Deans' stroke musings: Measurement characteristics and clinical utility of the stroke rehabilitation assessment of movement among stroke patients

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, April 11, 2014

Measurement characteristics and clinical utility of the stroke rehabilitation assessment of movement among stroke patients

The only way I can see any usefulness of this is if the results lead directly to a stroke protocol that will fix the problems. Testing like this is usually useless, it does nothing to bring more recovery to the survivor. I remember complete therapy sessions only doing testing, no therapy at all.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67792&phrase=no&rec=123691
Archives of Physical Medicine and Rehabilitation , Volume 95(1) , Pgs. 207-208.

NARIC Accession Number: J67792. What's this?
ISSN: 0003-9993.
Author(s): Sullivan, Jane E.
Project Number: H133B090024.
Publication Year: 2014.
Number of Pages: 2.
Abstract: Article reviews the psychometric properties of the Stroke Rehabilitation Assessment of Movement (STREAM), an outcome measure that examines voluntary limb movement of the arm and leg and basic mobility after stroke. The 2 limb subscales are scored on a 3-point ordinal scale. Scoring considers the excursion and quality of limb movement compared with the less-impaired side. The mobility subscale is scored on a 4-point ordinal considering the quality of movement, whole versus part completion of the task, use of a device, and assistance required. A total of 20 points is available for each limb scale, and 30 points are available for the mobility scale. Scores are converted to percentages to allow for items that were not tested. The measure can be completed in 15 minutes with equipment typically found in the clinic. Excellent reliability, concurrent validity with other commonly used clinical tests, minimal detectable change data, and normative values have been established. The STREAM has been reported to be responsive to change in acute stroke. A full review of the STREAM, as well as reviews of nearly 200 other instruments, can be found at www.rehabmeasures.org.
Descriptor Terms: BODY MOVEMENT, LIMBS, MEASUREMENTS, MOBILITY, MOTOR SKILLS, OUTCOMES, PERFORMANCE STANDARDS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Sullivan, Jane E. (2014). Measurement characteristics and clinical utility of the stroke rehabilitation assessment of movement among stroke patients. Archives of Physical Medicine and Rehabilitation, 95(1), Pgs. 207-208. Retrieved 4/11/2014, from REHABDATA database.