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, January 3, 2013

The Responsiveness of the Emory Functional Ambulation Profile in Rehabilitation of Ambulant Stroke Survivors

This is so true. We have no idea of the effectiveness of any stroke therapy.
http://www.njmr.org.ng/index.php/njmr/article/view/56

Abstract


Background: The Emory Functional Ambulation Profile (EFAP) was designed to measure functional ambulation in post-stroke survivors. Its' ability to detect the effectiveness of any physical therapy protocol has been sparsely investigated.

Objectives: This study aimed to determine the ability of the EFAP to detecting patients' response to a physical therapy protocol in stroke rehabilitation.

Methods: The pretest-posttest experimental design was used for this study. Seventeen consecutive stroke survivors who met the inclusion criteria were recruited into the study. Participants received a conservative physical therapy protocol twice weekly for 8 weeks. Performance on individual subtasks of the EFAP were measured and recorded for each participant before and at the end of the study. Data was available at the posttest for only 14 participants (mean age = 57.00 9.05 years; average poststroke period = 19.71  26.56 months) and this was analyzed using frequency and percentages with inferential statistics of paired t-test at .05 alpha level.

Results: Participants scores for all the EFAP subtasks and overall scores improved (reduced task completion time) at the end of the treatment programme. Responsiveness for the EFAP ranged from 3% to 21% for all subtasks. Changes were even significant for three [floor carpet, up and go] out of the 5 subtasks and the total EFAP scores (p<.05)

Conclusion: EFAP was able to detect the response of stroke survivors to the physical therapy protocol used in this study and is therefore recommended for use by clinicians and researchers for measuring treatment outcome.

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