Deans' stroke musings: Gait and balance outcome measures are responsive in severely impaired individuals undergoing 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.

Sunday, August 21, 2022

Gait and balance outcome measures are responsive in severely impaired individuals undergoing inpatient stroke rehabilitation.

So you didn't measure 100% recovery because incompetence? If it's not measured it's not important to the stroke staff, well talk to survivors sometime, they want 100% recovery, contrary to your fucking tyranny of low expectations.

“What's measured, improves.” So said management legend and author Peter F. Drucker

The latest here:

Gait and balance outcome measures are responsive in severely impaired individuals undergoing inpatient stroke rehabilitation.

Archives of Physical Medicine and Rehabilitation , Volume 103(6) , Pgs. 1210-1212, 1212.e1.

NARIC Accession Number: J89393. What's this?
ISSN: 0003-9993.
Author(s): Henderson, Christopher; Virva, Roberta; Lenca, Lauren; Butzer, John F.; Lovell, Linda; Roth, Elliot; Hornby, T. George; Moore, Jennifer L..
Project Number: 90RT5027 (formerly H133B140012).
Publication Year: 2022.
Number of Pages: 4.

Abstract:

Study explored whether gait and balance outcome measures in patients with severe gait and balance impairments at admission to inpatient rehabilitation provided additional and meaningful information beyond customary measures. Specifically, this study investigated whether individuals who obtained low scores at admission exhibited improvements that exceeded the established minimal detectable change during inpatient rehabilitation. It also investigated whether gait outcomes would capture changes in function not identified by Functional Independence Measure motor scores for locomotion (FIM-L). Data were obtained from 157 individuals<2 months poststroke with 34-43 with severe deficits including Berg Balance Scale score ≤5, 10-Meter Walk Test = 0 meters per second, or 6-Minute Walk Test = 0 meters. After 1 week of rehabilitation, 41 to 53 percent of severely impaired individuals had changes above minimal detectable changes in gait and balance outcomes, which increased to 68 to 84 percent at discharge. Across the entire cohort, FIM-L scores failed to identify changes in gait function for 35 percent of participants after 1 week of rehabilitation. Routine assessment of gait and balance outcome measures in patients with severe deficits early poststroke may be beneficial. These measures were responsive after 1 week of rehabilitation and detected changes not captured by customary measures. Routine use of a standardized gait and balance assessments may provide clinicians with important information to guide clinical decision making.
Descriptor Terms: AMBULATION, EQUILIBRIUM, FUNCTIONAL STATUS, MEASUREMENTS, MOBILITY IMPAIRMENTS, OUTCOMES, POSTURE, REHABILITATION, STROKE.

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

Citation: Henderson, Christopher, Virva, Roberta, Lenca, Lauren, Butzer, John F., Lovell, Linda, Roth, Elliot, Hornby, T. George, Moore, Jennifer L.. (2022). Gait and balance outcome measures are responsive in severely impaired individuals undergoing inpatient stroke rehabilitation. Archives of Physical Medicine and Rehabilitation , 103(6), Pgs. 1210-1212, 1212.e1. Retrieved 8/21/2022, from REHABDATA database.