Deans' stroke musings: Predictors of clinically important changes in actual and perceived functional arm use of the affected upper limb after rehabilitative therapy in chronic 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.

Friday, April 17, 2020

Predictors of clinically important changes in actual and perceived functional arm use of the affected upper limb after rehabilitative therapy in chronic stroke

Just one word tells me this is useless, predictors. There is not a stroke survivor in the world that cares about your fucking predictions. Get the hell off your lazy ass and deliver rehab that provides 100% recovery.

Predictors of clinically important changes in actual and perceived functional arm use of the affected upper limb after rehabilitative therapy in chronic stroke
Archives of Physical Medicine and Rehabilitation , Volume 101(3) , Pgs. 442-449.

NARIC Accession Number: J82841. What's this?
ISSN: 0003-9993.
Author(s): Li, Yi-chun; Liao, Wan-wen; Hsieh, Yu-wei; Lin, Keh-chung; Chen, Chia-ling.
Publication Year: 2020.
Number of Pages: 8.
Abstract: Study identified the predictors of minimal clinically important changes in actual and perceived functional arm use of the affected upper limb after rehabilitative therapy. Ninety-four patients with chronic stroke received robot-assisted therapy, mirror therapy, or combined therapy for 4 weeks. The primary outcome measures, assessed before and after the intervention, included actual functional arm use measured by an accelerometer and perceived functional arm use measured by the Motor Activity Log (MAL). Candidate predictors included age, sex, time after stroke, side of stroke, and scores on the Fugl-Meyer Assessment (FMA), Modified Ashworth Scale, Medical Research Council (MRC) scale, Wolf Motor Function Test (WMFT) quality and time scores, MAL quality of movement (MAL-QOM), and Nottingham Extended Activities of Daily Living. Being male and having a higher than median MRC score significantly predicted minimal clinically important changes assessed by an accelerometer. FMA scores were a significant predictor of achieving clinically important changes in MAL amount of use. WMFT quality scores predicted clinically important improvements in MAL-QOM. Predictors of clinically important changes in the use of the affected upper limb after robot-assisted therapy, mirror therapy, or combined therapy in patients with chronic stroke for 4 weeks differ for actual vs perceived use. Further studies are recommended to validate these findings in a larger sample.
Descriptor Terms: CLIENT CHARACTERISTICS, LIMBS, MOTOR SKILLS, OUTCOMES, PHYSICAL THERAPY, PREDICTION, STROKE.

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

Citation: Li, Yi-chun, Liao, Wan-wen, Hsieh, Yu-wei, Lin, Keh-chung, Chen, Chia-ling. (2020). Predictors of clinically important changes in actual and perceived functional arm use of the affected upper limb after rehabilitative therapy in chronic stroke. Archives of Physical Medicine and Rehabilitation , 101(3), Pgs. 442-449. Retrieved 4/17/2020, from REHABDATA database.