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.

Showing posts with label stroke protocols. Show all posts
Showing posts with label stroke protocols. Show all posts

Tuesday, January 20, 2026

Rasch Validation of the Streamlined Wolf Motor Function Test in People With Chronic Stroke and Subacute Stroke

 

You can see for yourself that nothing in this Wolf Motor Test actually gets you recovered.  To me this type of testing is useless except you'll have to consent since it probably is needed to get insurance to pay. To me it would be much more useful to spend my time doing protocol repetitions leading to recovery than this shitshow.

Wolf Motor Function Test (WMFT)

The latest here: 

Rasch Validation of the Streamlined Wolf Motor Function Test in People With Chronic Stroke and Subacute Stroke

Physical Therapy, Volume 92, Issue 8, 1 August 2012, Pages 1017–1026, https://doi.org/10.2522/ptj.20110175
Published:
03 May 2012
Article history

Background

The construct validity and reliability of the short form of the Wolf Motor Function Test (S-WMFT) in people with subacute stroke and chronic stroke (S-WMFT subacute stroke and chronic stroke versions) have not been investigated.

Objective

The purpose of this study was to investigate the dimensionality, item difficulty hierarchy, differential item functioning (DIF), and reliability of the S-WMFT subacute stroke and chronic stroke versions in people with mild to moderate upper-extremity (UE) dysfunction.

Design

This was a secondary study in which data collected from randomized controlled trials were used.

Methods

Data were collected at baseline from 97 people with chronic stroke (>12 months after stroke) and 75 people with subacute stroke (3–9 months after stroke) at 3 medical centers in Taiwan. Test structure, hierarchical properties, DIF, and reliability were assessed with Rasch analysis.

Results

The test structure for both versions was unidimensional. No DIF relevant to sex, age, or stroke location (hemispheric laterality) was detected. The tasks of moving a hand to a box and moving a hand to a table in the S-WMFT for subacute stroke showed a significantly high correlation. The reliability coefficients for both versions were approximately .90.

Limitations

The findings were limited to people with stroke and mild to moderate impairment of UE function.

Conclusions

The S-WMFT subacute stroke and chronic stroke versions are useful tools for assessing UE function in different subgroups of people with stroke and show evidence of construct validity and reliability. A high correlation between the tasks of moving a hand to a box and moving a hand to a table in the S-WMFT for subacute stroke suggests that the removal of 1 of these 2 items is warranted.











Sunday, August 3, 2025

Rasch Validation of the Streamlined Wolf Motor Function Test in People With Chronic Stroke and Subacute Stroke

 

You can see for yourself that nothing in this Wolf Motor Test actually gets you recovered.  To me this type of testing is useless except you'll have to consent since it probably is needed to get insurance to pay. To me it would be much more useful to spend my time doing protocol repetitions leading to recovery than this shitshow.

Wolf Motor Function Test (WMFT)

The latest here: 

Rasch Validation of the Streamlined Wolf Motor Function Test in People With Chronic Stroke and Subacute Stroke



Physical Therapy, Volume 92, Issue 8, 1 August 2012, Pages 1017–1026, https://doi.org/10.2522/ptj.20110175
Published:
 
03 May 2012
 Article history

Background

The construct validity and reliability of the short form of the Wolf Motor Function Test (S-WMFT) in people with subacute stroke and chronic stroke (S-WMFT subacute stroke and chronic stroke versions) have not been investigated.

Objective

The purpose of this study was to investigate the dimensionality, item difficulty hierarchy, differential item functioning (DIF), and reliability of the S-WMFT subacute stroke and chronic stroke versions in people with mild to moderate upper-extremity (UE) dysfunction.

Design

This was a secondary study in which data collected from randomized controlled trials were used.

Methods

Data were collected at baseline from 97 people with chronic stroke (>12 months after stroke) and 75 people with subacute stroke (3–9 months after stroke) at 3 medical centers in Taiwan. Test structure, hierarchical properties, DIF, and reliability were assessed with Rasch analysis.

Results

The test structure for both versions was unidimensional. No DIF relevant to sex, age, or stroke location (hemispheric laterality) was detected. The tasks of moving a hand to a box and moving a hand to a table in the S-WMFT for subacute stroke showed a significantly high correlation. The reliability coefficients for both versions were approximately .90.

Limitations

The findings were limited to people with stroke and mild to moderate impairment of UE function.

Conclusions

The S-WMFT subacute stroke and chronic stroke versions are useful tools for assessing UE function in different subgroups of people with stroke and show evidence of construct validity and reliability.('Assessments' DO NOTHING TOWARDS RECOVERY!) A high correlation between the tasks of m(oving a hand to a box and moving a hand to a table in the S-WMFT for subacute stroke suggests that the removal of 1 of these 2 items is warranted.

You do not currently have access to this article.

Tuesday, July 29, 2025

The EXCITE Trial: Attributes of the Wolf Motor Function Test in Patients with Subacute Stroke

 

You can see for yourself that nothing in this Wolf Motor Test actually gets you recovered.  To me this type of testing is useless except you'll have to consent since it probably is needed to get insurance to pay. To me it would be much more useful to spend my time doing protocol repetitions leading to recovery than this shitshow.

Wolf Motor Function Test (WMFT)

The latest here: 

The EXCITE Trial: Attributes of the Wolf Motor Function Test in Patients with Subacute Stroke

Abstract

The Wolf Motor Function Test (WMFT) has been used in rehabilitation studies of chronic stroke patients, but until now its psychometric properties have not been evaluated in patients with subacute stroke. Two hundred twenty-nine participants with subacute stroke (3-9 months postinjury) at 7 research sites met inclusion criteria for the EXCITE Trial and were randomized into immediate or delayed (by 1 year) constraint-induced movement therapy treatment. All evaluations were undertaken by assessors standardized in the administration of the WMFT and masked to treatment designation. Participants were also assessed using the Fugl Meyer Motor Assessment (FMA). Delayed group members had measurements repeated 2 weeks following baseline assessment to determine learning or exposure effects. The results demonstrate that the WMFT differentiated higher from lower functioning participants across sites; scores were uninfluenced by hand dominance or affected side.Women exhibited slower performance times than men. The Functional Ability scale (FAS) portion of the WMFT also revealed lower scores among lower functioning participants and women. Minimal changes were observed after repeating the WMFT among delayed group participants 2 weeks later. The FMA revealed similar results when the total group was divided into higher and lower functional levels at its midpoint score of 33. The WMFT discriminates higher from lower functioning participants tested across research sites. Comparable findings using the FMA support the criterion validity of the WMFT.

References

Winstein CJ, Miller JP, Blanton S, et al. Methods for a multisite randomized trial to investigate the effect of constraint-induced movement therapy in improving upper extremity function among adults recovering from a cerebrovascular stroke. Neurorehabil Neural Rep 2003;17:137-152.

Tuesday, July 22, 2025

Qualities of a French version of the Wolf Motor Function Test: A multicenter study

 Why research this since Wolf Motor DOES NOTHING to get survivors recovered!

You can see for yourself that nothing in this Wolf Motor Test actually gets you recovered.  To me this type of testing is useless except you'll have to consent since it probably is needed to get insurance to pay. To me it would be much more useful to spend my time doing protocol repetitions leading to recovery than this shit.

Wolf Motor Function Test (WMFT)

The latest here: 

Qualities of a French version of the Wolf Motor Function Test: A multicenter study


https://doi.org/10.1016/j.rehab.2013.03.003Get rights and content
Under an Elsevier user license
Open archive

Abstract

Introduction

There are currently a small number of standardized tools in French that measure and compare the effect of constraint-induced movement therapy, or other recent therapies promoting motor recovery

Objective

To create a French version of the Wolf Motor Function Test (WMFT) and assess its reliability, minimal detectable change, and criterion validity.

Method

Prospective multicenter repeated-measure design with 44 patients with post stroke hemiparesis. A French Version of the WMFT was created; it was then assessed against the Fugl Meyer Assessment-Upper Extremity (French version) to establish its reliability, the minimal detectable change and its validity.

Results

Inter-rater reliability was very good. Reproducibility of the scores was good. Cronbach α coefficients showed adequate internal consistency. The minimal detectable change (MDC95%) for functional ability scores was below 10% of the highest possible score; MDC Tea95% for performance time was very high at more than 90 seconds. Criterion validity was good.

Conclusion

The French version of the WMFT is reliable and valid. The test shows promise for use as an objective outcome measure for people post stroke in French speaking countries.(But still useless in getting survivors recovered! The only goal in stroke! This does nothing direct towards survivor recovery.)

Friday, July 18, 2025

New Study: Your Brain Is the Gatekeeper of Longevity

 Ask your competent? doctor to test for your aged organs and the protocols to return them to a younger state.

New Study: Your Brain Is the Gatekeeper of Longevity

Groundbreaking Stanford research reveals how your brain’s biological age predicts  Living a long life; influenced by genetics, environment, and lifestyle.
Learn More
longevity. Learn lifestyle tips to keep your brain and immune system young. Imagine a blood test that could tell you whether your brain is as young as a 30-year-old’s, or if it’s aging faster, putting you at risk for Alzheimer’s and other diseases. Thanks to groundbreaking research from Stanford University, this may soon be possible. And the news carries a powerful message: how well your brain and immune system age could shape your entire lifespan. Scientists analyzed blood samples from nearly 45,000 adults aged 40 to 70, measuring thousands of proteins leaking from 11 major organs, including the brain, heart, liver, and immune system. Using machine learning, they developed models to estimate the “biological age” of each organ, revealing that organs don’t all age in sync. Your liver might be youthful while your brain ages faster, or vice versa. Why does this matter? Because your risk of disease and death climbs sharply with each “aged” organ. People with 2 to 4 aged organs had more than double the risk of death during the study period. For those with 8 or more aged organs, the risk shot up 8.3 times. Brain aging was the strongest predictor: a rapidly aging brain tripled Alzheimer’s risk, rivaling the effect of the high-risk genetic factors. Brain Age: The New Genetic Frontier

Stanford’s lead neuroscientist Tony Wyss-Coray calls the brain the “gatekeeper of longevity.” The study found that having an aged brain increases Alzheimer’s risk just as much as carrying the strongest genetic risk factor for the disease. On the flip side, a youthful brain offers protection equivalent to carrying the protective APOE2 gene variant, a hopeful sign that brain age isn’t fixed by genetics alone.

This makes brain age one of the most actionable biomarkers for healthy aging: unlike DNA, which we can’t change, your brain’s biological age can respond to lifestyle choices and medical interventions.

The study revealed that the strongest protection from death came from having both a young brain and a youthful immune system. People with this combination were 56% less likely to die during the study period. Both systems act as “guardians” of the body, the brain by controlling hormones and vital functions, and the immune system by defending and repairing tissues.

Not All Young Organs Are Equal

Interestingly, the study found that youthful arteries did not necessarily lower death risk and sometimes correlated with higher mortality. This surprising finding reminds us that biological aging is complex and not every “young” measurement guarantees protection. It highlights the need for personalized health strategies as research evolves.

The Stanford team confirmed what longevity experts have long said: lifestyle shapes how your organs age. Smoking, heavy drinking, eating processed meats, and poor sleep accelerate aging across organs. Meanwhile, vigorous exercise, eating fish rich in omega-3s, and quality sleep are linked with younger biological ages.

Unlike static DNA markers, proteins circulating in your blood reflect real-time biological processes in your organs. By measuring these proteins, scientists can map how each organ is functioning, almost like checking the vital signs of a car’s engine. This dynamic approach offers new opportunities to track aging and intervene earlier.

While this research is groundbreaking, clinical use of these organ age blood tests may still be years away. Consumer tests focused on key organs like the brain, heart, and immune system could arrive within 2-5 years, offering curious individuals a glimpse into their biological age. But it may take longer before doctors routinely use these insights to guide treatments, pending advances in targeted therapies.

9 Ways To Keep Your Brain Young

Brain age isn’t destiny, it’s a call to action. This research empowers us to see aging differently. It’s not just about the number of candles on your birthday cake, but how well your brain and immune system hold up over time. And that’s something you can influence.

  1. Move your body regularly. Exercise supports brain plasticity, circulation, and immune health.
  2. Nourish your brain with smart food choices. Focus on omega-3 rich fish, colorful veggies, nuts, and berries.
  3. Prioritize quality sleep. Your brain clears toxins and consolidates memories during deep rest.
  4. Manage stress and cultivate 
    [mahynd-fuhl-nis] noun

    The practice of paying attention to the present moment with non-judgmental awareness.

    Learn More
    mindfulness
    .
     Chronic stress ages the brain; meditation and social connection calm the nervous system.
  5. Avoid harmful habits. Quit smoking, limit alcohol, and reduce processed meats.
  6. Consider evidence-based supplements like vitamin C and cod liver oil after consulting your healthcare provider.
  7. Stay mentally and socially active. Lifelong learning and connection support cognitive 
    [ri-zil-yuhns] noun

    The ability to recover quickly from stress or setbacks.

    Learn More
    resilience
    .
  8. Certain medications and supplements showed protective effects, especially for the brain, kidneys, and immune system, according to the study. Glucosamine, cod liver oil, multivitamins, and vitamin C correlated with younger organ ages.
  9. For women, estrogen therapy in early menopause was linked to a younger immune system profile, providing a clue to its potential longevity benefits.

The ability to measure and influence your organ-specific biological age heralds a new era in personalized longevity. The brain, as the “gatekeeper,” offers a crucial target. While we await wider access to these tests, adopting brain- and immune-friendly habits today can tilt the odds in your favor.