Deans' stroke musings: Reasoning Training in the ACTIVE Study How Much Is Needed and Who Benefits?

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 2, 2014

Reasoning Training in the ACTIVE Study How Much Is Needed and Who Benefits?

One of the side effects of stroke is sometimes inability to reason and see your deficits.

I would think that stroke survivors should get this type of training. You do want better reasoning after stroke, don't you? Then ask your doctor for it because your doctor won't even know about this.

Reasoning Training in the ACTIVE Study How Much Is Needed and Who Benefits?

Sherry L. Willis, PhD1
Grace I. L. Caskie, PhD2

¹University of Washington, Seattle, WA, USA
²Lehigh University, Bethlehem, PA, USA

Sherry L. Willis, PhD, Department of Psychiatry and Behavioral Sciences, University of Washington Medical School, 180 Nickerson St, Suite 260, Seattle, WA 98109, USA. Email: oldage@u.washington.edu

Abstract

Objective: To characterize change through 5-year follow-up, associated with training, booster, adherence, and other characteristics. Methods: Sample included all individuals randomly assigned to reasoning training (N = 699). Piecewise latent growth modeling was used to examine trajectory of performance on outcome measures. Results: Training resulted in improved reasoning performance through Year 5. A significant third annual booster effect was one-half the size of the training effect. Training adherence resulted in greater training effects. Higher education, Mini-Mental State Exam (MMSE), better health, and younger age related to higher baseline performance. Higher MMSE was related to larger training effects, larger linear slopes, and smaller booster effects. Significant functional outcomes included a training effect for complex reaction time (CRT), and first annual booster effects for the CRT and observed tasks of daily living. Discussion: Initial training gain was comparable with magnitude of age-related cognitive decline over 5 years with no training. Neither age nor gender predicted training or booster effects, indicating the generality of training effects across age (65-90 years).