Deans' stroke musings: The effect of a structured programme to increase patient activity during inpatient stroke rehabilitation: a Phase I cohort 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, May 8, 2016

The effect of a structured programme to increase patient activity during inpatient stroke rehabilitation: a Phase I cohort study

Ask your doctor how much structured stroke rehab activity occurs on a daily basis. If not close to 12-14 hours ask why the hell not.
There is hours upon hours of action observation videos to watch.
Meditation to do.
Tai chi or yoga to do.
Passive movement.
Lucid dreaming to continue stroke rehab during sleep.
Has your doctor thought about any of this stuff? Or was it just signing ET(Evaluate and Treat) prescriptions to the therapists thus washing their hands of any failures in recovery?
http://cre.sagepub.com/content/30/2/191

¹School of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UK
²Greater Manchester Strategic Clinical Network, Stockport, UK

SF Tyson, Stroke Research Centre, School of Nursing, Midwifery & Social Work, Jean McFarlane Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK. Email: Sarah.Tyson@manchester.ac.uk

Abstract

Objective: To develop an intervention and undertake a proof-of-concept evaluation of its feasibility, acceptability, and impact on recorded patient activity levels during inpatient stroke rehabilitation.

Design: A longitudinal cohort design.

Setting: Three inpatient stroke rehabilitation services.

Subjects: Stroke survivors receiving inpatient rehabilitation.

Intervention: A programme designed to increase patient activity, including individualised patient timetables, independent practice, therapeutic group work, and structured social activities was developed and implemented without additional resource.

Main measures: Patients’ recorded activity levels were compared for two weeks before and after implementation of the programme. Data regarding the estimated time spent in different types of activity were extracted from patient treatment records, patients’ and therapists’ diaries, or timetables (if used) to measure patient activity levels

Results: At baseline, recorded activity levels were low; patients undertook a mean of 61 minutes (SD = 39) of activity per day. After implementation of the programme, recorded activity levels significantly increased to a mean of 123 minutes (SD = 88) per day (p = 0.0001). The time spent in all types of recorded activity increased (p = 0.0001–0.002), except psychology where the increase did not reach significance (p = 0.670).

Conclusions: A structured programme can significantly increase recorded patient activity levels during inpatient stroke rehabilitation without additional resource.