I consider 'assessments' COMPLETELY FUCKING WORTHLESS WITHOUT PROTOCOLS THAT FOLLOW THAT DELIVER RECOVERY!
Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind? No excuses are allowed! You're medically trained; it should be simple to precisely refute all my points with NO EXCUSES!! And what is your definition of competence in stroke? Swearing at me is allowed, I'll return the favor. Don't even attempt to use the excuse that brain research is hard.
I had and still have zero finger extension which my therapist said signified highly unlikely recovery. Which meant my therapist was absolutely worthless in getting my hand recovered! That is unacceptable incompetence!
A new hand assessment instrument for severely affected stroke patients
Abstract
Background:
Standard
assessment instruments cannot differentiate patients with minimal
residual hand function after stroke. As a result, changes in motor
recovery are difficult to document using currently-available tests. In a
controlled study with chronic stroke patients without residual finger
extension, a new hand function test has been developed. This instrument,
called Broetz Hand Test (BzH), allows to assess small variations in
hand function in severely paralyzed stoke patients. The instrument is
easy to use, and was developed using principles of motor learning and
behavioral assessment.
Methods:
The
instrument consists of seven daily life-oriented tasks, each of which
asks for movement of the paralyzed hand. BzH of 20 patients after stroke
was evaluated before and after a behavioral physiotherapy treatment.
Sensitivity, inter-observer reliability, test-retest reliability and
construct validity was calculated.
Results:
Two-tailed
paired-samples t-test before and after treatment demonstrated
sufficient sensitivity. Mean agreement between the raters resulted in an
excellent interrater-reliability. Test-retest reliability between the
pre- and post-treatment scores was 0.9. The correlation between BzH and
standard test scores was statistically significant and demonstrated
sufficient validity.
Conclusion:
The BzH is a valid and reliable tool to assess changes in hand function in severely paralyzed patients after stroke.
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