Deans' stroke musings: Falls are associated with lower self-reported functional status in patients after 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.

Sunday, January 14, 2018

Falls are associated with lower self-reported functional status in patients after stroke

Oh fuck, another lazy analysis paper, rather than actually getting real interventional clinical research done to prevent falls. Why does stroke leadership allow this crapola?
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77414&phrase=no&rec=135352&article_source=Rehab&international=0&international_language=&international_location=
Archives of Physical Medicine and Rehabilitation , Volume 98(12) , Pgs. 2393-2398.

NARIC Accession Number: J77414. What's this?
ISSN: 0003-9993.
Author(s): van der Kooi, Eline; Schiemanck, Sven K.; Nollet, Frans; Kwakkel, Gert; Meijer, Jan-Willem; van de Port, Ingrid.
Publication Year: 2017.
Number of Pages: 6.
Abstract: Study analyzed the relationship between falls and functional status after stroke. This was a secondary analysis of data from the randomized controlled FIT-Stroke trial. The study included 250 patients with mild cognitive impairment following stroke admitted to 1 of the 9 participating rehabilitation centers in The Netherlands and discharge home after inpatient rehabilitation. Outcomes were measured at the time of discharge from inpatient rehabilitation (t0) and after 12 weeks (t1). Between t0 and t1, all patients attended an outpatient rehabilitation program that included the FIT-Stroke intervention. The primary outcome was the change in Stroke Impact Scale (SIS)-16 score. The independent variable was 1 or more falls after stroke. The outcome was corrected for type of outpatient rehabilitation (group allocation), severity of hemiplegia (Motricity Index), and cognition (Mini-Mental State Examination) at baseline using multiple regression analysis. Complete data were available for 199 patients; 55 patients (28 percent) reported falls during the 12 weeks after discharge from inpatient rehabilitation. Falls were significantly associated with less improvement in functional status as assessed with the SIS-16. Almost 30 percent of this stroke population with minor cognitive deficits and moderate to high mobility scores reported falls during the 12 weeks of outpatient rehabilitation. Falls were negatively associated with self-reported functional status measured by the change in SIS-16 score. Therefore, it is important to identify patients with high risk of falls and implement strategies to reduce falls.
Descriptor Terms: EQUILIBRIUM, FUNCTIONAL STATUS, INTERNATIONAL REHABILITATION, MOBILITY, OUTCOMES, POSTURE, REHABILITATION, STROKE.

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

Citation: van der Kooi, Eline, Schiemanck, Sven K., Nollet, Frans, Kwakkel, Gert, Meijer, Jan-Willem, van de Port, Ingrid. (2017). Falls are associated with lower self-reported functional status in patients after stroke. Archives of Physical Medicine and Rehabilitation , 98(12), Pgs. 2393-2398. Retrieved 1/14/2018, from REHABDATA database.