Sorry I disagree with your view on “but it can be restrictive” with regard to the measurement of repeated action to determine the progress. One has to be realistic over progress and we are in it for the long term, and it is the general trajectory that is important. Such progress has to be measured.
Ever since I started cycling to work - in my 30s - I have measured my journey time on the bike and recorded it. On average it got better year on year, account being taken for external temperature and head winds and so on. The occasional aberrant squirrel could be ignored! But we do the same with stroke - we measure every now and then just to see how things are going. The main aim is progress, but measurement every time becomes stressful. [As a mathematician I fitted a sine wave, a cosine wave, a constant and a straight line to my cycling journey time - poor sad individual. Least squares. I even set it as an exercise for the students. For a long time the gradient of the line was negative, meaning that I got faster year-on-year. Late Jan was my slowest time! Then I passed my mid-50s and begun to get a bit slower on average!]
I also disagree with the therapist’s detailed methods. Instead of the number of spoon twirls in a minute, for example, I measure the time taken for say 10 twirls. For me it is less stressful to go for a fixed number than for a fixed time.
Whatever else the PTs and OTs are involved with is of little consequence to my primary goal as long as I am given what I need! I am not saying that other clients aren’t important, just that I hope that the therapists are sufficiently competent for my needs.
I haven’t seen the advantage of CIMT.
Nice work with the pergola!
Yes, there is a name for the variabilities. It’s like the stock market, or velocities in turbulent flow. There are the detailed transients and the long-term trends. A bit like the actual weather (which is daily) and the climate (which is annual or even decadal). For stroke rehab we need to measure the long-term trends and ignore the transients. Difficult since we live in the transients.