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

Sunday, January 14, 2018

Non-aneurysmal non-perimesencephalic subarachnoid hemorrhage: Effect of rehabilitation at short-term and in a prospective study of long-term follow-up

How will this be used to get these patients 100% recovered? Anyone suggesting that this is the best they can do is lazy and shouldn't be involved in stroke. 
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77362&phrase=no&rec=135299&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 23(4) , Pgs. 261-268.

NARIC Accession Number: J77362.  What's this?
ISSN: 1074-9357.
Author(s): Konczalla, Juergen; Schmitz, Jens; Kashefiolasl, Sepide; Senft, Christian; Platz, Johannes; Seifert, Volker.
Publication Year: 2016.
Number of Pages: 8.
Abstract: Study analyzed the long-term outcome of patients with subsequent rehabilitation after nonperimesencephalic (NPM) subarachnoid hemorrhage (SAH). A comparison of patients with NPM SAH receiving subsequent inpatient rehabilitation was done at discharge (using the modified Rankin scale [mRS]), short-term outcome after 6 months (mRS), and prospectively using a questionnaire (short-form health survey with 36 questions [SF-36]), which was sent to 66 patients. Thirty-seven patients answered the SF-36, on average 6.3 years after ictus (range 1.5–14 years). After NPM SAH, the mRS is impaired. Patients with subsequent rehabilitation had a significant better improvement until short-term follow-up. Until long-term outcome, the psychological items were non-significantly reduced, whereas all physical items (physical functioning, role limitations because of physical health problems, bodily pain, and general health perceptions) were significantly decreased compared to the standard population. In patients with subsequent rehabilitation, all items were only non-significantly reduced. About 16 percent of the patients developed secondary neurological and/or psychiatric diseases. The quality of life (QoL) is decreased after NPM SAH. In the long-term follow-up, a significant reduction in physical items was identified. Due to subsequent in-patient rehabilitation after NPM SAH, the impairment can be improved significantly until short-term follow-up. Whereas patients with NPM SAH had a significantly decreased QoL at long-term follow-up, for patients with rehabilitation, the QoL was only slightly (nonsignificantly) reduced. Therefore, patients should receive subsequent rehabilitation after NPM SAH to improve the functional short-term outcome (mRS) and long-term QoL.
Descriptor Terms: FOLLOW UP, OUTCOMES, QUALITY OF LIFE, REHABILITATION, STROKE.


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

Citation: Konczalla, Juergen, Schmitz, Jens, Kashefiolasl, Sepide, Senft, Christian, Platz, Johannes, Seifert, Volker. (2016). Non-aneurysmal non-perimesencephalic subarachnoid hemorrhage: Effect of rehabilitation at short-term and in a prospective study of long-term follow-up.  Topics in Stroke Rehabilitation , 23(4), Pgs. 261-268. Retrieved 1/14/2018, from REHABDATA database.

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