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.

Monday, September 11, 2017

Sit to stand activity during stroke rehabilitation

I know I practiced this very little.

Sit to stand activity during stroke rehabilitation

Kerr, Andrew and Dawson, Jesse and Robertson, Chris and Rowe, Philip and Quinn, Terry (2017) Sit to stand activity during stroke rehabilitation. Topics in Stroke Rehabilitation. (In Press)
[img] Text (Kerr-etal-TISR-2017-Sit-to-stand-activity-during-stroke)
Kerr_etal_TISR_2017_Sit_to_stand_activity_during_stroke.pdf - Accepted Author Manuscript
Restricted to Repository staff only until 27 August 2018.

Download (497kB) | Request a copy from the Strathclyde author

Abstract

Objectives: The sit to stand (STS) movement is key to independence and commonly affected by stroke. Repetitive practice is likely to improve STS ability during rehabilitation, however current practice levels are unknown. The objective of this study was simply to count the number of STS movements performed during the rehabilitation period of stroke patients using a physical activity monitor (PAM) and test whether being observed altered outcome.
Methods: Participants were medically stable patients referred for rehabilitation following stroke. Participants were randomly allocated to either wear or not wear the PAM for 14 days. STS ability and general mobility were recorded before and after.
Results: 61 patients was recruited; aged 68.4± 13.15 years, weight 77.12±22.73Kg, Height 1.67±0.1m, within 9±9 days of their stroke and an NIHSS score of 6.4±3.3. The monitored group (n=38) performed 25.00 ± 17.24 daily STS movements. Those requiring assistance achieved 14.29 ± 16.10 per day while those independent in the movement achieved 34.10 ± 12.44. There was an overall improvement in mobility (p=0.002) but not STS performance (p=0.053) neither outcome was affected by group allocation (p=0.158). Cognition and mobility at baseline explained around 50% of daily STS variability.
Discussion: Low levels of STS activity were recorded during the rehabilitation period of stroke patient. The mean daily STS activity was lower than reports for frail older people receiving rehabilitation, and substantially below levels recorded by community living older adults. STS repetitions may represent general physical activity and these low levels support previous reports of sedentary behaviour during rehabilitation.

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