We don't need predictions of independent walking, we need PROTOCOLS THAT DELIVER INDEPENDENT WALKING. Do the research that GETS THERE! This was useless.
The TWIST tool predicts when patients will recover independent walking after stroke: An observational study
Neurorehabilitation and Neural Repair (NNR) , Volume 36(7) , Pgs. 461-471.
NARIC Accession Number: J89582. What's this?
ISSN: 1545-9683.
Author(s): Smith, Marie-Claire; Barber, Alan P.; Scrivener, Benjamin J.; Stinear, Cathy M..
Publication Year: 2022.
Number of Pages: 11.
Abstract: Study developed and internally validated the TWIST tool to predict whether and when a patient will walk independently in the first 6 months post-stroke. Ninety-three adults with stroke, who had new lower-limb weakness and were unable to walk independently, completed clinical assessments one week post stroke. The primary outcome was time post-stroke by which independent walking (Functional Ambulation Category score ≥ 4) was achieved. Cox hazard regression identified predictors for achieving independent walking by 4, 6, 9, 16, or 26 weeks after stroke. The cut-off and weighting for each predictor was determined using beta-coefficients. Predictors were assigned a score and summed for a final TWIST score. The probability of achieving independent walking at each time point for each TWIST score was calculated. Age <80 years, knee extension strength Medical Research Council grade ≥3/5, and Berg Balance Test <6, 6 to 15, or ≥16/56, predicted independent walking and were combined to form the TWIST prediction tool. The TWIST prediction tool was at least 83 percent accurate for all time points. The TWIST tool combines routine bedside tests at one-week post-stroke to accurately predict the probability of an individual patient achieving independent walking by 4, 6, 9, 16, or 26 weeks after stroke. If externally validated, the TWIST prediction tool may benefit patients and clinicians by informing rehabilitation decisions and discharge planning.
Descriptor Terms: AMBULATION, MEASUREMENTS, MOBILITY IMPAIRMENTS, OUTCOMES, PREDICTION, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Smith, Marie-Claire, Barber, Alan P., Scrivener, Benjamin J., Stinear, Cathy M.. (2022). The TWIST tool predicts when patients will recover independent walking after stroke: An observational study. Neurorehabilitation and Neural Repair (NNR) , 36(7), Pgs. 461-471. Retrieved 9/27/2022, from REHABDATA database.
NARIC Accession Number: J89582. What's this?
ISSN: 1545-9683.
Author(s): Smith, Marie-Claire; Barber, Alan P.; Scrivener, Benjamin J.; Stinear, Cathy M..
Publication Year: 2022.
Number of Pages: 11.
Abstract: Study developed and internally validated the TWIST tool to predict whether and when a patient will walk independently in the first 6 months post-stroke. Ninety-three adults with stroke, who had new lower-limb weakness and were unable to walk independently, completed clinical assessments one week post stroke. The primary outcome was time post-stroke by which independent walking (Functional Ambulation Category score ≥ 4) was achieved. Cox hazard regression identified predictors for achieving independent walking by 4, 6, 9, 16, or 26 weeks after stroke. The cut-off and weighting for each predictor was determined using beta-coefficients. Predictors were assigned a score and summed for a final TWIST score. The probability of achieving independent walking at each time point for each TWIST score was calculated. Age <80 years, knee extension strength Medical Research Council grade ≥3/5, and Berg Balance Test <6, 6 to 15, or ≥16/56, predicted independent walking and were combined to form the TWIST prediction tool. The TWIST prediction tool was at least 83 percent accurate for all time points. The TWIST tool combines routine bedside tests at one-week post-stroke to accurately predict the probability of an individual patient achieving independent walking by 4, 6, 9, 16, or 26 weeks after stroke. If externally validated, the TWIST prediction tool may benefit patients and clinicians by informing rehabilitation decisions and discharge planning.
Descriptor Terms: AMBULATION, MEASUREMENTS, MOBILITY IMPAIRMENTS, OUTCOMES, PREDICTION, STROKE.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Smith, Marie-Claire, Barber, Alan P., Scrivener, Benjamin J., Stinear, Cathy M.. (2022). The TWIST tool predicts when patients will recover independent walking after stroke: An observational study. Neurorehabilitation and Neural Repair (NNR) , 36(7), Pgs. 461-471. Retrieved 9/27/2022, from REHABDATA database.
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