Deans' stroke musings: Go home, sit less: The impact of home versus hospital rehabilitation environment on activity levels of stroke survivors

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, December 19, 2018

Go home, sit less: The impact of home versus hospital rehabilitation environment on activity levels of stroke survivors

You're measuring the wrong endpoint, activity, rather than recovery.

Go home, sit less: The impact of home versus hospital rehabilitation environment on activity levels of stroke survivors

Archives of Physical Medicine and Rehabilitation , Volume 99(11) , Pgs. 2216-2221, 2221.e1.

NARIC Accession Number: J79843. What's this?
ISSN: 0003-9993.
Author(s): Simpson, Dawn B.; Breslin, Monique; Cumming Toby; de Zoete, Sam; Gall, Seana L.; Schmidt, Matthew; English, Coralie; Callisaya, Michele L..
Publication Year: 2018.
Number of Pages: 7.
Abstract: Study examined whether change in rehabilitation environment (hospital or home) and other factors influence time spent sitting upright and walking after stroke. Thirty-four participants with stroke were recruited from 2 inpatient rehabilitation units. Physical activity data were measured using an activity monitor at 2 time points: the final week of inpatient rehabilitation and the first week at home. Along with demographic variables obtained from medical records, other covariates included mood, fatigue, physical function, pain, and cognition. Linear mixed models were performed to examine the associations between the environment (exposure) and physical activity levels (outcome) in the hospital and at home. Interaction terms between the exposure and other covariates were added to the model to determine whether they modified activity with change in environment. The mean age of participants was 68 years and 53 percent were male. At home, participants spent 45 fewer minutes sitting, 45 more minutes upright, and 12 more minutes walking, and completed 724 additional steps each day compared to in the hospital. Depression at discharge predicted greater sitting time and less upright time at home. Results suggest that the environmental change from hospital to home was associated with reduced sitting time and increased the time spent physically active, though depression modified this change. The rehabilitation environment may be a target to reduce sitting and promote physical activity.