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.

Sunday, April 12, 2020

Oral health related quality of life in stroke survivors at community-based rehabilitation centre: A pilot study

By now I would expect that dental care should have an EXACT PROTOCOL;

But I would prefer this instead:

These Magnetic Microbots Will Scrub Your Teeth Clean May 2019

 

  1. one-handed squeezers for toothpaste
  2. floss picks
  3. powered toothbrush 
Because of this:

Direct Link Between Oral Bacteria and Stroke May 2019  

Disappointed that they didn't include all stroke patients, cherry picked the better ones again.

 

The latest here:

Oral health related quality of life in stroke survivors at community-based rehabilitation centre: A pilot study

In Meei Tew1, Chui Ling Goo1, Shahida Mohd Said1*, Hafizul Izwan Zahari1, Noor Amalina Ali2, Fatin Athirah Masawi3, Aznida Firzah Abdul Aziz4, Tuti Ningseh Mohd Dom5

1. Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia,  Kuala Lumpur 50300, Malaysia 2. Lundang Paku Dental Clinic, Koto Bharu 16450, Malaysia 3. Sungai Pinang Dental Clinic, Tumpat 16200, Malaysia 4. Department of Family Medicine, Preclinical Block, UKM Medical Centre, Bandar Tun Razak,  Cheras 56000, Malaysia 5. Department of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia

*E-mail: shahidams@ukm.edu.my


Abstract


Background:
Despite being a common problem, long-term disability following stroke often improves after survivors receive regular rehabilitative therapy. This study aimed to assess the oral health-related quality of life (OHRQoL) of stroke survivors who had access to a community-based rehabilitation centre after hospital discharge.
Methods:
Dentate post-stroke patients receiving regular rehabilitative care with slight to moderate dependency (Barthel Index >70) and without severe cognitive impairment were involved in this study. The OHRQoL parameters were measured using the Oral Health Impact Profile-14 (OHIP-14) and EuroQol five dimensions (EQ-5D-5L) questionnaires. Results: Thirty one patients were recruited in this study. Majority of the patients hardly ever or never had problems in all functional, physical, psychological and social domains, including eating discomfort and having to avoid eating, difficulty in chewing food and presumably having bad breath (58.1%, 61.3% and 71.0% respectively). Other than gender, age, ethnicity, co-morbidities and oral hygiene practices, education level was the only variable found to significantly affect patients’ OHRQoL (p = 0.028). Most of the patients had no or slight problem(s) in self-care (87.1%) and carrying out usual activities (57.1%), pain/discomfort (3.2%) and anxiety/depression (6.5%).
Conclusion:
Stroke survivors under regular rehabilitative care perceived have good oral health-related quality of life.
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