Deans' stroke musings: Relative and absolute reliabilities of myotonometric measurements of hemiparetic arms in patients with 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.

Tuesday, June 11, 2013

Relative and absolute reliabilities of myotonometric measurements of hemiparetic arms in patients with stroke

I have no idea if this is a valid way to measure spasticity. Thats what your doctor is for.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J65851&phrase=no&rec=121234
NARIC Accession Number: J65851. What's this?
ISSN: 0003-9993.
Author(s): Chuang, Li-Ling; Lin, Keh-Chung; Wu, Ching-Yi; Chang, Chein-Wei; Chen, Hsieh-Ching; Yin, Hsin-Pei; Wang, Lei.
Publication Year: 2013.
Number of Pages: 8.
Abstract: Study investigated the relative and absolute reliabilities of the myotonometer, a device that can measure and record muscle tone, in assessing the hemiparetic arm in 61 patients with stroke. Muscle tone, elasticity, and stiffness of relaxed affected deltoid, triceps brachii, biceps brachii, extensor digitorum, flexor carpi radialis, and flexor carpi ulnaris were measured twice, 30 minutes apart, using the myotonometer. Intraclass correlation coefficient (ICC), a relative reliability index, was calculated for 3 muscular properties and for each muscle to examine the degree of consistency and agreement between the 2 test sessions. Absolute reliability indices, including the standard error of measurement (SEM), smallest real difference (SRD), and Bland-Altman limits of agreement (LOA), were used to quantify measurement errors and check systematic biases of the 2 test sessions. The ICCs were .83 to .95 for muscle tone, elasticity, and stiffness of all muscle groups. The SEM and the SRD of muscle tone, elasticity, and stiffness of the biceps were the smallest among the 6 muscles tested. The Bland-Altman analyses showed no systematic bias between most of the repeated measurements. Compared with other muscles, biceps had narrower LOA ranges, indicating that the myotonometric measurements of the biceps had higher stability and less variation over time. The results indicate that the myotonometer reliably measures muscular properties, with good relative and absolute reliabilities. These findings are useful for clinicians and researchers to assess muscle properties reliably and determine whether a real change has occurred in groups and on individual levels of patients with stroke.
Descriptor Terms: DEVICES EVALUATION, HEMIPLEGIA, MEASUREMENTS, MEDICAL TECHNOLOGY, MUSCLES, PERFORMANCE STANDARDS, STROKE.