Deans' stroke musings: Applying the knowledge-to-action framework to implement gait and balance assessments in inpatient stroke rehabilitation

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, August 22, 2022

Applying the knowledge-to-action framework to implement gait and balance assessments in inpatient stroke rehabilitation

I consider assessment research to be useless, do the research that delivers the functions you are assessing.

Applying the knowledge-to-action framework to implement gait and balance assessments in inpatient stroke rehabilitation

Archives of Physical Medicine and Rehabilitation , Volume 103(7, Supplement) , Pgs. S230-S245.

NARIC Accession Number: J89466. What's this?
ISSN: 0003-9993.
Author(s): Moore, Jennifer L.; Virva, Roberta; Henderson, Chris; Lenca, Lauren; Butzer, John F.; Lovell, Linda; Roth, Elliot; Graham, Ian D.; Hornby, T. George.
Project Number: 90RT5027 (formerly H133B140012).
Publication Year: 2022.
Number of Pages: 16.

Abstract:

Study implemented an evidence-based gait assessment battery (GAB) implemented during inpatient stroke rehabilitation and assessed the effect of the intervention on clinician adherence to the recommendations and its effect on clinician perceptions and the organization. The GAB recommendations included the Berg Balance Scale, 10-Meter Walk Test, and 6-Minute Walk Test. The multicomponent implementation plan was based on the Knowledge-to-Action Framework and included implementation facilitation, implementation leadership, and a bundle of knowledge translation interventions that targeted barriers. Implementation was an iterative process in which results from one implementation phase informed planning of the next phase. Online surveys were administered before implementation, and 1 and 3 years after implementation to assess perceptions, barriers, and current use of outcome measures in clinical practice. Eight clinicians on the stroke unit (6 physical therapists and 2 physical therapist assistants) participated in the survey in 2015, 2016, and 2018. Results indicated that initial adherence to the GAB was 46 percent and increased to more than 85 percent after 6 months. These adherence levels remained consistent 48 months after implementation. Clinician perceptions of measure use were initially high (>63 percent), with significant improvements in knowledge and use of one measure after implementation. The assessment battery was successfully implemented with high levels of adherence to recommendations, likely because of using the bundle of knowledge translation activities, facilitation, and use of a framework to codevelop the plan. These changes in practice were sustainable, as determined by a 4-year follow-up.
Descriptor Terms: AMBULATION, BARRIERS, CLINICAL MANAGEMENT, COMPLIANCE, EQUILIBRIUM, EVALUATION TECHNIQUES, KNOWLEDGE TRANSLATION, MEASUREMENTS, MOBILITY AIDS, OUTCOMES, PHYSICAL THERAPY, POSTURE, REHABILITATION, RESEARCH UTILIZATION, SERVICE UTILIZATION, STROKE.

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

Citation: Moore, Jennifer L., Virva, Roberta, Henderson, Chris, Lenca, Lauren, Butzer, John F., Lovell, Linda, Roth, Elliot, Graham, Ian D., Hornby, T. George. (2022). Applying the knowledge-to-action framework to implement gait and balance assessments in inpatient stroke rehabilitation. Archives of Physical Medicine and Rehabilitation , 103(7, Supplement), Pgs. S230-S245. Retrieved 8/22/2022, from REHABDATA database.