Deans' stroke musings: Predictors of arm nonuse in chronic stroke: A preliminary investigation.

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.

Wednesday, August 19, 2020

Predictors of arm nonuse in chronic stroke: A preliminary investigation.

Are you that bloody fucking stupid that you think prediction of failure to recover is of any use at all? REALLY, YOU ARE THAT STUPID, ALONG WITH YOUR MENTORS AND SENIOR RESEARCHERS? My God, the rot runs deep in stroke.

Predictors of arm nonuse in chronic stroke: A preliminary investigation

Neurorehabilitation and Neural Repair (NNR) , Volume 34(6) , Pgs. 512-522.

NARIC Accession Number: J84040. What's this?
ISSN: 1545-9683.
Author(s): Buxbaum, Laurel J. ; Varghese, Rini ; Stoll, Harrison ; Winstein, Carolee J..
Publication Year: 2020.
Number of Pages: 11.
Abstract:

Study investigated demographic, neuropsychological (i.e., apraxia, attention/arousal, neglect); and psychological (i.e., self-efficacy) factors that may influence arm nonuse (NU) in chronic stroke. Twenty chronic stroke survivors with mild-to-moderate sensory-motor impairment characterized by the Upper-Extremity Fugl-Meyer (UEFM) were assessed for NU with a modified version of the Actual Amount of Use Test (AAUT), which measures the disparity between amount of use in spontaneous versus forced conditions. Participants were also assessed with measures of limb apraxia, spatial neglect, attention/arousal, and self-efficacy. Stepwise multiple regression was used to determine which variables predicted AAUT NU scores. Scores on the UEFM as well as attention/arousal predicted the degree of NU. Attention/arousal predicted NU above and beyond UEFM. Results are consistent with the importance of attention and engagement necessary to fully incorporate the paretic limb into daily activities. Larger-scale studies that include additional behavioral (e.g., sensation, proprioception, spasticity, pain, mental health, motivation) and neuroanatomical measures (e.g., lesion volume and white matter connectivity) will be important for future investigations.
Descriptor Terms: BODY MOVEMENT, CLIENT CHARACTERISTICS, COGNITION, DEMOGRAPHICS, LIMBS, MOTOR SKILLS, OUTCOMES, PREDICTION, PSYCHOLOGICAL ASPECTS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://journals.sagepub.com/doi/full/10.1177/1545968320913554.

Citation: Buxbaum, Laurel J. , Varghese, Rini , Stoll, Harrison , Winstein, Carolee J.. (2020). Predictors of arm nonuse in chronic stroke: A preliminary investigation. Neurorehabilitation and Neural Repair (NNR) , 34(6), Pgs. 512-522. Retrieved 8/19/2020, from REHABDATA database.