Deans' stroke musings: Relation of depressive symptoms to outcome of CI movement therapy 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.

Wednesday, February 21, 2018

Relation of depressive symptoms to outcome of CI movement therapy after stroke

Luckily I never underwent CIMT, I had no use of left hand fingers and wouldn't have been able to feed myself, open doors or go to the bathroom. It would have been incredibly depressing for me.
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77637&phrase=no&rec=135603&article_source=Rehab&international=0&international_language=&international_location=
Rehabilitation Psychology , Volume 62(4) , Pgs. 509-515.

NARIC Accession Number: J77637. What's this?
ISSN: 0090-5550.
Author(s): Haddad, Michelle M.; Uswatte, Gitendra; Taub, Edward; Barghi, Ameen; Mark, Victor W..
Publication Year: 2017.
Number of Pages: 7.
Abstract: Study analyzed depressive symptoms and motor scores from patients who underwent constraint-induced movement therapy (CIMT) after stroke to determine whether depressive symptoms significantly affected physical treatment outcome, and whether depressive symptoms had changed during the treatment. Forty adults with mild-to-moderate upper-extremity hemiparesis who received CIMT in 2 previously published studies completed the Zung Self-Rating Depression Scale and Motor Activity Log (MAL) before and after CIMT. Regression analysis was used to test whether Zung scores predicted response to CIMT and paired t tests were used to test whether depressive symptoms changed from pre- to posttreatment. Results indicated that pretreatment Zung score did not predict outcome on the MAL Arm Use scale, after controlling for pretreatment MAL scores. Additionally, participants had a small but statistically significant decrease in Zung score. These results suggest that depressive symptoms do not significantly limit motor recovery in patients treated with CIMT for chronic poststroke hemiparesis. Additionally, treatment with CIMT may improve depressive symptoms.
Descriptor Terms: DEPRESSION, EXERCISE, LIMBS, MOTOR SKILLS, OUTCOMES, PHYSICAL THERAPY, REHABILITATION SERVICES, STROKE.

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

Citation: Haddad, Michelle M., Uswatte, Gitendra, Taub, Edward, Barghi, Ameen, Mark, Victor W.. (2017). Relation of depressive symptoms to outcome of CI movement therapy after stroke. Rehabilitation Psychology , 62(4), Pgs. 509-515. Retrieved 2/21/2018, from REHABDATA database.