Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Wednesday, February 19, 2014

The figure-of-eight walk test: Reliability and associations with stroke-specific impairments

More damned testing rather than working on specific protocols that bring back function. The exact same crap as testing in schools rather than teaching.
Instructions here:
http://web.missouri.edu/~proste/tool/f8wt/




 

http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67338&phrase=no&rec=123177
NARIC Accession Number: J67338.  What's this?
ISSN: 0963-8288.
Author(s): Wong, Sue S. T.; Yam, Man-Sze; Ng, Shamay, S. M..
Publication Year: 2013.
Number of Pages: 7.
Abstract: Study investigated the intra-rater, inter-rater, and test-retest reliabilities of the Figure-of-Eight Walk (F8W) test; its correlation with other stroke-specific impairments; and the cut-off scores best discriminating patients with stroke from healthy older adults. Thirty-five subjects with chronic stroke and 29 healthy elderly subjects participated in the study. Outcome measures included: F8W test times, Fugl-Meyer Motor Assessment for the lower extremities (FMA-LE), hand-held dynamometer measurements of bilateral hip abductor and knee extensor isometric muscle strength, Five times Sit to Stand Test (FTSTST) times, 10-Meter Walk Test (10MWT), Timed Up and Go Test (TUG) times, Berg Balance Scale (BBS), and Activities-specific Balance Confidence Scale (ABC) scores. Excellent intra-rater, inter-rater and test-retest reliabilities (intra-class correlation coefficients = 0.944 to 0.999) of F8W test times were found. The F8W test times were also found to be significantly associated with FMA-LE, BBS, FTSTST, TUG scores and 10MWT. No significant correlation was found between F8W test times and either leg strength or ABC results. A F8W test time of 8.2 seconds was found to be the most representative for discriminating between healthy elderly and stroke subjects, with a sensitivity of 100 percent and a specificity of 89.7 percent. Results suggest that the F8W test time is a reliable measurement tool for assessing the advanced walking performance of subjects with chronic stroke. The F8W was able to differentiate between patients with stroke and healthy elderly subjects and correlated well with stroke-specific impairments and walking tests.

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