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.

Monday, June 23, 2025

Proximal Fugl-Meyer Assessment Scores Predict Clinically Important Upper Limb Improvement After Three Stroke Rehabilitative Interventions

 Predictions like this are useless! WHAT ARE THE EXACT PROTOCOLS THAT DELIVER RECOVERY! Since you failed at stroke research, you're all fired!

Proximal Fugl-Meyer Assessment Scores Predict Clinically Important Upper Limb Improvement After Three Stroke Rehabilitative Interventions

Ya-yun Lee PhD, PT a,∗ ∙ Yu-wei PhD, OT Wu, ScD, OTRb ∙ Keh-chung ScD, OTRc kehchunglin@ntu.edu.tw

Abstract

To identify the baseline motor characteristics of the patients who responded to 3 prominent intervention programs. Observational cohort study. Outpatient rehabilitation clinics. Participants Individuals with chronic stroke (N=174).>

Interventions

Participants received 30 hours of constraint-induced movement therapy (CIMT), robot-assisted therapy, or mirror therapy (MT).The primary outcome measure was the change score of the Upper Extremity Fugl-Meyer Assessment (UE-FMA). The potential predicting variables were baseline proximal, distal, and total UE-FMA and Action Research Arm Test scores. We combined polynomial regression analyses and the minimal clinically important difference to stratify the patients as responders and nonresponders for each intervention approach.

Results

Baseline proximal UE-FMA scores significantly predicted clinically important improvement on the primary outcome measure after all 3 interventions. Participants with baseline proximal UE-FMA scores of approximately <30 benefited significantly from CIMT and robot-assisted therapy, whereas participants with scores between 21 and 35 demonstrated significant improvement after MT. Baseline distal and total UE-FMA and Action Research Arm Test scores could also predict upper limb improvement after CIMT and MT, but not after robot-assisted therapy.

Conclusions

This study could inform clinicians about the selection of suitable rehabilitation approaches to help patients achieve clinically meaningful improvement in upper extremity function.



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