Assessing Upper Limb Motor Function in the Immediate Post-Stroke Perioud Using Accelerometry

Abstract

Accelerometry has been extensively studied as an objective means of measuring upper limb function in patients post-stroke. The objective of this paper is to determine whether the accelerometry-derived measurements frequently used in more long-term rehabilitation studies can also be used to monitor and rapidly detect sudden changes in upper limb motor function in more recently hospitalized stroke patients. Six binary classification models were created by training on variable data window times of paretic upper limb accelerometer feature data. The models were assessed on their effectiveness for differentiating new input data into two classes: severe or moderately severe motor function. The classification models yielded Area Under the Curve (AUC) scores that ranged from 0.72 to 0.82 for 15-minute data windows to 0.77 to 0.94 for 120-minute data windows. These results served as a preliminary assessment and a basis on which to further investigate the efficacy of using accelerometry and machine learning to alert healthcare professionals to rapid changes in motor function in the days immediately following a stroke.