44(20):6119–6138. doi: 10.1080/09638288.2021.1957027

Table 4.

Sensor-assisted treatment.

Author Participants UE disability Sensor information Data collection/treatment Data processing Data analysis Results
Chae et al. [70] N=23 stroke, chronic
n=6 control group (no feedback) n=17 treatment group (feedback)
FMA = 29 (control group), 36.6 (treatment group) Brand: LG smartwatch, IMU
Number: 1
Placement: affected wrist
Home: sensor data collected whenever smartphone app used by participants.
Treatment: completed 4 home exercises daily over 12-weeks, treatment group received
weekly feedback on type and amount of exercises they completed
Labeling:
Home exercise tasks, observation notes
Preprocessing: not specified
Model type: ML, convolutional neural network (deep learning), cross-validation testing
Training: supervised
Classification: home exercise tasks (shoulder flexion, wall pushups, scapular exercise, towel slides)
Validation: out-of-subject testing
Accuracy:
0.99 (personal data)
0.95 (total data)
Training time for home exercises (minutes per day):
13.6 control group (self-report)
22.6 treatment group(sensor data)
Change in WMFT scores, baseline to discharge:
3.4 control
2.8 treatment
Change in shoulder flexion, baseline to discharge (degrees):
5.5 control
20.2 treatment
Change in shoulder internal rotation, baseline to discharge (degrees):
6.5 control
13.1 treatment
Da-Silva et al. [68] N=11 stroke, acute, and subacute ARAT = 39 (mean) Brand: CueS, ACC
Number: 1
Placement: affected wrist
Inpatient: 1 week to set prompt levels
Home:
12 h/day ×4 weeks.
Treatment: provided external vibration cue if UE activity did not reach customized threshold level
Labeling: NA
Preprocessing: not specified
Metrics:
Median signal vector magnitude (calculated every 3 days to set threshold for vibration cues)
Adherence to wearing sensors = 89%
11–29% increase in mean activity one-hour post vibration cue
Cueing frequency preference higher for severe group and lower for mild group
Da-Silva et al. [69] N=33 stroke, subacute
n=19 control group(no vibration)
n=14 treatment group (vibration)
ARAT = 15 (control group), 37 (treatment group) Brand: CueS, ACC
Number: 1
Placement: affected wrist
Inpatient and home: Sensors worn 12 h/day ×4 weeks.
Treatment: provided external vibration cue if UE activity did not reach customized ACC threshold level
Labeling: NA
Preprocessing: not specified
Metrics:
Median signal vector magnitude (calculated every 3 days to set threshold for vibration cues)
Adherence to wearing sensors = 79%
Responses to receiving wrist vibration cue (self-report):
43% practiced activities from daily activities list
38% practiced their own self-chosen activity
17% ignored the cue
Cueing frequency preference:
8 cues per day, hourly basis
Lee et al. [72] n=10 control
n=20stroke, chronic
FMA = 37 (mean) Brand: Shimmer, IMU
Number: 2
Placement: bilateral wrist
Outpatient: ADLs targeting unilateral, bilateral and stabilization skills, strength and range of motion exercises
Stakeholder survey of therapists (n=13) and stroke survivors (n=17) on user feasibility of proposed approach
Labeling: video
Preprocessing: band-pass filtering
Model type: ML, logistic regression,
nearest neighbor with dynamic time warping algorithm, random forest algorithm
Training: supervised
Classification: functional/non-functional movement, feedback/no feedback, types of feedback categories (compensatory or accuracy)
Validation: out-of-subject testing
Accuracy, functional/non-functional movement classification:
0.87 control and stroke unaffected UE
Sensitivity, feedback/no-feedback classification:
0.83 stroke
Sensitivity, type of feedback,
compensatory classification:
0.64 stroke
Sensitivity, type of feedback, accuracy classification:
0.76 stroke
Survey, therapists:
91.2% willing to use in clinical practice
Survey, stroke survivors:
76.5% willing to use the system
88.2% willing to use the system with therapist recommendation
Survey, stroke survivors, preferred method of receiving UE feedback:
29.4% visual
23.5% vibration
35.3% sound and vibration
Whitford et al. [71] N=8 stroke, chronic FMA = 32 (mean) Brand: Actigraph, ACC
Number: 2
Placement: bilateral wrist
Home: sensors worn for 3-week treatment period
Treatment: 7 feedback sessions provided over 3 weeks on duration of use, acceleration magnitude, use ratio
Labeling: NA
Preprocessing: built-in software
Metrics:
Activity counts (proprietary software)
Duration of use
Use ratio
Acceleration magnitude
Adherence to wearing sensors:
100%
Perceived UE use at home:
1.93 MAL AOU baseline
2.84 MAL AOU discharge

ACC: accelerometer; ARAT: Action Research Arm Test; FMA: Fugl-Meyer Assessment; IMU: inertial measurement unit; MAL AOU: Motor Activity Log, Amount of Use Subscale; ML: machine learning; WMFT: Wolf Motor Function Test.

Participants: number of healthy and/or stroke participants, level of chronicity (acute: onset – 1 month, subacute 1–6 months, chronic >6 months); UE disability: motor impairment (FMA) or activity limitation (ARAT); sensor information: name and type of device, number and location of sensors placed on the UE; data collection/treatment: location and type of UE motion collected; summary of study intervention; data processing: methods for data labeling and preprocessing; data analysis: motion data metrics calculated OR model type (machine learning or non-machine learning), training type (supervised/unsupervised), classification of UE motion (performance feedback categories), and validation of algorithm (out-of-subject, in-subject testing); results: UE training augmentation, performance of algorithm (sensitivity or accuracy).