Deans' stroke musings: Self-efficacy mediates the relationship between balance/walking performance, activity, and participation 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.

Friday, January 12, 2018

Self-efficacy mediates the relationship between balance/walking performance, activity, and participation after stroke

If the patients have to do this much work on their own to recover the doctors shouldn't be paid at all.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77346&phrase=no&rec=135283&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 23(2) , Pgs. 77-83.

NARIC Accession Number: J77346. What's this?
ISSN: 1074-9357.
Author(s): French, Margaret A.; Moore, Meghan F.; Pohlig, Ryan; Reisman, Darcy.
Publication Year: 2016.
Number of Pages: 7.
Abstract: Study explored the relationships between different outcome measures and activity and participation in people after stroke. Fifty-nine subjects with stroke participated in an assessment including self-selected walking speed, 6-Mminute Walk Test, Timed Up and Go test, Berg Balance Scale, Functional Gait Assessment, Walk 12, and Activity-specific Balance Confidence Scale. StepWatch Activity Monitoring (SAM) was used as a measure of activity and Stroke Impact Scale-Participation (SIS-P) as a measure of participation. Exploratory Factor. Analysis was performed including all measures except SAM and SIS-P. Two factors were extracted and termed performance-based (PB) and self-efficacy (SE). A path analysis assessed the role of SE as a mediator in the relationships of PB and SAM/SIS-P. In the path analysis, PB significantly predicts SE, but not SAM or SIS-P. SE significantly predicts both SAM and SIS-P. The indirect effects of PB on SAM and SIS-P were significant. These results suggest that SE mediates the relationship between PB and activity and participation after stroke, reinforcing that improving activity and participation is more complicated than only targeting performance. Clinicians should administer SE and PB measures to determine the most accurate view of patients after stroke and seek to improve SE through interventions.
Descriptor Terms: AMBULATION, EQUILIBRIUM, MEASUREMENTS, MOBILITY, OUTCOMES, SELF CONCEPT, STROKE.

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

Citation: French, Margaret A., Moore, Meghan F., Pohlig, Ryan, Reisman, Darcy. (2016). Self-efficacy mediates the relationship between balance/walking performance, activity, and participation after stroke. Topics in Stroke Rehabilitation , 23(2), Pgs. 77-83. Retrieved 1/11/2018, from REHABDATA database.