Research Article

Validation of Two Activity Monitors in Slow and Fast Walking Hospitalized Patients

Table 5

Relative and absolute reliability of steps, assessed with ActivPAL3™, SENS motion®, and direct observations.

ComparisonMean (SD) of both assessments (steps)Mean (SD) difference (steps) value for differenceICC2.1 (95% CI)SEM (SEM%)MDC95 (MDC%)

ActivPAL vs. observed
All, 183.3 (82.2)-75.5 (49.1)<0.0010.609 (-0.086-0.865)51.4 (28)142.5 (78)
Slow walkers, 137.4 (71.2)-94.1 (50.9)<0.0010.439 (-0.095-0.791)53.3 (39)147.7 (107)
Fast walkers, 252.3 (40.0)-47.5 (30.5)<0.0010.468 (-0.110-0.820)29.2 (12)80.9 (32)
SENS vs. observed
All, 193.4 (78.6)-55.3 (39.3)<0.0010.717 (-0.043-0.909)41.8 (22)115.9 (60)
Slow walkers, 151.5 (70.1)-65.9 (42.5)<0.0010.596 (-0.093-0.870)44.6 (29)123.6 (82)
Fast walkers, 256.3 (38.3)-39.5 (28.4)<0.0010.523 (-0.106-0.845)26.5 (10)73.5 (29)
ActivPAL vs. SENS
All, 155.7 (88.5)-20.1 (34.8)0.0020.905 (0.758-0.957)27.3 (18)75.7 (49)
Slow walkers, 104.4 (73.4)-28.3 (41.4)0.0050.803 (0.451-0.925)32.6 (31)90.4 (89)
Fast walkers, 232.6 (40.0)-8.0 (16.5)0.10.906 (0.723-0.969)12.3 (5)34.1 (15)

ICC: intraclass correlation coefficient; SEM: standard error of measurement (); MDC: minimal detectable change (, ). SEM and MDC indicate measurement error (in sec) at group and individual levels, respectively. Slow walkers: <0.67 m/s; fast walkers: ≥0.67 m/s. ActivPAL: ActivPAL3™ monitor; SENS: SENS motion®.