Predictors of arm nonuse in chronic stroke: A preliminary investigation.

Are you that bloody fucking stupid that you think prediction of failure to recover is of any use at all? REALLY, YOU ARE THAT STUPID, ALONG WITH YOUR MENTORS AND SENIOR RESEARCHERS? My God, the rot runs deep in stroke.

 Predictors of arm nonuse in chronic stroke: A preliminary investigation

 Neurorehabilitation and Neural Repair (NNR) , Volume 34(6) , Pgs. 512-522.

NARIC Accession Number: J84040.  What's this?
ISSN: 1545-9683.
Author(s): Buxbaum, Laurel J. ; Varghese, Rini ; Stoll, Harrison ; Winstein, Carolee J..
Publication Year: 2020.
Number of Pages: 11.
Abstract: 

Study investigated demographic, neuropsychological (i.e., apraxia, attention/arousal, neglect); and psychological (i.e., self-efficacy) factors that may influence arm nonuse (NU) in chronic stroke. Twenty chronic stroke survivors with mild-to-moderate sensory-motor impairment characterized by the Upper-Extremity Fugl-Meyer (UEFM) were assessed for NU with a modified version of the Actual Amount of Use Test (AAUT), which measures the disparity between amount of use in spontaneous versus forced conditions. Participants were also assessed with measures of limb apraxia, spatial neglect, attention/arousal, and self-efficacy. Stepwise multiple regression was used to determine which variables predicted AAUT NU scores. Scores on the UEFM as well as attention/arousal predicted the degree of NU. Attention/arousal predicted NU above and beyond UEFM. Results are consistent with the importance of attention and engagement necessary to fully incorporate the paretic limb into daily activities. Larger-scale studies that include additional behavioral (e.g., sensation, proprioception, spasticity, pain, mental health, motivation) and neuroanatomical measures (e.g., lesion volume and white matter connectivity) will be important for future investigations.
Descriptor Terms: BODY MOVEMENT, CLIENT CHARACTERISTICS, COGNITION, DEMOGRAPHICS, LIMBS, MOTOR SKILLS, OUTCOMES, PREDICTION, PSYCHOLOGICAL ASPECTS, STROKE.


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Citation: Buxbaum, Laurel J. , Varghese, Rini , Stoll, Harrison , Winstein, Carolee J.. (2020). Predictors of arm nonuse in chronic stroke: A preliminary investigation.  Neurorehabilitation and Neural Repair (NNR) , 34(6), Pgs. 512-522. Retrieved 8/19/2020, from REHABDATA database.