Deans' stroke musings: Motor recovery of stroke patients after rehabilitation: 1-year follow-up study

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.

Sunday, January 17, 2016

Motor recovery of stroke patients after rehabilitation: 1-year follow-up study

This research is pretty useless with both the Brunnstrom and Barthel scales being subjective.
http://www.tandfonline.com/doi/abs/10.3109/00207454.2016.1138474

DOI:: 10.3109/00207454.2016.1138474

Vilai Kuptniratsaikul^a^*, Apichana Kovindha^b, Sumalee Suethanapornkul^c, Pornpimon Massakulpan^d, Wutichai Permsirivanich^e & Patcharawimol Srisa-an Kuptniratsaikul^f

Publishing models and article dates explained

Received: 5 Nov 2015
Accepted: 3 Jan 2016
Accepted author version posted online: 12 Jan 2016

Alert me

Abstract

Purpose: To investigate motor recovery of stroke patients at the 1-year after rehabilitation
Materials and Methods: A cross-sectional study of 192 stroke patients discharged from rehabilitation wards in nine tertiary hospitals were recruited. Motor recovery was assessed using the Brunnstrom motor recovery stages (BMRS), at 6 and 12 months after discharge. Factors related to the BMRS of the hand, arm, and leg were analyzed.
Results: The mean age of patients was 62.2 years (57.3% male). Significantly more patients presented improvement of at least 1 BMRS of the hand, arm, and leg compared with those with decreasing BMRS (p < 0.001). The percentage of patients with BMRS III-VI at 6 months was greater than that at discharge, but the recovery at 12 months was slightly higher than that at 6 months. It seems that motor recovery from stroke was near maximal at 6 months. Regarding the factors related to motor recovery, only lengths of stay (LOS) < 30 days during the first admission and Barthel Index at discharge ≥ 10 were related to the improvement of BMRS of the hand, arm, and leg on multivariate analysis. Additionally, no complication at discharge was associated with the improvement of BMRS of the leg.

Conclusions: Approximately half of our stroke patients had motor improvement of at least one stage of BMRS at 1-year. Motor recovery after stroke at the end of the first year was associated with shorter LOS during the first admission, higher discharge Barthel Index score, and absence of complications at discharge.