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.

Thursday, May 14, 2020

Gait measures at admission to inpatient rehabilitation after ischemic stroke predicts 3‐mo quality of life and function

Under what scenario do you have proof that survivors give one flying fuck about predictions?  And suggesting that your tyranny of low expectations is not a valid answer.

Gait measures at admission to inpatient rehabilitation after ischemic stroke predicts 3‐mo quality of life and function

First published: 09 May 2020
https://doi.org/10.1002/pmrj.12402

Abstract


Objective

Ischemic stroke can impact a patient's quality‐of‐life, but the extent is unknown. We evaluated the association between gait measures during inpatient rehabilitation facility with quality‐of‐life scores and function at 3‐mo in patients with stroke.

Methods

6‐min walk test and 10‐m walk test were recorded on admission to rehabilitation. We analyzed the association between gait function at rehabilitation and 3‐mo quality‐of‐life and poor functional outcome (modified Rankin scale >2) using multivariable logistic regression.

Results

85 patients (mean age 68.3 ± 14.9 yr; 54.3% male) were enrolled. In adjusted analyses, an increase of 0.31 m/s (ie, 1 SD) on the 10‐m walk test was linked with a decreased odds of impaired lower extremity quality‐of‐life by 94% (OR 0.06, 95% CI 0.01‐0.52; P = 0.01), and decreased odds of poor functional outcome by 98% (OR 0.02, 95% CI <0.01‐0.47; P = 0.01). For 6‐min walk test, an increase of 109.5 m (ie, 1 SD) was linked with decreased odds of having impaired lower extremity quality‐of‐life by 1% (OR 0.99, 95% CI 0.98‐1.00; P < 0.01) and poor functional outcome by 1% (OR 0.99, 95% CI 0.99‐1.00; P = 0.04).

Conclusions and Relevance

Gait measurements at rehabilitation can predict 3‐mo lower extremity quality‐of‐life and function.
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