Deans' stroke musings: Association between adherence to the physical activity and exercise program applied in the LAST study and functional recovery after stroke

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.

Monday, March 16, 2020

Association between adherence to the physical activity and exercise program applied in the LAST study and functional recovery after stroke

If you really want to solve this problem you give stroke survivors EXACT STROKE PROTOCOLS that deliver results. Then survivors will do the work necessary to recover.

But all this research is doing is providing excuses for the medical profession as to why stroke survivors don't recover. I 100% blame the stroke medical world for why survivors don't 100% recover.

Association between adherence to the physical activity and exercise program applied in the LAST study and functional recovery after stroke

Archives of Physical Medicine and Rehabilitation , Volume 100(12) , Pgs. 2251-2259.

NARIC Accession Number: J82777. What's this?
ISSN: 0003-9993.
Author(s): Gunnes, Mari; Indredavik, Bent; Langhammer, Birgitta; Lydersen, Stian; Ihle-Hansen, Hege; Daahl, Anne E.; Askim, Torunn.
Publication Year: 2019.
Number of Pages: 9.

Abstract:

Study investigated the associations between participants' adherence to a physical activity and exercise program after stroke and functional recovery 18 months after inclusion in the Life After Stroke (LAST) study, a multisite randomized controlled trial. Secondary analyses were conducted of data from participants randomized to the intervention group who received a follow-up program delivered by the primary healthcare services in 3 Norwegian municipalities. The intervention comprised individualized coaching on physical activity and exercise by a physiotherapist during 18 consecutive months. Monthly coaching by the physiotherapists encouraged participants to adhere to 30 minutes of daily physical activity and 45-60 minutes of weekly exercise. Of the 380 participants enrolled in LAST, 186 were randomized to the intervention. According to the National Institutes of Health Stroke Scale, most participants (97.3 percent) were diagnosed with mild stroke and 2.7 percent with moderate stroke. The primary outcome was Motor Assessment Scale (MAS). Secondary outcome measures were the 6-Minute Walk Test, Timed Up and Go (TUG), Berg Balance Scale (BBS), and the physical domains of the Stroke Impact Scale (SIS). Adherence was assessed by combining participants' training diaries and physiotherapists' reports. The relationship between adherence and functional recovery was analyzed with simple and multiple linear regression models. Adjusted for age, sex, dependency, and cognition, results showed statistically significant associations between adherence and functional outcomes after 18 months, as measured by MAS, TUG, BBS, and SIS. Results indicate increased adherence to physical activity and exercise was associated with improved functional recovery after mild-to-moderate stroke. This emphasizes the importance of developing adherence-enhancing interventions.(So you can blame the survivor for not recovering, I blame you for nor providing protocols.)
Descriptor Terms: COMPLIANCE, EXERCISE, FUNCTIONAL STATUS, HEALTH PROMOTION, INTERVENTION, MOBILITY, OUTCOMES, PHYSICAL THERAPY, STROKE.

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

Citation: Gunnes, Mari, Indredavik, Bent, Langhammer, Birgitta, Lydersen, Stian, Ihle-Hansen, Hege, Daahl, Anne E., Askim, Torunn. (2019). Association between adherence to the physical activity and exercise program applied in the LAST study and functional recovery after stroke. Archives of Physical Medicine and Rehabilitation , 100(12), Pgs. 2251-2259. Retrieved 3/16/2020, from REHABDATA database.

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