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.

Wednesday, September 24, 2014

The importance of cognition to quality of life after stroke

Well shit, this is stupid. Pointing out the obvious with nothing about what should be done to correct any cognition problems post-stroke. Don't just explain what the problem is, expend some of your brainpower and propose a solution. Stupidity and laziness rule once again.
http://www.ncbi.nlm.nih.gov/pubmed/25217449

Abstract

OBJECTIVE:

Suffering a stroke typically has a negative impact on a person's quality of life. There is some evidence that post-stroke cognitive impairment is associated with poor quality of life, but the relative importance of deficits in different cognitive domains has not been established.

METHODS:

Patients with confirmed stroke were recruited in the acute hospital. A subgroup of patients completed 2 computerized cognitive tasks (simple and choice reaction time) within 2weeks of stroke. The full cohort was followed up at 3months with a comprehensive neuropsychological battery and then at 12months with the Assessment of Quality of Life ('AQoL).

RESULTS:

Sixty patients participated in the study (mean age 72.1years, SD 13.9), with a subgroup of 33 patients tested acutely (mean age 75.5years, SD 11.9). Presence of cognitive impairment at 3months was independently associated with lower quality of life at 12months (p=0.021). Attention and visuospatial ability were the cognitive domains most closely associated with quality of life. Faster choice reaction time in the acute stage (mean 5.4days post-stroke) was significantly associated with better quality of life at 12months (p=0.003).

CONCLUSION:

Cognition, particularly attention and visuospatial ability, is strongly associated with quality of life after stroke. It is possible that straightforward reaction time tasks are sensitive to the extent of brain damage, and might therefore be surrogate markers for quality of life.

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