Deans' stroke musings: Clinical factors associated with the development of nonuse learned after stroke: A prospective study

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.

Friday, November 22, 2019

Clinical factors associated with the development of nonuse learned after stroke: A prospective study

I happen to think your definition of learned non-use is wrong. It is vastly more likely that the neuronal cascade of death in the first week is the problem. You may be able to initially move a muscle but after the neuronal cascade of death has occurred, you no longer have live brain cells that can do that task. You are assigning learned non-use to an impossibility and blaming the patient rather than BLAMING THE DOCTOR for not stopping the neuronal cascade of death.

Clinical factors associated with the development of nonuse learned after stroke: A prospective study

Topics in Stroke Rehabilitation , Volume 26(7) , Pgs. 511-517.

NARIC Accession Number: J81925. What's this?
ISSN: 1074-9357.
Author(s): Da Costa, Rafael D. M.; Luvizutto, Gustavo J.; Martins, Lais G.; De Souza, Juli T.; Da Silva, Tais R.; Sartor, Lorena C. A.; Winckler, Fernanda C.; Modolo, Gabriel P.; Molle, Evelin R. S. D.; Dos Anjos, Sarah M.; Bazan, Silmeia G. Z.; Cuadrado, Luis M.; Bazan, Rodrigo.
Publication Year: 2019.
Number of Pages: 7.
Abstract: Study evaluated which clinical factors in the acute phase are associated with the development of learned nonuse in the upper extremity after stroke. This cohort study included 38 patients with ischemic stroke. Hospital discharge data were collected for clinical aspects, scales of severity, incapacity and autonomy, as well as for neuromuscular and sensory evaluations. At 90 days after hospital discharge, the score on the Motor Activity Log scale for detecting learned nonuse was obtained, and life quality was evaluated by the EuroQol. The individuals with and without learned nonuse were compared by attest for univariate analysis, and a generalized linear model was employed to find possible predictors. In the statistical model, age, severity at discharge, handgrip strength, altered sensitivity, incapacity at discharge, and autonomy at discharge were found to be associated with learned nonuse. In relation to quality of life, mobility, personal care, usual activities, anxiety, depression and perception had lower mean values in the learned nonuse group. Findings suggest that age, severity of stroke, incapacity, and neuromuscular and sensory compromises are associated with upper-extremity learned nonuse in stroke patients.
Descriptor Terms: ACUTE CARE, CLIENT CHARACTERISTICS, FUNCTIONAL LIMITATIONS, LIMBS, MEDICAL ASPECTS, MOTOR SKILLS, OUTCOMES, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://www.tandfonline.com/doi/full/10.1080/10749357.2019.1631605.

Citation: Da Costa, Rafael D. M., Luvizutto, Gustavo J., Martins, Lais G., De Souza, Juli T., Da Silva, Tais R., Sartor, Lorena C. A., Winckler, Fernanda C., Modolo, Gabriel P., Molle, Evelin R. S. D., Dos Anjos, Sarah M., Bazan, Silmeia G. Z., Cuadrado, Luis M., Bazan, Rodrigo. (2019). Clinical factors associated with the development of nonuse learned after stroke: A prospective study. Topics in Stroke Rehabilitation , 26(7), Pgs. 511-517. Retrieved 11/22/2019, from REHABDATA database.