Absolutely useless! 'Measurements' DO NOTHING TO GET SURVIVORS RECOVERED! I'd have you all fired! This proves the absolute fucking stupidity of the stroke medical world!
Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind? No excuses are allowed! You're medically trained; it should be simple to precisely state EXACTLY WHAT GOOD 'measurements' do to get survivors recovered with NO EXCUSES! Your definition of competence in stroke is obviously much lower than stroke survivors' definition of your competence! Swearing at me is allowed, I'll return the favor. Don't even attempt to use the excuse that brain research is hard.
Standardized Measurement of Quality of Upper Limb Movement After Stroke: Consensus-Based Core Recommendations From the Second Stroke Recovery and Rehabilitation Roundtable
G. Kwakkel
1
, E. E. H. van Wegen
2
, J. H. Burridge
3
, C. J. Winstein
4
,
L. E. H. van Dokkum
5
, M. Alt Murphy
6
, M. F. Levin
7
,
and J. W. Krakauer
8
; on behalf of the ADVISORY group
Abstract
The second Stroke Recovery and Rehabilitation Roundtable “metrics” task force developed consensus around the
recognized need to add kinematic and kinetic movement quantification to its core recommendations for standardized
measurements of sensorimotor recovery in stroke trials. Specifically, we focused on measurement of the quality of upper
limb movement. We agreed that the recommended protocols for measurement should be conceptually rigorous, reliable,
valid and responsive to change. The recommended measurement protocols include four performance assays (i.e. 2D
planar reaching, finger individuation, grip strength, and precision grip at body function level) and one functional task (3D
drinking task at activity level) that address body function and activity respectively. This document describes the criteria
for assessment and makes recommendations about the type of technology that should be used for reliable and valid
movement capture. Standardization of kinematic measurement protocols will allow pooling of participant data across sites,
thereby increasing sample size aiding meta-analyses of published trials, more detailed exploration of recovery profiles, the
generation of new research questions with testable hypotheses, and development of new treatment approaches focused
on impairment. We urge the clinical and research community to consider adopting these recommendations.
Keywords
Stroke, rehabilitation, biomechanics, measurement, upper extremity, recovery, consensus
No comments:
Post a Comment