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

Thursday, April 27, 2017

Clinical Outcome Measures for Contraversive Lateropulsion Post-Stroke: An Updated Systematic Review

So rather than use a layperson term like pusher behavior, they tried for obsfucation in order to sound more intelligent.  The purpose should have been to create a stroke protocol to address the problems this causes.
https://jnptacceptedarticles.wordpress.com/2017/04/26/just-accepted-clinical-outcome-measures-for-contraversive-lateropulsion-post-stroke-an-updated-systematic-review/
The following article has just been accepted for publication in Journal of Neurologic Physical Therapy:
“Clinical Outcome Measures for Contraversive Lateropulsion Post-Stroke: An Updated Systematic Review”
By
Ryan Zachary Koter, DPT; Sara Regan, DPT; Caitlin Clark, DPT; Vicki Huang, DPT; Melissa Mosley, DPT; Erin Wyant, DPT; Chad Cook, PT, PhD, MBA, FAAOMPT; Jeffrey Hoder, PT, DPT, NCS
Provisional Abstract:
Abstract
Background and Purpose: Pusher behavior (PB) can lead to increased hospital length of stay, increased healthcare costs, and delayed outcomes in stroke patients. The purpose of this updated systematic review was to identify scales used to classify PB, investigate literature that addresses their clinimetric properties, and create a resource for clinicians recommending use in clinical practice.
Methods: Three databases were searched for articles from inception to March 2017. The search strategy followed Cochrane Collaboration guidelines. The Consensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was applied to evaluate methodological quality.
Results: 403 records were screened. Seven studies met inclusion criteria. Four scales were identified: the Scale for Contraversive Pushing (SCP), the Modified Scale for Contraversive Pushing (M-SCP), the Burke Lateropulsion Scale (BLS), and the Swedish Scale for Contraversive Pushing (S-SCP). Psychometric property investigation was most robust for the SCP and BLS. Cross-cultural validity has not been fully investigated in scales used outside of their country of origin.
Discussion and Conclusions The BLS is recommended for identifying PB. The scale assesses the presence of PB across several functional tasks, from rolling to walking, and is the only scale originally written in English. The BLS is the only tool to receive ratings greater than poor for reliability and responsiveness. The BLS should be implemented as soon as PB is suspected to guide frontline clinicians’ initial plan of care, allow objective identification of change over time, and facilitate easier investigation of interventional efficacy.
Video Abstract available for further insight (see Supplemental Digital Content 1)
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