The Motor Activity Log-28 Assessing daily use of the hemiparetic arm after stroke

 

'Assessments' are useless unless they are used to point to EXACT 100% RECOVERY PROTOCOLS! Since this didn't do that, I'd have EVERYONE FIRED!

I never use my left arm for anything spontaneous, I have to physically open my left hand with my right to be able to use it for anything at all. So, the first order of business is to cure my spasticity. When the fuck will that occur?

You'll want spasticity cured when you are the 1 in 4 per WHO that has a stroke!

 You won't like Dr. William M. Landau's uninformed 'expert' opinion after your stroke.  Survivors would immediately disabuse him of that notion. When schadenfreude hits him with his stroke he'll regret his ideas on the matter. 

His statement from here:

Spasticity After Stroke: Why Bother? Aug. 2004 

The latest here:

The Motor Activity Log-28 Assessing daily use of the hemiparetic arm after stroke

G. Uswatte, PhD; E. Taub, PhD; D. Morris, PhD, PT; K. Light, PhD, PT; and P.A. Thompson, PhD 

Neurology 2006;67;1189-1194

DOI: 10.1212/01.wnl.0000238164.90657.c2

This information is current as of October 9, 2006

Abstract

Background: 

Data from monkeys with deafferented forelimbs and humans after stroke indicate that tests of the motor capacity of impaired extremities can overestimate their spontaneous use. Before the Motor Activity Log (MAL) was developed, no instruments assessed spontaneous use of a hemiparetic arm outside the treatment setting. 

Objective: 

To study the MAL’s reliability and validity for assessing real-world quality of movement (QOM scale) and amount of use (AOU scale) of the hemiparetic arm in stroke survivors. 

Methods: 

Participants in a multisite clinical trial completed a 30-item MAL before and after treatment (n = 106) or an equivalent no-treatment period (n = 116). Participants also completed the Stroke Impact Scale (SIS) and wore accelerometers that monitored arm movement for three consecutive days outside the laboratory. All were 3 to 12 months post-stroke and had mild to moderate paresis of an upper extremity. 

Results: 

After an item analysis, two MAL tasks were eliminated. Revised participant MAL QOM scores were reliable (r = 0.82). Validity was also supported. During the first observation period, the correlation between QOM and SIS Hand Function scale scores was 0.72. The corresponding correlation for QOM and accelerometry values was 0.52. Participant QOM and AOU scores were highly correlated (r = 0.92). 

Conclusions: 

The participant Motor Activity Log is reliable and valid in individuals with subacute stroke. It might be employed to assess the real-world effects of upper extremity neurorehabilitation and detect deficits in spontaneous use of the hemiparetic arm in daily life.