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.

Thursday, April 26, 2012

The use of pedometers in stroke survivors: are they feasible and how well do they detect steps?

I used one for a while and I think it severely undercounted.
http://www.hubmed.org/display.cgi?uids=22373934&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+nih%2Fbxxu+%28Stroke+rehabilitation%29&utm_content=Google+Feedfetcher
To determine (1) the feasibility of pedometers for stroke patients and (2) the level of agreement between pedometers and actual step count.Observational agreement study.Six stroke units.Independently mobile stroke patients (N=50) ready for hospital discharge.Patients were asked to apply 3 pedometers: 1 around the neck and 1 above each hip. Patients performed a short walk lasting 20 seconds, then a 6-minute walk test 6MWT. Video recordings determined the criterion standard step count.Agreement between the step count recorded by pedometers and the step count recorded by viewing the criterion standard video recordings of the 2 walks.Five patients (10%) needed assistance to put on the pedometers, and 5 (10%) could not read the step count. Thirty-nine (78%) would use pedometers again. Below a gait speed of about 0.5 m/s, pedometers did not generally detect steps. Agreement analyses showed that even above 0.5 m/s, pedometers undercounted steps for both the short walk and 6MWT; for example, the mean difference between the video recorder and pedometer around the neck was 5.93 steps during the short walk and 32.4 steps during the 6MWT.Pedometers are feasible but generally do not detect steps at gait speeds below about 0.5 m/s, and they undercount steps at gait speeds above 0.5 m/s.
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2 comments:

  1. Marcelle GreeneApril 26, 2012 at 8:22 PM

    Helpful. Thanks.

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  2. Rebecca DuttonApril 27, 2012 at 11:21 AM

    This is good news. Now I know that when I get close to my daily target I can give myself credit by adding a few steps to my total. My pedometer keeps me in shape for vacations, presentations, etc.

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