Deans' stroke musings: Getting on with the rest of your life following stroke: a randomized trial of a complex intervention aimed at enhancing life participation post 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.

Tuesday, December 15, 2015

Getting on with the rest of your life following stroke: a randomized trial of a complex intervention aimed at enhancing life participation post stroke

We wouldn't need much research like this if we solved and prevented the neuronal cascade of death.
http://www.ncbi.nlm.nih.gov/pubmed/25627292

Mayo NE¹, Anderson S², Barclay R³, Cameron JI⁴, Desrosiers J⁵, Eng JJ⁶, Huijbregts M⁷, Kagan A⁸, MacKay-Lyons M⁹, Moriello C¹⁰, Richards CL¹¹, Salbach NM⁷, Scott SC¹², Teasell R¹³, Bayley M¹⁴.

Author information

Abstract

OBJECTIVE:

To enhance participation post stroke through a structured, community-based program.

DESIGN:

A controlled trial with random allocation to immediate or four-month delayed entry.

SETTING:

Eleven community sites in seven Canadian cities.

SUBJECTS:

Community dwelling persons within five years of stroke onset, cognitively intact, able to toilet independently.

INTERVENTIONS:

Evidence-based program delivered in three 12-week sessions including exercise and project-based activities, done as individuals and in groups.

MAIN MEASURES:

Hours spent per week in meaningful activities outside of the home and Reintegration to Normal Living Index; Stroke-Specific Geriatric Depression Scale, Apathy Scale, gait speed, EuroQuol EQ-5D, and Preference-Based Stroke Index. All measures were transformed to a scale from 0 to 100. Assessments prior to randomization, after the first session at three months, six months, 12 months, and 15 months.

RESULTS:

A total of 186 persons were randomized. The between-group analysis showed no disadvantage to waiting and so groups were combined and a within-person analysis was carried out at three time points. There were statistically significant increases in all study outcomes on average over all persons. Over 45% of people met or exceeded the pre-specified target of a three hour per week increase in meaningful activity and this most often took a full year of intervention to achieve. Greatest gains were in satisfaction with community integration (mean 4.78; 95% CI: 2.01 to 7.55) and stroke-specific health-related quality of life (mean 4.14; 95% CI: 2.31 to 5.97).