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

Monday, November 7, 2016

A Quasi-Randomized Controlled Trial of Brain-Activating Rehabilitation in an Acute Hospital

Would this Brain-Activating Rehabilitation be helpful for stroke survivors? We'll never know.
http://aja.sagepub.com/content/31/8/612?etoc
  1. Kenji Tsuchiya, MHSc1
  2. Tomoharu Yamaguchi, PhD2
  3. Takaaki Fujita, MOT3
  4. Maya Taguchi1
  5. Aoi Honda1
  6. Yuki Satou1
  7. Hiroshi Sekiguchi1
  8. Noriko Kimura1
  9. Tenshi Osawa, PhD1
  10. Masanori Terauchi, PhD1
  1. 1Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Gunma, Japan
  2. 2Department of Rehabilitation, Gunma University of Health and Welfare, Maebashi, Japan
  3. 3Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Sendai, Japan
  1. Kenji Tsuchiya, MHSc, Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, 1-7-13 Kouun-cho, Maebashi, Gunma, 371-0025, Japan. Email: kbkjs933@yahoo.co.jp

Abstract

We aimed to confirm the effectiveness of brain-activating rehabilitation (BAR) performed in the day care setting at an acute hospital. Brain-activating rehabilitation is based on 5 principles: developing a pleasant atmosphere, promoting communication, praising patients, giving patients a social role, and providing supportive care. A total of 48 patients with dementia or cognitive impairment were selected and randomly divided into the intervention and control groups. The BAR-based intervention was conducted for 1 hour, 3 times a week. The patients’ score of the Multidimensional Observation Scale for Elderly Subjects (MOSES) were used as outcome measures. Repeated-measures analysis of covariance detected a significant interaction between the MOSES disorientation (F = 4.437, P = .041) and the withdrawal (F = 5.052, P = .030) subscales. A BAR-based intervention performed at our acute hospital was effective at maintaining and improving the cognitive and psychosocial functioning of patients with dementia or cognitive impairment.

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