Deans' stroke musings: Comprehensive ADL outcome measurement after stroke: Rasch validation of the Lucerne ICF-based multidisciplinary observation scale (LIMOS)

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, March 16, 2020

Comprehensive ADL outcome measurement after stroke: Rasch validation of the Lucerne ICF-based multidisciplinary observation scale (LIMOS)

This is so fucking simple. One question to the survivor.

Did you get 100% recovered? Yes/No?

Comprehensive ADL outcome measurement after stroke: Rasch validation of the Lucerne ICF-based multidisciplinary observation scale (LIMOS)

Archives of Physical Medicine and Rehabilitation , Volume 100(12) , Pgs. 2314-2323.

NARIC Accession Number: J82785. What's this?
ISSN: 0003-9993.
Author(s): Van den Winckel, Ann; Ottiger, Beatrice; Bohlhalter, Stephan; Nyffeler, Thomas; Vanbellingen, Tim.
Publication Year: 2019.
Number of Pages: 10.

Abstract:

Study used Rasch Measurement Theory (RMT) to establish the validity of the Lucerne International Classification of Functioning, Disability and Health (ICF)-based Multidisciplinary Observation Scale (LIMOS) in stroke. LIMOS measures the level of assistance in daily life activities related to motor function, communication, cognition, and domestic life. RMT transforms an ordinal scale into an interval scale and thus the Rasch-based LIMOS scale captures a more accurate improvement of functional outcomes via Rasch-transformed scores. A total of 407 participants with stroke, recruited from a neurorehabilitation center in Luzerne, Switzerland, were assessed with LIMOS at admission and discharge of rehabilitation. RMT was used to evaluate overall model fit, response dependency, floor and ceiling effect, reliability, and differential item functioning (DIF) for sex, age, type, and time of stroke on the 4 LIMOS subscales using the Rasch Unidimensional Measurement Model 2030 program. The Rasch-based LIMOS subscales fit the Rasch model after reducing and rescoring items: motor (from 20 to 18 items), communication (5 items), cognition (from 15 to 13 items), and domestic life (5 items). There was no floor or ceiling effect. Some artificial DIF was identified. Scoring at discharge was dependent on the scoring responses at admission, which means that without applying a correction factor to the discharge scores, there was an underestimation of change in scores between admission and discharge, ranging from 0.24 to 0.97 logits on the different subscales. The Rasch-based LIMOS scale is recommended to measure functional outcome in people with acute or chronic stages of ischemic or hemorrhagic stroke.
Descriptor Terms: DAILY LIVING, MEASUREMENTS, OUTCOMES, PERFORMANCE STANDARDS, STROKE.

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

Citation: Van den Winckel, Ann, Ottiger, Beatrice, Bohlhalter, Stephan, Nyffeler, Thomas, Vanbellingen, Tim. (2019). Comprehensive ADL outcome measurement after stroke: Rasch validation of the Lucerne ICF-based multidisciplinary observation scale (LIMOS). Archives of Physical Medicine and Rehabilitation , 100(12), Pgs. 2314-2323. Retrieved 3/16/2020, from REHABDATA database.

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