Deans' stroke musings: Association between postural patterns of spastic upper extremity and functional independence after TBI and stroke

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.

Saturday, September 19, 2020

Association between postural patterns of spastic upper extremity and functional independence after TBI and stroke

Useless. What are we supposed to do with these associations to get to 100% recovery?

Association between postural patterns of spastic upper extremity and functional independence after TBI and stroke

NeuroRehabilitation , Volume 46(4) , Pgs. 551-559.

NARIC Accession Number: J84278. What's this?
ISSN: 1053-8135.
Author(s): Doussoulin, Arlette ; Bacco, Jose L. ; Rivas, Claudia ; Saiz, Jose L..
Publication Year: 2020.
Number of Pages: 9.

Abstract:

Study determined the association between spastic patterns of the upper limb, wrist, fingers, and thumb, and independence in everyday activities after a stroke or traumatic brain injury (TBI). Data were collected from 206 individuals recruited from 17 rehabilitation centers in different regions of Chile. Clinical evaluation was carried out, including determination of the postural pattern of the upper extremity according to Hefter’s taxonomy and postural pattern classification of the wrist, fingers, and thumb. Functional independence was evaluated using the Functional Independence Measure (FIM) and the Barthel Index (BI). Univariate between-subject analyses of variance were used to examine associations of the four pattern classifications with the two independence measures, FIM and BI. Evaluation by Hefter’s patterns shows that the most prevalent is Pattern 3, accounting for more than half of the cases. Patterns 1 and 4 were the least frequent; both are characterized by presence of extreme postures in the joints of the upper extremity, with high components of spasticity and dystonia. In the wrist taxonomy, the neutral ulnarized pattern was the most prevalent. In the case of the fingers, the most frequent pattern is flexion with simultaneous participation of the deep and superficial flexor muscles of the fingers; for the thumb, it is House Pattern 3. Evaluation by FIM and BI revealed a significant co-occurrence of Hefter’s Pattern 1 with greater functional compromise. Results suggest the postural pattern of the upper limb after TBI or stroke is related to the patient’s functional independence. Specifically, Pattern 1 tends to co-occur with low independence.
Descriptor Terms: BRAIN INJURIES, CLASSIFICATION SYSTEMS, DAILY LIVING, FUNCTIONAL STATUS, LIMBS, MOTOR SKILLS, SPASTICITY, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://content.iospress.com/articles/neurorehabilitation/nre203042.

Citation: Doussoulin, Arlette , Bacco, Jose L. , Rivas, Claudia , Saiz, Jose L.. (2020). Association between postural patterns of spastic upper extremity and functional independence after TBI and stroke. NeuroRehabilitation , 46(4), Pgs. 551-559. Retrieved 9/19/2020, from REHABDATA database.