TY - JOUR
T1 - Instruments measuring physical activity in individuals who use a wheelchair
T2 - a systematic review of measurement properties
AU - Lankhorst, Kristel
AU - Oerbekke, Michiel
AU - van den Berg-Emons, Rita
AU - Takken, Tim
AU - de Groot, Janke
N1 - Funding Information:
Supported by the Dutch Foundation Innovation Alliance (grant no. PRO-4-03), part of the Dutch Organization for Scientific Research.
Publisher Copyright:
© 2019 American Congress of Rehabilitation Medicine
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/3
Y1 - 2020/3
N2 - Objective: To systematically review the evidence evaluating validity or reliability of self-reported and device-based instruments, to measure physical activity (PA) in individuals who use a wheelchair, and to make recommendations for the selection of PA outcomes tools. Data Sources: PubMed, Embase, and CINAHL were systematically searched. Study Selection: Studies reporting measurement properties of instruments to assess PA in individuals who use a wheelchair. Data Extraction: The Consensus-Based Standards for the Selection of Health Status Measurement Instruments checklist was used to assess the methodological quality of the included studies. The measurement properties of instruments assessing PA were examined. Data Synthesis: The search yielded 5341 records, 61 were considered relevant, 21 articles were included. A best evidence synthesis was performed on 9 studies including 4 self-reported instruments and 13 studies including 8 device-based instruments. One study evaluated both self-reported and device-based instruments. The overall methodological quality of all studies ranged from poor to excellent. Variable levels of evidence were found for both the validity and reliability for self-reported instruments and for criterion validity for device-based instruments. Conclusions: The Physical Activity Scale for Individuals with Disabilities (PASIPD) and The Physical Activity Recall Assessment for People with Spinal Cord Injury (PARA-SCI) seem the most promising self-reported instruments for measuring the intensity of PA. Device-based instruments that can be used for measuring both the intensity and type of PA are the GENEActiv, Actigraph GT3X+, Actiheart, or the Physical Activity Monitor System (PAMS), showing moderate evidence for a positive rating of criterion validity. For measuring the type of PA, the PAMS and VitaMove are suitable, showing both good evidence for a positive rating of criterion validity.
AB - Objective: To systematically review the evidence evaluating validity or reliability of self-reported and device-based instruments, to measure physical activity (PA) in individuals who use a wheelchair, and to make recommendations for the selection of PA outcomes tools. Data Sources: PubMed, Embase, and CINAHL were systematically searched. Study Selection: Studies reporting measurement properties of instruments to assess PA in individuals who use a wheelchair. Data Extraction: The Consensus-Based Standards for the Selection of Health Status Measurement Instruments checklist was used to assess the methodological quality of the included studies. The measurement properties of instruments assessing PA were examined. Data Synthesis: The search yielded 5341 records, 61 were considered relevant, 21 articles were included. A best evidence synthesis was performed on 9 studies including 4 self-reported instruments and 13 studies including 8 device-based instruments. One study evaluated both self-reported and device-based instruments. The overall methodological quality of all studies ranged from poor to excellent. Variable levels of evidence were found for both the validity and reliability for self-reported instruments and for criterion validity for device-based instruments. Conclusions: The Physical Activity Scale for Individuals with Disabilities (PASIPD) and The Physical Activity Recall Assessment for People with Spinal Cord Injury (PARA-SCI) seem the most promising self-reported instruments for measuring the intensity of PA. Device-based instruments that can be used for measuring both the intensity and type of PA are the GENEActiv, Actigraph GT3X+, Actiheart, or the Physical Activity Monitor System (PAMS), showing moderate evidence for a positive rating of criterion validity. For measuring the type of PA, the PAMS and VitaMove are suitable, showing both good evidence for a positive rating of criterion validity.
KW - Accelerometry
KW - Exercise
KW - Physical activity
KW - Rehabilitation
KW - Wheelchairs
UR - http://www.scopus.com/inward/record.url?scp=85075448096&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2019.09.006
DO - 10.1016/j.apmr.2019.09.006
M3 - Review article
C2 - 31606452
SN - 0003-9993
VL - 101
SP - 535
EP - 552
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 3
ER -