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.

Monday, August 28, 2017

The RUDAS Dementia Test is brief, effective and free. It works well for most people.

Don't do this on your own, it requires a trained interpreter.  You will need this, but I bet your doctor does no baseline testing,

1. A documented 33% dementia chance post-stroke from an Australian study?   May 2012.
2. Then this study came out and seems to have a range from 17-66%. December 2013.
3. A 20% chance in this research.   July 2013.

 

The RUDAS Dementia Test is brief, effective and free. It works well for most people.

A key study reports that the Rowland Universal Dementia Assessment Scale (RUDAS) is an effective dementia test. The study shows this is particularly true in multicultural populations, where English is not a patient's first language.

The study was published in CMAJ (Canadian Medical Association Journal).

The Results

Popular tests used by doctors to assess cognitive health include the MMSE (Mini-Mental State Examination) and the MCA (Montreal Cognitive Assessment). Though widely used, they can be difficult and overly-challenging for patients with low education levels, as well as those whose first language is not English.

Researchers undertook a systematic review and meta-analysis to determine whether the RUDAS, developed in Australia in 2004, is effective in a variety of settings. They also wanted to understand how it compares to other tests. The study included 1236 people from 11 previous studies conducted in 6 countries. The mean age of participants was 73.5 years, and almost two-thirds (61%) were female.

The results showed that RUDAS was consistently free of cultural and educational bias in multicultural samples.

What It Looks Like

The RUDAS includes questions such as recall of four grocery items, what safety precautions should one take when crossing the street, and naming of animals in 1 minute; it also assesses coordinated movements.

The test appeared to be effective in identifying cognitive impairment and ruling it out across various cultures because language and education had less effect on results than with the other assessment tools.

Limitations

Other Popular Tests

SAGE Pen & Paper Alzheimer's Test

VIDEO+ARTICLE:

Problems with memory or thinking? Check out this simple, written exam from Ohio State University Medical Center. Find out what made this outstanding test go viral.

The authors noted that all studies included in the analysis used trained interpreters; this may be a limitation since interpreters will not always be available for tests in all settings.

RUDAS is easily interpreted by an interpreter during an assessment. Some translated versions are available but are not validated.

Conclusions

"Given our aging immigrant population... and the anticipated increase in dementia prevalence worldwide in coming decades, earlier and more accurate detection of dementia in these populations will become increasingly important," writes Dr. Raza Naqvi, a geriatrician with the Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada, with coauthors.

"The RUDAS is a freely available, effective brief cognitive assessment tool that has shown strong psychometric properties in several countries. It shows particular advantage in culturally and linguistically diverse populations," the authors conclude.

The Test:

  1. Listen to an interview with the author (Podcast)https://soundcloud.com/cmajpodcasts/naqvi-multicultural-cognitive 
  2. Video on how to administer and score the RUDAS test:. (Running time: 20 minutes) Online RUDAS Video 
  3. RUDAS administration and scoring guide - English (PDF: 25 page booklet) 
  4. RUDAS scoring sheet - English (PDF) 
  5. RUDAS scoring sheet - Chinese (PDF) 
  6. RUDAS scoring sheet - Italian (2 pages looseleaf) 



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