22. European Stroke Conference 2017 Acute stroke: treatment concepts for physiotherapists and nurses A new computerised system can continuously measure functional activities of patients in a stroke rehabilitation unit. A. S. Iqbal1, P. R. Woznowski2, A. Cooper3, A. D. Preece4, R . van Deursen5 School of Healthcare Studies Cardiff University, Cardiff, UNITED KINGDOM1, School of Computer Sciences and Informatics Cardiff University, Cardiff, UNITED KINGDOM2, College of Human and Health Sciences Swansea University, Swansea, UNITED KINGDOM3, School of Computer Sciences and Informatics Cardiff University, Cardiff, UNITED KINGDOM4, School of Healthcare Studies Cardiff University, Cardiff, UNITED KINGDOM5 Background: To be able to measure patient activity in a continuous and unobtrusive manner we are developing a new automated system based on Real Time Location Technology. This would also al-low us to overcome limitations of the current activity monitoring methods. Having established excellent reliability of the system (Intraclass Correlation Coefficients≥0.90) we validated it against Observational Behaviour Mapping Techniques and obtained a high level of agreement between the two methods. The mean differences for time spent in own room and physio-therapy room were 1.1 and 1.5 minutes respectively. To date, the system has measured continuous activity of 43 patients from admission to discharge. Methods: Each participant wore a Radio Frequency identification tag with an in-built motion sensor. This tag, worn on the unaffected wrist receives infra-red location signals from room locators fitted in all rooms accessed by the patients. The tag transmits the location and movement signals to a com-puter. Bespoke software programmes were developed to collect and process data. Descriptive statis-tics and charts were used for analysis. Results: Here we report the individual activity profiles of 2 patients. Summary charts (emailed sepa-rately) illustrate some individual differences in the activity of these patients. Both patients spent the majority of their time in their own rooms (mean 88.6% and 77.5%) where patient 2 was less active. Patients were most active whilst in physiotherapy (mean 98% and 95%). Conclusion: With further development of the software we are aiming to build a comprehensive pic-ture of functional recovery. Therefore, the analysis of other key aspects such as time spent sitting in the chair, lying in bed, transfers or walking in the corridor will be added. This may also give more insight into the kind of activity undertaken in their own rooms. Ultimately, the aim is to generate a better understanding of early rehabilitation post stroke. 204 © 2013 S. Karger AG, Basel 7. Nurses & AHP‘s Meeting 2018 Cerebral reorganization and recovery for physiotherapists ACCURACY OF CANCELLATION AND BISECTION TESTS FOR DETECTING UNILAT-ERAL SPATIAL NEGLIGENCE AFTER STROKE R. Bazan1, G.J. Luvizutto2, T.A. Monteiro3, R.M. Theotonio4, L.A.L. Resende5 Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho - UNESP, Botucatu, BRAZIL1, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesqui-ta Filho - UNESP, Botucatu, BRAZIL2, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho - UNESP, Botucatu, BRAZIL3, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho - UNESP, Botucatu, BRAZIL4, Botucatu School of Medi-cine, University Estadual Paulista Júlio de Mesquita Filho - UNESP5 Background: Instruments for evaluating unilateral spatial negligence (USN) usually use objects like pen and paper, in target bisection or cancellation tests, but recent discussions have asked which of the tests would be more accurate for detecting USN. The objective of this study was to evaluate correlation between the gold standard (Star Cancellation Task - SCT) and a target cancellation and bisection test. Methods: This was an observational study in patients with right hemisphere ischemic stroke confirmed by computerised tomography, admitted to Botucatu School of Medicine Teach-ing Hospital. USN scores were obtained by SCT (gold standard), the Line Cancellation Task (LCT) for target cancellation, and the Line Bisection Task (LBT) for line bisection. Sampling was by an intentional non-probabilistic method and linear regression models were used to estimate level of precision between the gold standard and the other tests. Results: Seventeen patients were evaluat-ed between January and November 2012 (Mean age: 66+/-12 years; National Institutes of Health Stroke Scale: 5+/-2,4; Modified Rankin Scale: 3+/-0,8; Ischemic stroke: 77%). The difference be-tween LCT and LBT scales required equalising to evaluate which one compared better with STC. The scale was standardised by subtracting each value from the mean and dividing it by the standard deviation. Confidence intervals for the relationship between the SCT points and those obtained from the other tests are identical, with IC95% = (0.04 – 0.07), showing no difference between them (p<0.001), with r²=69.3% in the comparison with LCT and r²=75% with LBT. Conclusion: All tests were considered sensitive for detecting USN in individuals after stroke, so when the gold standard cannot be applied, either of the other tests can be used to accurately evaluate USN.
Karger_ESC London_2013
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