Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Friday, July 29, 2016

Characteristics of daily life gait in fall and non fall-prone stroke survivors and controls

So I guess we still have no clue about protocols to prevent falls and how to walk. Maybe in 50 years the stroke world will have standardized a few things, dragged into the current century kicking and screaming. And still they go down the prediction route rather than coming up with solutions that will prevent the falls in the first place.
http://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-016-0176-z
  • Michiel PuntEmail author,
  • Sjoerd M. Bruijn,
  • Kimberley S. van Schooten,
  • Mirjam Pijnappels,
  • Ingrid G. van de Port,
  • Harriet Wittink and
  • Jaap H. van Dieën
Journal of NeuroEngineering and Rehabilitation201613:67
DOI: 10.1186/s12984-016-0176-z
Received: 9 December 2015
Accepted: 17 July 2016
Published: 27 July 2016

Abstract

Background

Falls in stroke survivors can lead to serious injuries and medical costs. Fall risk in older adults can be predicted based on gait characteristics measured in daily life. Given the different gait patterns that stroke survivors exhibit it is unclear whether a similar fall-prediction model could be used in this group. Therefore the main purpose of this study was to examine whether fall-prediction models that have been used in older adults can also be used in a population of stroke survivors, or if modifications are needed, either in the cut-off values of such models, or in the gait characteristics of interest.

Methods

This study investigated gait characteristics by assessing accelerations of the lower back measured during seven consecutive days in 31 non fall-prone stroke survivors, 25 fall-prone stroke survivors, 20 neurologically intact fall-prone older adults and 30 non fall-prone older adults. We created a binary logistic regression model to assess the ability of predicting falls for each gait characteristic. We included health status and the interaction between health status (stroke survivors versus older adults) and gait characteristic in the model.

Results

We found four significant interactions between gait characteristics and health status. Furthermore we found another four gait characteristics that had similar predictive capacity in both stroke survivors and older adults.

Conclusion

The interactions between gait characteristics and health status indicate that gait characteristics are differently associated with fall history between stroke survivors and older adults. Thus specific models are needed to predict fall risk in stroke survivors.

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