Deans' stroke musings: Quantitative Assessment of Hand Function in Healthy Subjects and Post-Stroke Patients with the Action Research Arm Test

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.

Thursday, March 27, 2025

Quantitative Assessment of Hand Function in Healthy Subjects and Post-Stroke Patients with the Action Research Arm Test

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.

Quantitative Assessment of Hand Function in Healthy Subjects and Post-Stroke Patients with the Action Research Arm Test

Jesus Fernando Padilla-Magaña 1,2, * , Esteban Peña-Pitarch 1 , Isahi Sánchez-Suarez 2 and Neus Ticó-Falguera 3

¹Escola Politècnica Superior d’Enginyeria de Manresa (EPSEM), Polytechnic University of Catalonia (UPC), 08242 Manresa, Spain

²Department of Manufacturing Technologies, Polytechnic University of Uruapan Michoacán, Uruapan 60210, Michoacán, Mexico

³Physical Medicine and Rehabilitation Service, Althaia Xarxa Assistencial de Manresa, 08243 Manresa, Spain

Author to whom correspondence should be addressed.

Sensors 2022, 22(10), 3604; https://doi.org/10.3390/s22103604

Submission received: 30 March 2022 / Revised: 22 April 2022 / Accepted: 2 May 2022 / Published: 10 May 2022

(This article belongs to the Special Issue Wearable Sensors for Human Motion Analysis)

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Abstract

The Action Research Arm Test (ARAT) can provide subjective(Objective results are needed if you want to have any hope of making your recovery protocols repeatable!) results due to the difficulty assessing abnormal patterns in stroke patients. The aim of this study was to identify joint impairments and compensatory grasping strategies in stroke patients with left (LH) and right (RH) hemiparesis. An experimental study was carried out with 12 patients six months after a stroke (three women and nine men, mean age: 65.2 ± 9.3 years), and 25 healthy subjects (14 women and 11 men, mean age: 40.2 ± 18.1 years. The subjects were evaluated during the performance of the ARAT using a data glove. Stroke patients with LH and RH showed significantly lower flexion angles in the MCP joints of the Index and Middle fingers than the Control group. However, RH patients showed larger flexion angles in the proximal interphalangeal (PIP) joints of the Index, Middle, Ring, and Little fingers. In contrast, LH patients showed larger flexion angles in the PIP joints of the Middle and Little fingers. Therefore, the results showed that RH and LH patients used compensatory strategies involving increased flexion at the PIP joints for decreased flexion in the MCP joints. The integration of a data glove during the performance of the ARAT allows the detection of finger joint impairments in stroke patients that are not visible from ARAT scores. Therefore, the results presented are of clinical relevance.