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, May 12, 2017

Time-varying effects of psychological distress on the functional recovery of stroke patients

I'd be distressed too if my doctor gave me no information on how to get 100% recovered.
Archives of Physical Medicine and Rehabilitation , Volume 98(4) , Pgs. 722-729.

NARIC Accession Number: J75827.  What's this?
ISSN: 0003-9993.
Author(s): Huang, Hui-Chuan; Chang, Chien-Hung; Hu, Chaur-Jong; Shyu, Meei-Ling; Chen, Chin-I.; Huang, Chih-Shan; Tsai, Hsiu-Ting; Chang, Hsiu-Ju.
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study explored the temporal effects of psychological distress on the functional recovery of stroke survivors. A total of 62 participants were interviewed at 5 days after stroke onset, and at 1, 2, 3, and 6 months after discharge from acute care hospitals. Measurements consisted of demographic characteristics, disease severity, social support, the Chinese version of the Emotional and Social Dysfunction Questionnaire (ESDQ-C), and the Barthel Index. Results showed that psychological distress had a dynamic effect on functional recovery over time, and as the total ESDQ-C score increased by 1 point, the concurrent functional recovery decreased by .23 points. Additionally, 5 subscales of the ESDQ-C including anger, emotional dyscontrol, helplessness, indifference, and euphoria also had dynamic effects on functional recovery over time. Regardless of when a single form or various forms of psychological distress occurred over time from stroke onset, the functional recovery over time was simultaneously affected. The time-varying effect of psychological distress on functional recovery was significant. Adopting comprehensive instruments and regular assessments for the early detection of various psychological distresses while under clinical care is needed. Effective interventions targeting both physical and mental functions would further improve the functional recovery and overall health of stroke patients.

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

Citation: Huang, Hui-Chuan, Chang, Chien-Hung, Hu, Chaur-Jong, Shyu, Meei-Ling, Chen, Chin-I., Huang, Chih-Shan, Tsai, Hsiu-Ting, Chang, Hsiu-Ju. (2017). Time-varying effects of psychological distress on the functional recovery of stroke patients.  Archives of Physical Medicine and Rehabilitation , 98(4), Pgs. 722-729. 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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