With NO objective damage diagnosis, it is impossible to predict recovery! Predicting failure to recover is ABSOLUTELY FUCKING USELESS TO SURVIVORS!
Upper Limb Function 3 Months Post-Stroke: How Accurate Are Physiotherapist Predictions?
Abstract
Background
A frequent sequela of stroke is upper limb (UL) impairment. Accurate UL function prognosis is crucial for targeted rehabilitation. (No it's not! You don't know what the fuck you're talking about!)
Objective
To determine the accuracy of physiotherapists' predictions of UL function and investigate whether prediction accuracy is affected by physiotherapists' seniority within rehabilitation and/or their level of education. Physiotherapist predictions were compared with a prediction algorithm.
Methods
Data from 81 patients were included. Two weeks post‐stroke, physiotherapists predicted UL function based on clinical reasoning. ARAT scores ( poor , limited , good , or excellent ) at 3 months post‐stroke served to determine prediction accuracy. Prediction accuracy was calculated as correct classification rate (CCR). Logistic regression was used to explore the effect of seniority and education. McNemar's test was applied to compare physiotherapist predictions to an algorithm applied 2 weeks post‐stroke to the same patients.
Results
The overall correct classification rate (CCR) of physiotherapist predictions was 41% (95% CI: 30–51). Predictions were most accurate for the excellent (75%) and poor (71%) categories, but lower for limited (22%) and good (30%). No association was observed between prediction accuracy and physiotherapist seniority or education. There was a tendency, but not a statistically significant superiority, in the prediction accuracy of the algorithm compared to the physiotherapist predictions (Odds ratio 2 [95% CI: 0.96–4.39], McNemar p = 0.0455, exact McNemar p = 0.0652).
Trial Registration: Project number: 628213.
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