Deans' stroke musings: Effects of Early Family-centered Sensory Stimulation on Disability and Rehabilitation of Stroke Patients

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, June 7, 2020

Effects of Early Family-centered Sensory Stimulation on Disability and Rehabilitation of Stroke Patients

Is this any different than what you should have known about this enriched environment talked about by Dr. Dale Corbett in 2011?

Or Margaret Yekutiel wrote a whole book about in 2001, 'Sensory Re-Education of the Hand After Stroke'? Or didn't you know about that book? 19 years and you are THAT FUCKING INCOMPETENT?

Effects of Early Family-centered Sensory Stimulation on Disability and Rehabilitation of Stroke Patients

Lale Alipoor1, Mahmood Moosazadeh2, Ravanbakhsh Esmaeili3, Hooshang Akbari4, Hamed Cheraghmakani5, Vida Shafipour6

1 MSc Student in Critical Care Nursing, Student Research Committee, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran 2 Assistant Professor, Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran 3 Associate Professor, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran 4 Assistant Professor, Department of Anesthesiology and Operating Room, Faculty of Allied Medical Sciences, Bou Ali Hospital, Mazandaran University of Medical Sciences, Sari, Iran 5 Assistant Professor, Department of Neurology , Neurology Research Center, Bou Ali Hospital, Mazandaran University of Medical Sciences, Sari, Iran 6 Assistant Professor, Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran

(Received April 30, 2019 ; Accepted April 26, 2020)

Abstract

Background and purpose:
Stroke is the most common and debilitating neurologic lesion in adults. Early family-centered stimulation have positive outcomes in stroke patients. The present study was designed to investigate the effect of early family-centered sensory stimulation on restoring function and recognition in stroke patients.
Materials and methods:
A clinical trial was done in 60 patients with impaired consciousness due to stroke (GCS=5-10) admitted in intensive care unit (ICU). The participants were assigned into control and experimental groups (n=30 per group) using randomized block design. The experimental group received sensory stimulations of the five senses in the first 48-72 hours after the stroke by family members for 14 days. The control group received ICU routine care. At days 5, 10, and 15, the consciousness level was assessed by GCS and FOUR and cognitive function was assessed by Disability Rating Scale.
Results:
Sensory stimulations significantly increased the mean score for cognitive function in the experimental group compared to the control group (P<0.001). The effect sizes of cognitive function at days 5, 10 and 15 were 0.45, 0.95, and 1.09, respectively. The effect sizes were small at day 5 and large at days 10 and 15. No significant differences were observed in the level of consciousness (P=0.601) and function (P=0.710).
Conclusion:
In current study, early family-centered sensory stimulation in patients with impaired consciousness due to stroke improved their cognitive function but did not significantly influence their disability score.

(Clinical Trials Registry Number: IRCT20151004024342N6)