Sunday, August 21, 2022

Gait and balance outcome measures are responsive in severely impaired individuals undergoing inpatient stroke rehabilitation.

So you didn't measure 100% recovery because incompetence? If it's not measured it's not important to the stroke staff, well talk to survivors sometime, they want 100% recovery, contrary to your fucking tyranny of low expectations. 

“What's measured, improves.” So said management legend and author Peter F. Drucker 

The latest here:


 Gait and balance outcome measures are responsive in severely impaired individuals undergoing inpatient stroke rehabilitation.

Archives of Physical Medicine and Rehabilitation , Volume 103(6) , Pgs. 1210-1212, 1212.e1.

NARIC Accession Number: J89393.  What's this?
ISSN: 0003-9993.
Author(s): Henderson, Christopher; Virva, Roberta; Lenca, Lauren; Butzer, John F.; Lovell, Linda; Roth, Elliot; Hornby, T. George; Moore, Jennifer L..
Project Number: 90RT5027 (formerly H133B140012).
Publication Year: 2022.
Number of Pages: 4.

Abstract: 

 Study explored whether gait and balance outcome measures in patients with severe gait and balance impairments at admission to inpatient rehabilitation provided additional and meaningful information beyond customary measures. Specifically, this study investigated whether individuals who obtained low scores at admission exhibited improvements that exceeded the established minimal detectable change during inpatient rehabilitation. It also investigated whether gait outcomes would capture changes in function not identified by Functional Independence Measure motor scores for locomotion (FIM-L). Data were obtained from 157 individuals<2 months poststroke with 34-43 with severe deficits including Berg Balance Scale score ≤5, 10-Meter Walk Test = 0 meters per second, or 6-Minute Walk Test = 0 meters. After 1 week of rehabilitation, 41 to 53 percent of severely impaired individuals had changes above minimal detectable changes in gait and balance outcomes, which increased to 68 to 84 percent at discharge. Across the entire cohort, FIM-L scores failed to identify changes in gait function for 35 percent of participants after 1 week of rehabilitation. Routine assessment of gait and balance outcome measures in patients with severe deficits early poststroke may be beneficial. These measures were responsive after 1 week of rehabilitation and detected changes not captured by customary measures. Routine use of a standardized gait and balance assessments may provide clinicians with important information to guide clinical decision making.
Descriptor Terms: AMBULATION, EQUILIBRIUM, FUNCTIONAL STATUS, MEASUREMENTS, MOBILITY IMPAIRMENTS, OUTCOMES, POSTURE, REHABILITATION, STROKE.


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

Citation: Henderson, Christopher, Virva, Roberta, Lenca, Lauren, Butzer, John F., Lovell, Linda, Roth, Elliot, Hornby, T. George, Moore, Jennifer L.. (2022). Gait and balance outcome measures are responsive in severely impaired individuals undergoing inpatient stroke rehabilitation.  Archives of Physical Medicine and Rehabilitation , 103(6), Pgs. 1210-1212, 1212.e1. Retrieved 8/21/2022, from REHABDATA database.

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