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, November 26, 2025

Reliability and predictive validity of the bedside upper limb functional evaluation tool (BUFET) among stroke subjects – a psychometric study

 

Predictions don't get you recovered! What are the EXACT PROTOCOLS THAT DELIVER RECOVERY?  If you can't do proper stroke research; get the hell out and do something simpler like basket weaving! You're all fired!

You can see for yourself that nothing in this Wolf Motor Test actually gets you recovered.  To me this type of testing is useless except you'll have to consent since it probably is needed to get insurance to pay. To me it would be much more useful to spend my time doing protocol repetitions leading to recovery than this shit. One question to determine patient recovery; 'Are you fully recovered? Y/N?' Then the doctor and therapist should provide EXACT PROTOCOLS THAT DELIVER RECOVERY! Oh, your incompetent? doctor doesn't have those protocols? Then you're screwed, but your doctor still gets paid for incompetence!

Wolf Motor Function Test (WMFT)

The latest here: 

Reliability and predictive validity of the bedside upper limb functional evaluation tool (BUFET) among stroke subjects – a psychometric study


We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Abstract

The Bedside Upper Limb Functional Evaluation Tool (BUFET) is a newly developed tool that assesses upper extremity functions, including proximal and distal movements such as gestures, gripping, and independent finger movements. This study aimed to evaluate the intra-rater and inter-rater reliability and predictive validity of the BUFET. Subjects ≥ 18 years of age and with a first episode of supratentorial stroke were included. The principal investigator, a physiotherapist, rated the subjects while performing the scale which was videotaped. To establish intra-rater reliability, the same rater re-scored the videos on two separate occasions, after 7 and 30 days. For inter-rater reliability, the principal investigator and 4 additional raters independently scored the patient based on the video. For predictive validity, the Wolf Motor Function Test (WMFT) was administered on the same day as BUFET, followed by administering the scales after 30 days. Intra- and inter-rater reliability was found to be excellent (ICC—0.992, 0.985). The reliability of all the components was > 0.89. The predictive validity was demonstrated by R2 values were 0.479 when compared with the WMFT scale. The study concluded that BUFET is an instrument with high intra-rater and inter-rater reliability with moderate predictive validity.

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