Deans' stroke musings: Functional Recovery and Mobility After Inpatient Rehabilitation of Ischemic and Hemorrhagic 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.

Sunday, March 13, 2016

Functional Recovery and Mobility After Inpatient Rehabilitation of Ischemic and Hemorrhagic Stroke

No clue if this has any use at all for survivors, but it is 47 pages long. Using Brunnstrom stages is pretty useless for discrimination of recovery successes.

Functional Recovery and Mobility After Inpatient Rehabilitation of Ischemic and Hemorrhagic Stroke

Aim: To compare the level of independence in daily activities and level of mobility between admission to inpatient rehabilitation and discharge of patients with history of intracerebral hemorrhage and cerebral infarction.

Methods: Patients with first-ever stroke admitted to inpatient rehabilitation program were included in this study. Patients were separated into 2 groups as ischemic and hemorrhagic based on neuroradiologic assessments. Level of independence in daily activities was evaluated by Barthel index, mobility status was evaluated by, Rivermead Mobility Index, motor performance was evaluated by Brunnstrom states of motor recovery during hospital admission and discharge.

Results: Two-hundred patients were included. 140 cases of cerebral infarct and 60 cases had cerebral hemorrhage. Mean age of the patients in hemorrhagic group was significantly lower than mean age of patients with ischemic lesions (p = 0.003).

Comparison of two groups did not reveal significant differences in Barthel and Rivermead Mobility Index scores on both admission and discharge. The most frequent risk factor in both groups was hypertension. The frequency of ischemic heart diseasewas significantly higher in ischemic group than hemorrhagic group (p < 0.001).

Conclusion: The etiology of stroke did not have major effect on the duration of rehabilitation or level of functional activity of patients.

And in Turkish:

Amaç: İntraserebral kanama ve serebral infarkt hikayesi olan hastaların rehabilitasyon servisine yatış ve taburculuk arasındaki günlük aktivite sırasındaki bağımsızlık ve mobilite seviyelerinin karşılaştırılmasıdır.

Yöntem: Bu çalışmaya rehabilitasyon servisine yatırılmış olan ilk defa inme geçiren hastalar alınmıştır. Hastalar, nöroradyolojik değerlendirmeler baz alınarak iskemik ve hemorajik olmak üzere 2 gruba ayrılmıştır. Günlük aktiviteler sırasındaki bağımsızlık seviyesi Barthel indeksi ile, mobilite durumu Rivermead Mobilite indeksi ile, motor performans hastaneye yatış ve taburculukta bakılan Brunnstrom motor iyileşme evreleri ile değerlendirilmiştir.

Sonuçlar: Serebral infarkt olan 140 kişi ve serebral kanama olan 60 kişi olmak üzere toplam 200 hasta çalışmaya dahil edilmiştir.

Hemorajik gruptaki ortalama yaş, iskemik gruptaki ortalama yaşa göre belirgin ölçüde daha düşüktür (p=0.003). İki grup arasındaki karşılaştırma yatış ve taburculuk sırasında hesaplanan Barthel ve Rivermead Mobilte indeks skorları arasında önemli bir fark göstermemiştir. İki grupta da en sık risk faktörü hipertansiyondur. İskemik grupta, iskemik kalp hastalıkları sıklığı hemorajik gruba göre belirgin oranda yüksektir (p < 0.001).

Tartışma: Bu çalışmanın sonucuna göre, inmenin etiyolojisi, rehabilitasyon süresi veya hastaların fonksiyonel aktiviteleri üzerinde büyük bir etkiye sahip değildir.