Deans' stroke musings: Role of self-efficacy in the predictive relationship of motor ability to functional performance after task-related training in stroke: A secondary analysis of longitudinal data

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.

Sunday, September 26, 2021

Role of self-efficacy in the predictive relationship of motor ability to functional performance after task-related training in stroke: A secondary analysis of longitudinal data

But nothing on measuring self efficacy of your stroke doctors and therapists in providing EXACT STROKE PROTOCOLS LEADING TO 100% RECOVERY.

Stroke Self-Efficacy Questionnaire could assist clinicians and researchers working in acute stroke care and rehabilitation to screen levels of confidence of stroke survivors in relation to functional performance and self-management.

Role of self-efficacy in the predictive relationship of motor ability to functional performance after task-related training in stroke: A secondary analysis of longitudinal data

Archives of Physical Medicine and Rehabilitation , Volume 102(8) , Pgs. 1588-1594.

NARIC Accession Number: J87021. What's this?
ISSN: 0003-9993.
Author(s): Ma, Hui-Ing ; Hung, Pei-Hsuan ; Lin, Szu-Hung ; Chuang, I-Ching ; Wu, Ching-Yi.
Publication Year: 2021.
Number of Pages: 7.

Abstract:

Study investigated whether self-efficacy (SE) mediates or moderates the relationship between motor ability at pretest and functional use of the affected arm at posttest in task-related training for stroke. Eighty patients with chronic stroke participated. Training was delivered to the participants for 60 to 90 minutes per session, 3 to 5 sessions per week, for 4 to 6 weeks. The training involved specific robot-assisted, mirror, or combined therapy, followed by functional task practice for approximately 30 minutes in each session. The outcome measure was the perceived amount of functional arm use and quality of movement evaluated by the Motor Activity Log (MAL) at posttest. The predictor was scores on the Fugl-Meyer Assessment (FMA)−Upper Extremity subscale at pretest. The tested mediator and moderator were scores on the Stroke Self-Efficacy Questionnaire (SSEQ) at pretest and posttest. The SSEQ scores at pretest and posttest moderated the predictive relationship of pretest FMA to posttest MAL. The interaction between pretest FMA and SSEQ accounted for an additional 3.14 to 5.37 percent of the variance in the posttest MAL. The predictive relationship between FMA and MAL was its greatest when the SSEQ was high, with a less amplified positive relationship at low levels of SSEQ. The results suggest the evaluation of SE at pretest for a better prediction of an individual patient’s functional arm use after an intervention and recommend aiming at SE during training to make the most of motor ability transferred to functional use.
Descriptor Terms: LIMBS, MOTOR SKILLS, PHYSICAL THERAPY, SELF CONCEPT, STROKE, TASK ANALYSIS, THERAPEUTIC TRAINING.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Ma, Hui-Ing , Hung, Pei-Hsuan , Lin, Szu-Hung , Chuang, I-Ching , Wu, Ching-Yi. (2021). Role of self-efficacy in the predictive relationship of motor ability to functional performance after task-related training in stroke: A secondary analysis of longitudinal data. Archives of Physical Medicine and Rehabilitation , 102(8), Pgs. 1588-1594. Retrieved 9/26/2021, from REHABDATA database.