Deans' stroke musings: Eligibility, enrollment, and completion of exercise-based cardiac rehabilitation following stroke rehabilitation: What are the barriers?

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

Eligibility, enrollment, and completion of exercise-based cardiac rehabilitation following stroke rehabilitation: What are the barriers?

The barriers are not having EXACT STROKE PROTOCOLS TO FOLLOW. When the hell will you do that simple task?

Eligibility, enrollment, and completion of exercise-based cardiac rehabilitation following stroke rehabilitation: What are the barriers?

Physical Therapy , Volume 100(1) , Pgs. 44-56.

NARIC Accession Number: J82998. What's this?
ISSN: 0031-9023.
Author(s): Marzolini, Susan ; Fong, Karen ; Jagroop, David ; Neirinckx, Jennifer ; Liu, Jean ; Reyes, Rina ; Grace, Sherry L. ; Oh, Paul ; Colella, Tracey J.F..
Publication Year: 2020.
Number of Pages: 13.
Abstract: Study examined eligibility for cardiac rehabilitation (CR); enrollment, adherence, and completion; and factors affecting use among 116 people enrolled in a single outpatient stroke rehabilitation (OSR) program located in Toronto, Ontario, Canada. Questionnaires were completed by treating physical therapists for participants receiving OSR and included reasons for CR ineligibility, reasons for declining participation, demographics, and functional level. CR eligibility criteria included the ability to walk at least 100 meters (no time restriction) and the ability to exercise at home independently or with assistance. People with or without hemiplegic gait were eligible for adapted or traditional CR, respectively. Logistic regression analyses were used to examine factors associated with use indicators. Of 116 participants receiving OSR, 82 were eligible for CR; 2 became eligible later. Sixty enrolled in CR and 49 completed CR, attending 87.1 percent of prescribed sessions. The primary reasons for ineligibility included being non-ambulatory or having poor ambulation and having severe cognitive deficits and no home exercise support. Frequently cited reasons for declining CR were moving or travel out of country, lack of interest, transportation issues, and desiring a break from therapy. In a multivariate analysis, people who declined CR were more likely to be women, have poorer attendance at OSR, and not diabetic. Compared with traditional CR, stroke-adapted CR resulted in superior attendance and completion. The primary reasons for dropping out were medical and moving. Results indicate OSR-CR provided an effective continuum of care, with approximately 75 percent of eligible people participating and more than 80 percent completing. However, just over 1 of 4 eligible people declined participation; therefore, strategies should target lack of interest, transportation, women, and people without diabetes.
Descriptor Terms: CARDIAC DISORDERS, CLIENT CHARACTERISTICS, COMPLIANCE, DEMOGRAPHICS, DROPOUTS, ELIGIBILITY, EXERCISE, INTERDISCIPLINARY ACTIVITIES, PHYSICAL THERAPY, STROKE.

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

Citation: Marzolini, Susan , Fong, Karen , Jagroop, David , Neirinckx, Jennifer , Liu, Jean , Reyes, Rina , Grace, Sherry L. , Oh, Paul , Colella, Tracey J.F.. (2020). Eligibility, enrollment, and completion of exercise-based cardiac rehabilitation following stroke rehabilitation: What are the barriers?. Physical Therapy , 100(1), Pgs. 44-56. Retrieved 3/16/2020, from REHABDATA database.

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