Deans' stroke musings: Nutrition, Energy Expenditure, Dysphagia, and Self-Efﬁcacy in Stroke Rehabilitation: A Review of the Literature

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.

Tuesday, December 11, 2018

Nutrition, Energy Expenditure, Dysphagia, and Self-Efﬁcacy in Stroke Rehabilitation: A Review of the Literature

We don't want analysis of literature we want protocols. WHEN THE FUCK ARE YOU GOING TO PROVIDE THEM?

Nutrition, Energy Expenditure, Dysphagia, and Self-Efﬁcacy in Stroke Rehabilitation: A Review of the Literature

Adam C. Lieber 1, Estee Hong 2, David Putrino 2 , Dominic A. Nistal 1 , Jonathan S. Pan 1 and Christopher P. Kellner 1,* 1 Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA; adam.lieber@icahn.mssm.edu (A.C.L.); dominic.nistal@icahn.mssm.edu (D.A.N.); jonathan.pan@icahn.mssm.edu (J.S.P.) 2 Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA; eh469@cornell.edu (E.H.); dputrino83@gmail.com (D.P.) * Correspondence: christopher.kellner@gmail.com; Tel.:+1-212-241-2377or+1-617-365-2981; Fax:212-241-7388
Received: 30 October 2018; Accepted: 5 December 2018; Published: 7 December 2018

Abstract: While signiﬁcant research has been performed regarding the use of thrombolytic agents and thrombectomy in the setting of acute stroke, other factors, such as nutritional status of stroke patients, is a less explored topic. The topic of nutrition is critical to the discussion of stroke, as up to half of stroke survivors may be considered malnourished at discharge. Dysphagia, old age, restricted upper limb movement, visuospatial impairment, and depression are all important risk factors for malnutrition in this cohort. The purpose of this review is to analyze current literature discussing neuroprotective diets, nutritional, vitamin, and mineralsupplementation, dysphagia, and post-stroke coaching in stroke patients.