Deans' stroke musings: Early detection of non-ambulatory survivors six months after stroke

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.

Friday, November 9, 2012

Early detection of non-ambulatory survivors six months after stroke

I wonder why they don't use an objective damage diagnosis to make a prediction.
http://www.naric.com/research/rehab/record.cfm?search=2&type=all&criteria=J64204&phrase=no&rec=119300
Abstract: Study assessed the ability of the Trunk Control Test (TCT), administered at 14 days after a stroke, to predict ambulation and motor outcome at 6 months after stroke occurrence. Sixty-eight stroke survivors were prospectively studied from the second week to the sixth month post stroke. Sex, age, stroke type, urinary incontinence, National Institutes of Health Stroke Scale (NIHSS), and TCT scores were taken as independent variables. Gait ability and motor functional outcome were assessed at 6 months post-stroke. Age, sex, urinary incontinence, TCT and NIHSS were significantly related to final modified Rankin Scale score, the motor portion of the Functional Independence Measure (FIM), and the Berg Balance Scale. Age and early TCT alone accounted for 61.1 percent of the variance in the motor FIM rating (at 6 months post-stroke). TCT less than or equal to 50 on day 14 predicts non-independent walkers. The results indicate that early administered TCT is a strong predictor of independent walking ability and motor functional outcome at six months post-stroke.