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

Thursday, January 11, 2018

Accelerometry shows inpatients with acute medical or surgical conditions spend little time upright and are highly sedentary: Systematic review

The sedentary time while in hospital needs to be addressed with other therapy. Maybe music, action observation, virtual reality, passive movement? Other research points to 74-78% sedentary time for stroke patients, that is completely appalling. Your doctor and therapists should have to  completely fill your time with stroke protocols that work. My therapists were always afraid that they would tire me out with therapy.  
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77377&phrase=no&rec=135315&article_source=Rehab&international=0&international_language=&international_location=
Physical Therapy , Volume 97(11) , Pgs. 1044-1065.

NARIC Accession Number: J77377.  What's this?
ISSN: 0031-9023.
Author(s): Baldwin, Claire; van Kessel, Gisela; Phillips, Anna; Johnston, Kylie.
Publication Year: 2017.
Number of Pages: 22.
Abstract: Study reviewed the literature on the use of accelerometer monitoring with inpatients who are acutely ill, including what activity and sedentary behaviors have been measured, and how active or sedentary inpatients are. MEDLINE, EMBASE, CINAHL, and Scopus databases were searched for quantitative studies of adults with an acute medical or surgical hospital admission, on whom an accelerometer was used to measure a physical activity or sedentary behavior. Data extraction and data synthesis procedures were completed independently by 2 reviewers, with differences resolved and cross-checked by a third reviewer. Forty-two studies were identified that recruited people who had medical diagnoses, stroke, critical illness, acute exacerbations of lung disease, cardiac conditions, or who were postsurgery. Physical activities or sedentary behaviors were reported in terms of time spent in a particular posture (lying/sitting, standing/stepping); active/inactive; or at a particular activity intensity. Physical activity was also reported as step count, number of episodes or postural transitions, and bouts. Inpatients spent 93 to 98.8 percent (range) of their hospital stay sedentary, and in most studies completed less than 1,000 steps/day despite up to 50 postural transitions/day. No study reported sedentary bouts. Many studies controlled for preadmission function as part of the recruitment strategy or analysis or both. This review found that hospitalized patients were highly inactive, especially those with medical admissions, based on time and step parameters. Accelerometer monitoring of sedentary behavior patterns was less reported and warrants further research.

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