Deans' stroke musings: Dimension of Behavioral Deficits in Subacute Rehabilitation after 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.

Saturday, April 29, 2017

Dimension of Behavioral Deficits in Subacute Rehabilitation after Stroke

Only 9 pages which I'm not going to read
https://www.ecronicon.com/ecne/pdf/ECNE-05-00146.pdf

The dimension of neuropsychological disturbances and behavioral disorders after brain damage is of a major importance for agood quality of life and a successful social and occupational reintegration.

This study centers on the analysis of behavioral disorders after stroke. Furthermore, it attempts to answer the following questions: how many patients in a subacute disease phase after stroke have deficits in behavior; which deficits were exhibited and to what degree were they exhibited. In a retrospective study 61 patients 0-6 months after hemorrhagic or ischemic stroke were included.

Examination of the kinds of behavioral disorders was made using the Neurobehavioral Rating Scale (NBRS) and the Marburger Kompetenz Skala (MKS) was used for examination of daily behavior.

Initially, in the early phase of the disease a huge spectrum of behavioral deficits can be recognized. These are mainly symptoms of depression and fear, but also limitations in mental capacity and attention. Results of the MKS-score of daily behavior showed that most of the limitations are found in recreational activities, physical work and mobility (driving a car, using public transport etc.).

A lack of behavioral deficits is essential for social, family and occupational reintegration. Therefore, resolving these behavioral deficits should be given special consideration even in the early phase of rehabilitation. One would expect that an important factor for improving reintegration of these patients is early adoption of individually customized neuropsychological and behavioral therapy, accompanied by therapeutic care in a social and family environment.