Deans' stroke musings: Towards ecologically valid functional gait assessments: integrating motor complexity in Parkinson’s disease and stroke rehabilitation

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.

Monday, October 20, 2025

Towards ecologically valid functional gait assessments: integrating motor complexity in Parkinson’s disease and stroke rehabilitation

Assessments DO NOTHING unless you map EXACT RECOVERY PROTOCOLS TO THEM! This was absolutely useless, NOTHING ON PROTOCOLS THAT WILL DELIVER RECOVERY!

Towards ecologically valid functional gait assessments: integrating motor complexity in Parkinson’s disease and stroke rehabilitation

Author links open overlay panel

A.S. Orejel Bustos * a

P. Manzari a

A. Rossi b

A. Manzo a

M.G. Buzzi a

G. Vannozzi a b

V. Belluscio a b

Add to Mendeley

Cite

https://doi.org/10.1016/j.gaitpost.2025.08.053

Get rights and content

Introduction

Combining clinical assessment and instrumented analysis allows for objective, quantitative evaluation of motor changes following rehabilitation, offering deeper insights into the functional limitations in neurological disorders [1]. However, standard motor assessments are often conducted in simplified settings that fail to replicate the complex demands of everyday functional mobility, potentially leading to an underestimation of functional deficits. This applies also when evaluating the efficacy of rehabilitation treatments. Therefore, it is critical to incorporate evaluation protocols that more accurately reflect real-world challenges faced by neurological patients [2]. Thus, this study aims at verifying the effectiveness of more complex assessment methods in patients with Parkinson’s disease (PwPD) and stroke (PwST) undergoing different therapeutic protocols.