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. Did your doctor somehow miss the recovery protocol that Pedro Bach-y-Rita used to recover fully back in 1958 with only a partial brain?

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.

Showing posts with label gait independence. Show all posts
Showing posts with label gait independence. Show all posts

Wednesday, September 18, 2024

Logistic regression analysis and machine learning for predicting post-stroke gait independence: a retrospective study

 What the fuck good does this prediction do? You need to do useful research; like creating EXACT PROTOCOLS that deliver gait independence.  Are your mentors and senior researchers that blitheringly stupid?

Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind? Your patients need an explanation of why you aren't working on 100% recovery protocols, not this useless prediction crapola!

Logistic regression analysis and machine learning for predicting post-stroke gait independence: a retrospective study

Abstract

This study investigated whether machine learning (ML) has better predictive accuracy than logistic regression analysis (LR) for gait independence at discharge in subacute stroke patients (n = 843) who could not walk independently at admission. We developed prediction models using LR and five ML algorithms—specifically, the decision tree (DT), support vector machine, artificial neural network, ensemble learning, and k-nearest neighbor methods. Functional Independence Measure sub-items were used to evaluate the ability to walk independently. Model predictive accuracies were evaluated using areas under receiver operating characteristic curves (AUCs) as well as accuracy, precision, recall, F1 score, and specificity. The AUC for DT (0.812) was significantly lower than those for the other algorithms (p < 0.01); however, the AUC for LR (0.895) did not differ significantly from those for the other models (0.893–0.903). Other performance metrics showed no substantial differences between LR and ML algorithms. In conclusion, the DT algorithm had significantly low predictive accuracy, and LR showed no significant difference in predictive accuracy compared with the other ML algorithms. As its predictive accuracy is similar to that of ML, LR can continue to be used for predicting the prognosis of gait independence, with additional advantages of being easily understandable and manually computable.

Thursday, August 10, 2017

Hip Abductor Muscle Strength Associations with Gait Speed and Gait Independence Level of Hemiparetic Stroke Patients

Measurement only, NO mention of what protocol would increase hip abductor strength to get to gait independence. I expect your physical therapist to know exactly what exercises can do that.  

Hip Abductor Muscle Strength Associations with Gait Speed and Gait Independence Level of Hemiparetic Stroke Patients

Rigakuryoho Kagaku , Volume 31(5) , Pgs. 723-727.

NARIC Accession Number: I243365.  What's this?
Author(s): YOSUKE SHIMIZU.
Publication Year: 2016.
Abstract: The purpose of this study was to determine the relationships of hip abductor muscle strength with 10-meter maximum walking speed (10MWS) and level of gait independence, and to calculate the cutoff value for gait independence in stroke patients with hemiparesis. Participants were 31 hemiparetic stroke patients. Their 10MWS and gait independence level were determined, and hip abductor muscle strength was measured using a hand-held dynamometer. A significant correlation (r=0.74) was found between 10MWS and the paretic-side hip abductor strength. In the search for factors affecting gait independence level, only hip abductor strength of the paretic side was identified [odds ratio (OR) 11.92, OR 95% confidence level 2.19􀃴65.15], and the cutoff value for gait independence was 0.23 kgf/kg. The results suggest there is a high possibility that the paretic side hip abductor muscle strength is an important factor of gait speed and gait independence.
Descriptor Terms: Gait, Hip, Muscles, Paraparesis, Stroke.
Language: Japanese
Geographic Location(s): Japan, East & Southeast Asia.

Can this document be ordered through NARIC's document delivery service*?: Request Information.
Get this Document: https://www.jstage.jst.go.jp/article/rika/31/5/31_723/_pdf.

Citation: YOSUKE SHIMIZU. (2016). Hip Abductor Muscle Strength Associations with Gait Speed and Gait Independence Level of Hemiparetic Stroke Patients.  脳卒中片麻痺患者の股関節外転筋力と 歩行速度および歩行自立度との関連性.  Rigakuryoho Kagaku , 31(5), Pgs. 723-727. Retrieved 8/10/2017, from REHABDATA database.