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.

Tuesday, October 25, 2022

Utility of the AM-PAC “6 clicks” basic mobility and daily activity short forms to determine discharge destination in an acute stroke population

So you're normalizing and accepting less than 100% recovery? Survivors don't want to accept your tyranny of low expectations. They want 100% recovery, period. GET THERE!

 Utility of the AM-PAC “6 clicks” basic mobility and daily activity short forms to determine discharge destination in an acute stroke population

American Journal of Occupational Therapy (AJOT) , Volume 76(4) , Pgs. 7604205060.

NARIC Accession Number: J89984.  What's this?
ISSN: 0272-9490.
Author(s): Casertano, Lorenzo O.; Bassile, Clare C.; Pfeffer, Jacqueline S.; Morrone, Theresa M.; Stein, Joel; Willey, Joshua Z.; Rao, Ashwini K..
Publication Year: 2022.
Number of Pages: 8.
Abstract: Study evaluated the utility of the Activity Measure for Post-Acute Care (AM-PAC) “6 Clicks” Daily Activity and Basic Mobility forms to determine the next level of rehabilitation after hospitalization for adults with stroke. Data were analyzed for 704 patients who were seen by a physical or occupational therapist, had a 6 Clicks Basic Mobility or Daily Activity score at initial evaluation, and who were discharged to home, an acute inpatient rehabilitation facility (IRF), or a subacute skilled nursing facility (SNF). Outcomes included length of stay and discharge destination. Analysis of variance and receiver operating characteristic curves were performed. Daily Activity scores were highest for home discharge, lower for IRF discharge, and lowest for SNF discharge; Basic Mobility showed a similar pattern. Cutoff values distinguishing home from further inpatient rehabilitation were 44.50 for Basic Mobility and 39.40 for Daily Activity scores (area under the curve [AUC] = .82 for both forms), with scores of 34.59 (AUC = 0.64) and 31.32 (AUC = 0.67) separating IRF from SNF, respectively. Findings demonstrate the utility of an outcome measure in the acute care setting that assists in planning discharge destination for patients with stroke. Therapists should incorporate 6 Clicks scores into their discharge planning.
Descriptor Terms: ACUTE CARE, CLINICAL MANAGEMENT, DAILY LIVING, MOBILITY, OUTCOMES, STROKE.


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

Citation: Casertano, Lorenzo O., Bassile, Clare C., Pfeffer, Jacqueline S., Morrone, Theresa M., Stein, Joel, Willey, Joshua Z., Rao, Ashwini K.. (2022). Utility of the AM-PAC “6 clicks” basic mobility and daily activity short forms to determine discharge destination in an acute stroke population.  American Journal of Occupational Therapy (AJOT) , 76(4), Pgs. 7604205060. Retrieved 10/25/2022, from REHABDATA database.

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