Deans' stroke musings: Post-stroke fatigue is an independent predictor of post-stroke disability and burden of care: A path analysis study

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

Post-stroke fatigue is an independent predictor of post-stroke disability and burden of care: A path analysis study

Who cares about the prediction? What the fuck is your fatigue solution?
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77340&phrase=no&rec=135277&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 23(1) , Pgs. 1-7.

NARIC Accession Number: J77340. What's this?
ISSN: 1074-9357.
Author(s): Mandliya, Alok; Das, Abhijit; Unnikrishnan, J. P.; Amal, M. G.; Sarma, P. Sankara; Sylaja, P. N..
Publication Year: 2016.
Number of Pages: 7.
Abstract: Study examined the role of post-stroke fatigue (PSF) in post-stroke disability and burden of care among stroke survivors after their first-ever stroke. One hundred sixty-three subjects (35 females), recruited from a tertiary stroke care center in India, were evaluated after their first-ever ischemic or hemorrhagic stroke (more than 3 months after event). In addition to demographic and clinical characteristics, the following assessments were administered: SF-36 vitality domain (fatigue), Modified Rankin Scale (functional recovery), Hospital Anxiety and Depression Scale (depression), and Functional Independence Measure (disability and burden of care). Path analysis was used to identify a model that will capture the interactions of fatigue, depression, and degree of functional recovery in stroke survivors. Results indicated the severity of PSF positively correlated with the severity of disability and PSF had significant contribution to disability over and above functional recovery and depression, with all three factors accounting for 43 percent of the variance. Among the four models that were proposed to explore these relationships, the best fitting model showed that the effect of PSF is mediated through both the direct effect of fatigue on disability and through its interaction with depression, which remained a separate contributor to post-stroke disability and burden of care. The authors conclude that PSF is an important determinant of post-stroke disability and should be evaluated for successful post-stroke rehabilitation. (Evaluated? Not provide a solution. Lazy evaluation which means the doctor does nothing for your fatigue. Screaming required here)
Descriptor Terms: ANXIETY DISORDERS, CHRONIC FATIGUE SYNDROME, DAILY LIVING, DEPRESSION, FUNCTIONAL LIMITATIONS, STROKE.

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

Citation: Mandliya, Alok, Das, Abhijit, Unnikrishnan, J. P., Amal, M. G., Sarma, P. Sankara, Sylaja, P. N.. (2016). Post-stroke fatigue is an independent predictor of post-stroke disability and burden of care: A path analysis study. Topics in Stroke Rehabilitation , 23(1), Pgs. 1-7. Retrieved 1/14/2018, from REHABDATA database.