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cva - October 5, 2003 3:48:00 PM

mato_tom

Posts: 89
Joined: June 20, 2003
Status: offline

i have been told that somewhere in the medicare manuals is a blurb about PT following stroke and how strength assessment and treatment is not reasonable and necessary as they deem the "weakness" to be a coordination issue and documentation should reflect this.........im looking for this and not having any luck......any suggestions

Post #: 1

Re: cva - October 12, 2003 10:23:00 PM

manoonbun

Posts: 13
Joined: December 16, 2001
From: bangkok,thailand
Status: offline

hi
Usually I had 2 forms to assess abilities of the stroke by considering their functions. One for good prognosis (Fugl-Meyer),the other one for fair and poor prognosis (SSS).U can read it from these referrences.
Stroke assessment tools
1. Fugl-Meyer,A.R.,Jaasko,L.,Leyman,I.,Olsson,S.,& Steglind,S. :The Post-Stroke Hemiplegic Patient.,I. A Method for Evaluation of Physical Performance.Scand J Rehab Med ,1975; 7: 13-31 .
2.Jorgensen HS, Reith J ,Nakayama H ,et al. "What Determines Good Recovery in Patients with the Most Severe Strokes? The Copenhagen Stroke Study."Stroke 1999,30: 2008-2012

(in reply to mato_tom)

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