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.

Saturday, April 6, 2019

Prevalence of upper-limb spasticity and its impact on care among nursing home residents with prior stroke

Yes, we already know spasticity is bad and prevalent. You are not helping any bit here by not providing any protocols or solutions to address the spasticity.  Do you believe like Dr. William M. Landau that spasticity does not need to be treated?  I think his opinion is completely wrong and should be laughed out of existence. There is no survivor that I know of that thinks spasticity is not worth treating.


Spasticity After Stroke: Why Bother?Aug. 2004 

The latest here:

Prevalence of upper-limb spasticity and its impact on care among nursing home residents with prior stroke

Received 21 Aug 2018, Accepted 30 Nov 2018, Published online: 31 Mar 2019
Purpose: Post-stroke spasticity can impair motor function and may cause pain, limb deformity, contracture, and difficulties with limb care. This study aimed to assess the prevalence and burden of post-stroke upper-limb spasticity among nursing home residents.
Materials and methods: A multisite, cross-sectional study was conducted across three nursing home facilities. Participants included residents with a confirmed diagnosis of stroke, and nursing staff involved in their care. Residents were assessed using the Tardieu Scale, passive range-of-motion, Abbey Pain scale, Modified Rankin Scale and observation of limb position and skin condition. Nursing staff completed the Arm Activity Measure (ArmA).
Results: 264 individuals were screened, 51 had a diagnosis of stroke (19.3%), and 23 consented to participate. 16 participants (70%) demonstrated upper-limb spasticity of at least one joint, median Tardieu score 2 [IQR 2–3]. Pain scores and nurse-rated passive ArmA were significantly higher for patients with spasticity compared to those without (p = 0.003 and p < 0.001, respectively). Greater spasticity correlated with higher pain (rs =0.44) and ArmA scores (rs =0.71).
Conclusions: A high proportion (70%) of nursing home residents with stroke demonstrated upper-limb spasticity, associated with pain and passive care difficulties. These data suggest there is an unmet need for spasticity management(Wrong, it needs to be cured. You are just being lazy by suggesting management, knowing nothing exists. YOU have to create a solution.  GET CRACKING.)  among nursing-home residents.
  • Implications for rehabilitation
  • Upper-limb spasticity is prevalent among nursing home residents with prior stroke; here, observed in 70% of cases.
  • Spasticity was associated with increased pain and more difficult passive limb care in this population.
  • There is an unmet need for spasticity management among nursing home residents with prior stroke.
  • Efforts should be made to improve access to multidisciplinary spasticity treatment for this vulnerable patient population.

Additional information

Funding

Funding for this study was received from the Australasian Faculty of Rehabilitation Medicine, Royal Australasian College of Physicians via an AFRM Fellows Ipsen Research Development Grant.

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