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:

Friday, March 10, 2017

Determinants of living well with aphasia in the first year poststroke: A prospective cohort study.

You suggested the wrong solution of more targeted aphasia rehab, You probably would have much fewer problems if you had less dead and damaged areas from your stroke if your doctors had stopped the 5 causes of the neuronal cascade of death in the first week.You can prevent the problems or tackle them after the fact when they are much harder to solve.
Archives of Physical Medicine and Rehabilitation , Volume 98(2) , Pgs. 235-240.

NARIC Accession Number: J75347.  What's this?
ISSN: 0003-9993.
Author(s): Worrall, Linda E.; Hudson, Kyla; Khan, Asaduzzaman; Ryan, Brooke; Simmons-Mackie, Nina.
Publication Year: 2017.
Number of Pages: 6.
Abstract: Study identified factors that contribute to living well with aphasia in the first 12 months following stroke. Fifty-eight people with a first incidence of aphasia after stroke were assessed at 3, 6, 9, and 12 months postonset. Participants were recruited through speech-language pathologists in 2 capital cities in Australia. The presence of aphasia was determined through the Western Aphasia Battery-Revised by an experienced speech-language pathologist. The main outcomes were the 5 domains of the Assessment for Living with Aphasia at 3, 6, 9, and 12 months poststroke. The independent variables included demographics, physical functioning, social network, mood, aphasia severity, and a self-rating of successfully living with aphasia at the same time points. Mixed effects modeling was used to determine which factors contributed to the trajectory of each of the 5 domains of participation, impairment, environment, personal factors, and life with aphasia. Results indicated that higher household income, larger social network size, being a woman, and having milder aphasia were positively associated with the participation domain. Graduate or postgraduate educational levels, low mood, and poor physical functioning were negatively associated with the participation domain. Factors positively associated with other domains included higher income, self-ratings of successfully living with aphasia, and aphasia severity. Low mood was consistently negatively associated with all of the domains. In this study, psychosocial determinants were the most significant predictors of living well with aphasia in the first 12 months postonset. Aphasia rehabilitation needs to attend more to these factors to optimize outcomes.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Worrall, Linda E., Hudson, Kyla, Khan, Asaduzzaman, Ryan, Brooke, Simmons-Mackie, Nina. (2017). Determinants of living well with aphasia in the first year poststroke: A prospective cohort study.  Archives of Physical Medicine and Rehabilitation , 98(2), Pgs. 235-240. Retrieved 3/10/2017, from REHABDATA database.

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