Deans' stroke musings: You've heard about outcome measures, so how do you use them? Integrating clinically relevant outcome measures in orthotic management of stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, November 9, 2012

You've heard about outcome measures, so how do you use them? Integrating clinically relevant outcome measures in orthotic management of stroke

My god this should have been standard in all clinics and hospitals forever.
http://www.naric.com/research/rehab/record.cfm?search=2&type=all&criteria=J33392&phrase=no&rec=119457
Abstract: Article describes a process for selecting and integrating clinically relevant outcome measures into clinical practice, focusing on orthotic management of stroke, in particular the improvement of mobility as a common goal. In today’s healthcare environment it is increasingly important to be able to quantify the amount of change associated with a given intervention; this can be accomplished using one or more appropriate outcome measures. However, the selection and integration of outcome measures within clinical practice requires careful consideration. This process includes: identification of the measure construct which can be assisted by the International Classification of Functioning, Disability, and Health (ICF); selection of outcome measures based on need, appropriateness, and feasibility; and careful use in regular clinical practice including data collection, analysis, and re-assessment of the process. The authors: (1) define the domain of mobility using the ICF; (2) describe the process integrating outcome measures into clinical practice; and (3) illustrate how this process may be used in the orthotic management of stroke.