Deans' stroke musings: THE ADULT ASSISTING HAND ASSESSMENT STROKE: PSYCHOMETRIC PROPERTIES OF AN INNOVATIVE OBSERVATION-BASED ASSESSMENT IN 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.

Wednesday, March 13, 2024

THE ADULT ASSISTING HAND ASSESSMENT STROKE: PSYCHOMETRIC PROPERTIES OF AN INNOVATIVE OBSERVATION-BASED ASSESSMENT IN STROKE REHABILITATION

Assessment in the title immediately tells me this does nothing to get survivors recovered! I'd fire anyone doing 'assessment' research!

THE ADULT ASSISTING HAND ASSESSMENT STROKE: PSYCHOMETRIC PROPERTIES OF AN INNOVATIVE OBSERVATION-BASED ASSESSMENT IN STROKE REHABILITATION

THE ADULT ASSISTING HAND ASSESSMENT STROKE: PSYCHOMETRIC PROPERTIES OF AN
INNOVATIVE OBSERVATION-BASED ASSESSMENT IN STROKE REHABILITATION
Annick Van Gils1, Sarah Meyer1, Lena Krumlinde-Sundhlom2, Daphne Kos1and Geert
Verheyden1
1 KU Leuven, Department of Rehabilitation Sciences, Tervuursevest 101, bus 1501, 3001 Leuven,
Belgium. Annick.vangils@kuleuven.be
2 Neuropediatric Research Unit, Department of Women’s and Children’s Health, Karolinska
Institutet, Stockholm, Sweden
Objectives:

The Adult-Assisting Hand Assessment (Ad-AHA) Stroke is an observation-based instrument assessing the effectiveness of the spontaneous use of the affected hand when performing bimanual activities in adults after stroke. Internal scale and concurrent validity have been demonstrated(Krumlinde-Sundholm, 2013). This study investigates concurrent and discriminant validity and interrater and intrarater reliability of Ad-AHA Stroke.

Methods:

Stroke survivors are recruited within the first six months post stroke. Concurrent validity is appraised by calculating correlations between Ad-AHA Stroke and ABILHAND Questionnaire, Action Arm Research Test (ARAT) and Upper Extremity Fugl-Meyer assessment (UE-FM). Differences in Ad-AHA Stroke scores for distinctive levels of motor impairment evaluated discriminant validity. Reliability is examined using intraclass correlation coefficients (ICC), standard error of measurement (SEM), and minimal detectable change (MDC). Data of 118 stroke survivors is analyzed (mean age 66±12.3 years; mean time post stroke 92±52 days; mean UE-FM 35 points (±24 points). Correlations between Ad-AHA Stroke and clinical assessments is high (r=0.8 0.9), supporting concurrent validity. Significant differences in Ad-AHA Stroke scores are found for different levels of motor impairment, suggesting discriminant validity. ICC for interrater agreement is 0.99 (95% CI=0.98-0.99) and for intrarater 0.99 (95% CI=0.99-0.99). SEM is 2.36 for interrater and 2.15 for intrarater reliability, MDC is 6 for both interrater and intrarater reliability.

Conclusions:

The Ad-AHA Stroke is a novel test offering an innovative and relevant approach on upper limb assessment post stroke. Results of Ad-AHA Stroke may guide occupational therapy goals and interventions that target effective bimanual task performance. Psychometric properties for the Ad-AHA Stroke are further underpinned by the results of this study, and support use of the Ad- AHA Stroke in clinical practice and research.