Deans' stroke musings: Sedentary behavior in the first year after stroke: A longitudinal cohort study with objective measures

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, May 13, 2015

Sedentary behavior in the first year after stroke: A longitudinal cohort study with objective measures

I'd be sedentary too if my doctor had no stroke protocols to give me with efficacy percentages or any idea about how likely I was to fully recover. The nocebo effect in full effect.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J70642&phrase=no&rec=127065

Archives of Physical Medicine and Rehabilitation , Volume 96(1) , Pgs. 15-23.

NARIC Accession Number: J70642. What's this?
ISSN: 0003-9993.
Author(s): Tieges, Zoe; Mead, Gillian; Allerhand, Mike; Duncan, Fiona; van Wijck, Frederike; Fitzsimons, Claire; Greig, Carolyn; Chastin, Sebastien.
Publication Year: 2015.
Number of Pages: 9.
Abstract: Study examined longitudinal changes in sedentary behavior (i.e., non-exercise seated or lying behavior) after stroke. Ninety-six patients with acute stroke were assessed at 1, 6, and 12 months after stroke using objective measures of amount and pattern of time spent in sedentary behavior: total sedentary time, weighted median sedentary bout length, and fragmentation index. Results indicated that stroke survivors were highly sedentary, spending on average 81 percent of the time per day in sedentary behavior. Longitudinal changes in sedentary behavior were estimated using linear mixed effects models. Covariates were age, sex, stroke severity (National Institute of Health Stroke Scale score), physical capacity (6-minute walk distance), and functional independence (Nottingham Extended Activities of Daily Living Questionnaire score). Higher stroke severity and less functional independence were associated with more sedentary behavior. Importantly, the pattern of sedentary behavior did not change over the first year after stroke and was independent of functional ability. This study showed that stroke survivors were highly sedentary and remained so 1 year after stroke, independently of their functional ability. Findings suggest that developing interventions to reduce sedentary behavior might be a potential new therapeutic target in stroke rehabilitation.
Descriptor Terms: BODY MOVEMENT, EXERCISE, FUNCTIONAL STATUS, MEASUREMENTS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Tieges, Zoe, Mead, Gillian, Allerhand, Mike, Duncan, Fiona, van Wijck, Frederike, Fitzsimons, Claire, Greig, Carolyn, Chastin, Sebastien. (2015). Sedentary behavior in the first year after stroke: A longitudinal cohort study with objective measures. Archives of Physical Medicine and Rehabilitation, 96(1), Pgs. 15-23. Retrieved 5/13/2015, from REHABDATA database.