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, April 17, 2017

Is early rehabilitation a myth? Physical inactivity in the first week after myocardial infarction and stroke

How inactive are you in the first week after stroke? Your days should be filled with an enriched environment and lots of intense therapy.
http://www.tandfonline.com/doi/abs/10.3109/09638288.2015.1106598?


Pages 1493-1499 | Received 13 May 2015, Accepted 07 Oct 2015, Published online: 18 Dec 2015



Purpose: To compare physical activity levels of patients in the first week after myocardial infarction (MI) and stroke.  
Method: We conducted an observational study using behavioural mapping. MI patients were consecutively recruited from Alfred Hospital, Melbourne. Data for stroke patients (Royal Perth Hospital or Austin Hospital, Melbourne) were retrieved from an existing database. Patients were observed for 1 min every 10 min from 8 am to 5 pm. At each observation, the patient’s highest level of physical activity, location and people present were recorded. Details of physiotherapy and occupational therapy sessions were recorded by the therapists.  
Results: Proportion of the day spent physically inactive was lower in MI (n = 32, median 48%) than stroke (n  = 125, median 59%) patients, but this difference was not significant in univariate or multivariate (adjusting for age, walking ability and days post-event) regression. Time spent physically active was higher in MI (median 23%) than stroke (median 10%) patients (p = 0.009), but this difference did not survive multivariate adjustment (p = 0.67). More stroke patients (78%) than MI patients (19%) participated in therapy.  
Conclusions: This study provides the first objective data on physical activity levels of acute MI patients. While they were more active than acute stroke patients, the difference was largely attributable to walking ability.
  • Implications for rehabilitation
  • In the first week after myocardial infarction, patients spent about half the day physically inactive (even though 81% were able to walk independently).
  • Similar levels of inactivity were seen in a comparable cohort of acute stroke patients, suggesting that environmental factors play an important role.
  • There appears to be wide scope for increasing levels of physical rehabilitation after acute cardiovascular events, though optimal timing and dose remain unclear.

No comments:

Post a Comment