Well fuck, do your patients know that you are doing the minimal necessary? And not even trying for 100% recovery?
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.
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.
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.
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