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, September 24, 2025

The Adult Assisting Hand Assessment Stroke: Psychometric properties of an observation-based bimanual upper-limb performance measurement

Absolutely useless, NOTHING ON PROTOCOLS THAT WILL DELIVER RECOVERY! Assessments DO NOTHING! Interrater crapola DOES NOTHING TO GET SURVIVORS RECOVERED! Does no one in stroke know how to think? I'd have you all fired for incompetence!
The Adult Assisting Hand Assessment Stroke: Psychometric properties of an observation-based bimanual upper-limb performance measurement

The Adult Assisting Hand Assessment Stroke: Psychometric properties of an observation- 
based bimanual upper-limb performance measurement 
Objective: To investigate interrater and intrarater reliability, measurement error and 
convergent and discriminative validity of the Adult Assisting Hand Assessment Stroke (Ad- 
AHA Stroke). 
Design: Cross-sectional observational study 
Setting: Seven stroke rehabilitation centers 
Participants: A total of 118 stroke survivors (reliability sample: n=30; validity sample: n=118) 
were included (median age 67 years (interquartile range (IQR) 59-76); median time post 
stroke 81 days (IQR 57-117). 
Interventions: N/A. (With no interventions, this was absolutely fucking useless for survivors!)
Main Outcome Measures: Ad-AHA Stroke, Action Research Arm Test (ARAT), Upper 
Extremity Fugl-Meyer assessment (UE-FMA). The 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 aſter stroke. Reliability of Ad-AHA stroke was 
examined using intraclass correlation coefficients (ICC), Bland-Altman plots, and weighted 
kappa (Kw) statistics for reliability on item level. Standard error of measurement (SEM) was 
calculated based on Ad-AHA units. Convergent validity was assessed by calculating Spearman 
rank correlation coefficients between Ad-AHA stroke and ARAT and UE-FMA. Comparison of 
Ad-AHA stroke scores between subgroups of patients according to hand dominance, neglect 
and age evaluated discriminative validity. 
Results: Intrarater and interrater agreement showed an ICC of 0.99 (95% CI=0.99-0.99), a 
SEM of 2.15 and 1.64 out of 100, respectively and Kw for item scores were all above 0.79. 

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