Deans' stroke musings: Self-efficacy and Reach Performance in Individuals With Mild Motor Impairment Due to Stroke

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, April 14, 2019

Self-efficacy and Reach Performance in Individuals With Mild Motor Impairment Due to Stroke

Whatever the hell self-efficacy is? I understood nothing here. Being lazy and cherry picking subjects again, mild impairment. Mild has no objective definition, so this research was completely useless and never repeatable. No objective starting point, no objective measurements.

Self-efficacy and Reach Performance in Individuals With Mild Motor Impairment Due to Stroke

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Jill Campbell Stewart, PhD

, Rebecca Lewthwaite, PhD, Janelle Rocktashel, MS, ...

First Published March 18, 2019 Research Article

Abstract

Background: Persistent deficits in arm function are common after stroke. An improved understanding of the factors that contribute to the performance of skilled arm movements is needed. One such factor may be self-efficacy (SE).
Objective: To determine the level of SE for skilled, goal-directed reach actions in individuals with mild motor impairment after stroke and whether SE for reach performance correlated with actual reach performance.
Methods: A total of 20 individuals with chronic stroke (months poststroke: mean 58.1 ± 38.8) and mild motor impairment (upper-extremity Fugl-Meyer [FM] motor score: mean 53.2, range 39 to 66) and 6 age-matched controls reached to targets presented in 2 directions (ipsilateral, contralateral). Prior to each block (24 reach trials), individuals rated their confidence on reaching to targets accurately and quickly on a scale that ranged from 0 (not very confident) to 10 (very confident). Results: Overall reach performance was slower and less accurate in the more-affected arm compared with both the less-affected arm and controls. SE for both reach speed and reach accuracy was lower for the more-affected arm compared with the less-affected arm. For reaches with the more-affected arm, SE for reach speed and age significantly predicted movement time to ipsilateral targets (R² = 0.352), whereas SE for reach accuracy and FM motor score significantly predicted end point error to contralateral targets (R² = 0.291).
Conclusions: SE relates to measures of reach control and may serve as a target for interventions to improve proximal arm control after stroke.

Keywords stroke, self-efficacy, confidence, arm, kinematics