Deans' stroke musings: Development and initial psychometric evaluation of an item bank created to measure upper extremity function in persons with stroke

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, July 13, 2025

Development and initial psychometric evaluation of an item bank created to measure upper extremity function in persons with stroke

'Measurements' and 'assessments' DO NOTHING to get survivors recovered! Protocols get you recovered; CREATE THEM!

Development and initial psychometric evaluation of an item bank created to measure upper extremity function in persons with stroke

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Vol. 42 No. 2 (2010) /
Original Report

Johanne Higgins, BSc (OT), PhD, Lois E. Finch, BSc (PT), PhD, Jacek Kopec, MD, PhD 2 and Nancy E. Mayo, BSc (PT), PhD 1,3 From the 1 School of Physical and Occupational Therapy, 2 Health Care and Epidemiology Faculty of Medicine, Mather Building University of British Columbia and Department of Epidemiology and Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Montreal, Quebec, CanadaJohanne Higgins, BSc (OT), PhD 1, Lois E. Finch, BSc (PT), PhD, Jacek Kopec, MD, PhD and Nancy E. Mayo, BSc (PT), PhD 1,3 From the 1 School of Physical and Occupational Therapy, Health Care and Epidemiology Faculty of Medicine, Mather Building University of British Columbia and Department of Epidemiology and Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Montreal, Quebec, Canada

Abstract

OBJECTIVE: To create and illustrate the development of a method to parsimoniously and hierarchically assess upper extremity function in persons after stroke. DESIGN: Data were analyzed using Rasch analysis. SETTING: Re-analysis of data from 8 studies involving persons after stroke. SUBJECTS: Over 4000 patients with stroke who participated in various studies in Montreal and elsewhere in Canada. METHODS: Data comprised 17 tests or indices of upper extremity function and health-related quality of life, for a total of 99 items related to upper extremity function. Tests and indices included, among others, the Box and Block Test, the Nine-Hole Peg Test and the Stroke Impact Scale. Data were collected at various times post-stroke from 3 days to 1 year. RESULTS: Once the data fit the model, a bank of items measuring upper extremity function with persons and items organized hierarchically by difficulty and ability in log units was produced. CONCLUSION: This bank forms the basis for eventual computer adaptive testing. The calibration of the items should be tested further psychometrically, as should the interpretation of the metric arising from using the item calibration to measure the upper extremity of individuals.