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

Thursday, April 19, 2018

Validating accelerometry as a measure of physical activity and energy expenditure in chronic stroke.

If your doctor and therapists aren't doing this they have no objective idea of the movements you are doing. With NO objective diagnosis of your disability they will never be able to map protocols to recovery. 
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J78135&phrase=no&rec=136167&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 24(1) , Pgs. 18-23.

NARIC Accession Number: J78135.  What's this?
ISSN: 1074-9357.
Author(s): Serra, ; Balraj, Elizabeth; DiSanzo, Beth L.; Ivey, Frederick M.; Hafer-Macko, Charlene E.; Treuth, Margarita S.; Ryan, Alice S..
Publication Year: 2017.
Number of Pages: 6.
Abstract: Study determined count thresholds for the Actical brand accelerometer specific to stroke disability in order to more accurately estimate time spent at differing activity levels. Eighteen men and 10 women with chronic hemiparetic gait participated in the study. Actical accelerometers were placed on the participants’ non-paretic hip to obtain accelerometry counts during eight activities of varying intensity: (1) watching TV; (2) seated stretching; (3) standing stretching; (4) floor sweeping; (5) stepping in place; (6) over-ground walking; (7) lower-intensity treadmill walking (1.0 mph at 4-percent incline); and (8) higher-intensity treadmill walking (2.0 mph at 4-percent incline). Simultaneous portable monitoring enabled quantification of energy cost for each activity in metabolic equivalents (oxygen consumption in multiples of resting level). Measurements were obtained for 10 minutes of standard rest and 5 minutes during each of the eight activities. Regression analysis yielded the following new stroke-specific Actical minimum thresholds: 125 counts per minute (cpm) for sedentary/light activity, 667 cpm for light/moderate activity, and 1,546 cpm for moderate/vigorous activity. The authors conclude that the standard, commonly applied Actical thresholds are inappropriate for this unique population. The revised cut points better reflect activity levels after stroke and suggest significantly lower thresholds relative to those observed for the general population of healthy individuals.
Descriptor Terms: AMBULATION, BODY MOVEMENT, CARDIOPULMONARY FUNCTION, EVALUATION TECHNIQUES, EXERCISE, MEASUREMENTS, MEDICAL TECHNOLOGY, PERFORMANCE STANDARDS, STROKE.


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

Citation: Serra, Validating accelerometry as a measure of physical activity and energy expenditure in chronic stroke.  Topics in Stroke Rehabilitation , 24(1), Pgs. 18-23. Retrieved 4/19/2018, from REHABDATA database.


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More information about this publication:
Topics in Stroke Rehabilitation.

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