Deans' stroke musings: The impact of patient's weight on post-stroke rehabilitation

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

The impact of patient's weight on post-stroke rehabilitation

This is so blindingly obvious and yet doesn't suggest any solutions.
Toni Patt DPT discusses that here:

The Obesity Issue

The new research here:

The impact of patient's weight on post-stroke rehabilitation

DOI:: 10.3109/09638288.2015.1107640

Leonid Kalichman^a^*, Deborah Alperovitch-Najenson^b & Iuly Treger^c^d

Publishing models and article dates explained

Received: 25 Nov 2014
Accepted: 9 Oct 2015
Published online: 10 Jan 2016

Alert me

Abstract

Purpose To evaluate the influence of patient’s weight on rehabilitation outcomes in first-event stroke patients.

Design Retrospective, observational comparative study. 102 first-time stroke male and female patients admitted to the 52-bed neurology rehabilitation department in a rehabilitation hospital were included in the study. Body mass index (BMI), Functional Independence Measure (FIM) on admission and at discharge, as well as the delta-FIM (FIM on admission – FIM at discharge) were evaluated. The Kruskal–Wallis test was used to compare the FIM and the NIHSS scores between BMI groups (normal, overweight, moderate and severe obesity).

Results A statistically significant negative correlation (rho = −0.20, p = 0.049) was found between FIM change and BMI, that remained significant after adjustments for age, sex and hospitalisation days. No difference was found between groups in FIM or NIHSS change between BMI groups. Conclusions In sub-acute post-stroke patients undergoing rehabilitation in rehabilitation hospital, BMI was negatively associated with the improvement of functional parameters. Patients’ BMI should be taken into consideration when predicting rehabilitation outcome for stroke patients. Further investigations are needed to identify the functional parameters affected by the patients’ BMI.

Implications for Rehabilitation
In sub-acute post-stroke patients undergoing rehabilitation in rehabilitation hospital, BMI was negatively associated with the improvement of functional parameters.
Patients’ BMI should be taken into consideration when predicting rehabilitation outcome for stroke patients.
New rehabilitation strategies should be designed to improve the functional outcomes of rehabilitation of obese patients.