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, May 12, 2017

Association between 7 days per week rehabilitation and functional recovery of patients with acute stroke: A retrospective cohort study based on the Japan rehabilitation database

 Yes, but would 5 and 6 day a week be just as good if all the dead time in the hospital is used for rehabilitation? And since you are inactive 85% of the time while in the hospital your doctor is allowing you to deteriorate.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J75824&phrase=no&rec=133372&article_source=Rehab&international=0&international_language=&international_location=
Archives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 701-706.

NARIC Accession Number: J75824.  What's this?
ISSN: 0003-9993.
Author(s): Kinoshita, Shoji; Momosaki, Ryo; Kakuda, Wataru; Okamoto, Takatsugu; Abo, Masahiro.
Publication Year: 2017.
Number of Pages: 6.
Abstract: Study examined the effect of 7 days per week (7d/wk) of rehabilitation on the functional recovery of patients with acute stroke. Seven days per week of rehabilitation was defined as rehabilitation therapy administrated by a physical or occupational therapist on every weekday, Saturday, and Sunday. Researchers tested the hypothesis that functional outcome of patients with stroke who receive 7d/wk of rehabilitation is generally better than that of similar patients who undergo 5 or 6d/wk of rehabilitation. Data were collected from the Japan Rehabilitation Database for 3,072 patients with stroke who were admitted to acute hospitals and received 7d/wk of rehabilitation. The primary outcome was favorable functional independence in daily living, defined as a modified Rankin Scale score of 0 to 2 at the time of discharge. A total of 1075 (35.0 percent) patients received 7d/wk of rehabilitation. Univariate analysis demonstrated a significant difference in favorable functional recovery between the 7d/wk rehabilitation group and non-7d/wk rehabilitation group (43.3 versus 37.6 percent, respectively). Multivariate logistic regression analysis using the generalized estimating equations method showed that 7d/wk of rehabilitation was independently associated with favorable functional recovery. This study demonstrated that 7d/wk of rehabilitation in early rehabilitation for patients with acute stroke can lead to functional recovery.
Descriptor Terms: ACUTE CARE, FUNCTIONAL STATUS, INDEPENDENT LIVING, INTERNATIONAL REHABILITATION, OCCUPATIONAL THERAPY, OUTCOMES, PHYSICAL THERAPY, REHABILITATION SERVICES, SERVICE DELIVERY, STROKE.


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

Citation: Kinoshita, Shoji, Momosaki, Ryo, Kakuda, Wataru, Okamoto, Takatsugu, Abo, Masahiro. (2017). Association between 7 days per week rehabilitation and functional recovery of patients with acute stroke: A retrospective cohort study based on the Japan rehabilitation database.  Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 701-706. Retrieved 5/13/2017, from REHABDATA database.


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More information about this publication:
Archives of Physical Medicine and Rehabilitation.

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