Deans' stroke musings: Standardized Assessment Use in Stroke Rehabilitation: Findings From a Cross-Sectional Survey of Occupational Therapy Practitioners

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.

Thursday, October 9, 2025

Standardized Assessment Use in Stroke Rehabilitation: Findings From a Cross-Sectional Survey of Occupational Therapy Practitioners

Ask your stroke medical 'professional' EXACTLY HOW THIS 'ASSESSMENT' gets you recovered!

Assessments DO NOTHING! Does no one in stroke know how to think? I'd have you all fired for incompetence!

Standardized Assessment Use in Stroke Rehabilitation: Findings From a Cross-Sectional Survey of Occupational Therapy Practitioners

Mequeil L. Howard https://orcid.org/0000-0002-3983-5684 mequeil.howard@osumc.edu, Brittany Hand https://orcid.org/0000-0003-2026-8461, […], and Lisa A. Juckett https://orcid.org/0000-0002-8587-7172+1View all authors and affiliations

OnlineFirst

https://doi.org/10.1177/15394492251370667

Abstract

Standardized outcome measures, like the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE), support stroke rehabilitation; however, occupational therapy practitioners report minimal use due to limited knowledge, time, and administrative support. The objective of this study was to examine practitioners’ perceived acceptability, appropriateness, and feasibility of using the FMA-UE, attitudes toward standardized outcome measures, and strategies to support use. A cross-sectional survey was conducted using the Acceptability of Intervention Measure, Intervention Appropriateness Measure, Feasibility of Intervention Measure, and Evidence-Based Practice Attitudes Scale. Spearman correlations assessed relationships among variables. Practitioners (n = 102) perceived the FMA-UE as acceptable, appropriate, and feasible. Acceptability (r = .34, p < .001), appropriateness (r = .35, p < .001), and feasibility (r = .32, p < .01) were significantly correlated with openness to FMA-UE use. Despite positive perceptions of the FMA-UE and outcome measures, consistent implementation remains limited. Further research should examine strategies to enhance use.

Plain Language Summary

Standardized assessment use in stroke rehabilitation: Findings from a cross-sectional survey of occupational therapy practitioners

Standardized assessments, like the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE), help practitioners assess motor impairments following a stroke. However, occupational therapy practitioners within stroke rehabilitation have reported inconsistently using these assessments due to limited time, lack of knowledge, and low administrative support. This study surveyed 102 occupational therapy practitioners to understand their perceptions of using the FMA-UE in practice and their attitudes toward evidence-based practices. Results indicated that practitioners viewed the FMA-UE as acceptable, appropriate, and feasible. Practitioners with positive perceptions of the FMA-UE were generally more willing to use standardized assessments in practice. Despite these positive perceptions and attitudes, the FMA-UE and standardized assessments in general are still underutilized in stroke rehabilitation. Future research should focus on identifying strategies to support consistent use of standardized assessments.