Deans' stroke musings: Functional independence: A comparison of the changes during neurorehabilitation between patients with nontraumatic subarachnoid hemorrhage and patients with intracerebral hemorrhage or acute ischemic 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.

Friday, May 12, 2017

Functional independence: A comparison of the changes during neurorehabilitation between patients with nontraumatic subarachnoid hemorrhage and patients with intracerebral hemorrhage or acute ischemic stroke

The outcome of this research should have been an analysis of why the recoveries were so bad and what needs to be done to get to 100% recovery.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J75832&phrase=no&rec=133380&article_source=Rehab&international=0&international_language=&international_location=
Archives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 759-765.

NARIC Accession Number: J75832. What's this?
ISSN: 0003-9993.
Author(s): Stabel, Henriette H.; Pedersen, Asger R.; Johnsen, Soren P.; Nielsen, Jorgen F..
Publication Year: 2017.
Number of Pages: 7.
Abstract: Study compared changes in functional independence between patients with non-traumatic subarachnoid hemorrhage (SAH) and those with intracerebral hemorrhage (ICH) or acute ischemic stroke (AIS) undergoing neurorehabilitation in Denmark. Functional Independence Measure (FIM) scores from a local database and clinical information from the Danish National Patient Registry were analyzed for 212 patients with a first-time non-traumatic SAH and 448 age-matched patients with a first-time ICH/AIS. Changes in functional outcome between the 2 groups were compared using comparisons of FIM (total and item by item) measured at baseline and at discharge. The results showed that patients with non-traumatic SAH were admitted with a lower functional level compared with patients with ICH/AIS, and discharged with a lower functional level, although they made more progress during neurorehabilitation. Statistically, patients with non-traumatic SAH had significantly better odds for obtaining functional independence than did patients with ICH/AIS in 6 of the 18 FIM items: eating, dressing upper body, transfer tub/shower, stair walking, comprehension, and expression. Patients with non-traumatic SAH made significantly more progress during neurorehabilitation, although they were discharged with a lower level of functional independence compared with patients with ICH/AIS. However, both patients with non-traumatic SAH and those with ICH/AIS improved their functional outcome significantly. Also, patients with non-traumatic SAH admitted with severe functional outcome were shown to be capable of recovering to a moderate level of functional independence.
Descriptor Terms: DAILY LIVING, FUNCTIONAL STATUS, INDEPENDENT LIVING, INTERNATIONAL REHABILITATION, NEUROLOGICAL DISORDERS, OUTCOMES, STROKE.

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Citation: Stabel, Henriette H., Pedersen, Asger R., Johnsen, Soren P., Nielsen, Jorgen F.. (2017). Functional independence: A comparison of the changes during neurorehabilitation between patients with nontraumatic subarachnoid hemorrhage and patients with intracerebral hemorrhage or acute ischemic stroke. Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 759-765. Retrieved 5/13/2017, from REHABDATA database.

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