Deans' stroke musings: Reliability of muscle strength assessment in chronic post-stroke hemiparesis: A systematic review and meta-analysis

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.

Sunday, January 14, 2018

Reliability of muscle strength assessment in chronic post-stroke hemiparesis: A systematic review and meta-analysis

I see nothing useful for our 100% recovery coming out of this.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77342&phrase=no&rec=135279&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 23(1) , Pgs. 26-35.

NARIC Accession Number: J77342. What's this?
ISSN: 1074-9357.
Author(s): Rabelo, Michelle; Nunes, Guilherme S.; Amante, Natalia M. C.; De Noronha, Marcos; Fachin-Martins, Emerson.
Publication Year: 2016.
Number of Pages: 10.
Abstract: Study systematically investigated and organized the evidence of the reliability of muscle strength evaluation measures in post-stroke survivors with chronic hemiparesis. Two assessors independently searched four electronic databases in January 2014 (Medline, Scielo, CINAHL, and Embase) for relevant studies. Data were extracted from included studies about reliability data, measured by intraclass correlation coefficient (ICC) and/or similar statistical analysis. The meta-analyses were conducted only with isokinetic data. Of 450 articles originally identified, eight articles were included for this review. After quality analysis, two studies were considered of high quality. Five different joints were analyzed within the included studies (knee, hip, ankle, shoulder, and elbow). Their reliability results varied from low to very high reliability (ICCs from 0.48 to 0.99). The results of this review suggest that there are good-to-excellent levels of reliability of muscle strength assessment in upper and lower limbs for both affected and non-affected side using static and isokinetic dynamometry. Findings also support the contention that muscle strength of the affected extremities of chronic post-stroke patients is quantifiable and its measurement is reliable even in the presence of spasticity.
Descriptor Terms: EVALUATION, HEMIPLEGIA, LIMBS, LITERATURE REVIEWS, MEASUREMENTS, MUSCULAR IMPAIRMENTS, OUTCOMES, PERFORMANCE STANDARDS, STROKE.

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

Citation: Rabelo, Michelle, Nunes, Guilherme S., Amante, Natalia M. C., De Noronha, Marcos, Fachin-Martins, Emerson. (2016). Reliability of muscle strength assessment in chronic post-stroke hemiparesis: A systematic review and meta-analysis. Topics in Stroke Rehabilitation , 23(1), Pgs. 26-35. Retrieved 1/14/2018, from REHABDATA database.