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.

Wednesday, March 11, 2015

Predicting road test performance in drivers with stroke

I would be willing to bet that this test is actually invalid because it is testing without any practice.
After one year of not driving I took a road test and while I passed there were some issues to work on.  It seems to be setting up the participants for failure. But you'll have to work your way thru it no matter how invalid. You've had a stroke, you're obviously incompetent and normals know so much more about stroke deficits than you do. Pass/fail tests are stupid.

Predicting road test performance in drivers with stroke

American Journal of Occupational Therapy (AJOT) , Volume 68(2) , Pgs. 221-229.

NARIC Accession Number: J70281.  What's this?
ISSN: 0272-9490.
Author(s): Barco, Peggy P.; Wallendorf, Michael J.; Snellgrove, Carol A.; Ott, Brian R.; Carr, David B..
Publication Year: 2014.
Number of Pages: 9.
Abstract: This study was conducted to develop a brief screening battery to predict the on-road performance of drivers who had experienced a stroke. Seventy-two people with stroke referred by community physicians to an academic rehabilitation center were examined The outcome variable was pass or fail on the modified Washington University Road Test. Predictor measures were tests of visual, motor, and cognitive functioning. Analysis revealed that the best predictive model for failure on the road test combined (1) Trail Making Test Part A, a test of attention, psychomotor speed, and visual scanning, and (2) the Snellgrove Maze Task, a measure of visual-spatial abilities. Results of this study showed that a screening battery that can be performed in less than 5 minutes assisted in the prediction of road test performance in a sample of drivers with stroke. A probability-of-failure calculator may be useful for clinicians in their decision to refer clients with stroke for a comprehensive driving evaluation.

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1 comment:

  1. Barb PolanMarch 12, 2015 at 10:48 AM

    When I was "tested" in rehab, it showed my reflexes were not quick enough to drive. When I first took the driving test 2 years later, I failed - but it was because my car didn't have adaptive equipment. When the tester told me I'd failed, he told me I was a very safe driver and that if he COULD have passed me, he would have. When I took the test a second time, the tester told me that all I had to do was demonstrate that I knew how to use my adaptive equipment. Easy enough. So, the test in rehab was meaningless. The tester in rehab couldn't even tell me that adaptive equipment was REQUIRED.

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