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, October 12, 2020

The impact of wheelchair propulsion based physical activity on functional recovery in stroke rehabilitation: a multicenter observational study

  But I see absolutely nothing here that suggests that lever powered wheelchairs were used. So not even using the best recovery options. I would velcro the hands to the handles. The mentors and senior researchers should have insisted on using lever wheelchairs. The ability to use a regular wheelchair means you are already high functioning so your conclusion is not supported.

The impact of wheelchair propulsion based physical activity on functional recovery in stroke rehabilitation: a multicenter observational study

Yosuke Kimura , Shunsuke Ohji , Naohito Nishio , Yuki Abe , Hideyuki Ogawa , Ryota Taguchi , show all
Received 18 Mar 2020, Accepted 05 Sep 2020, Published online: 07 Oct 2020
 

Abstract

Purpose

We aimed to evaluate the relationship between the daily wheelchair self-propulsion distance and functional recovery in subacute stroke survivors.

Methods

Seventy-four patients with stroke were prospectively recruited from four convalescent rehabilitation hospitals. All participants were unable to walk independently and required manual wheelchairs for locomotion on admission. The daily wheelchair self-propulsion distance was measured using a cycle computer that was connected to a touch switch to exclude the assistance-propulsion distance. The outcome measures were represented as the relative gain of the Functional Independence Measure (FIM) effectiveness during hospitalization. Moreover, a better functional recovery was defined as a FIM effectiveness > 50%. Participants were categorized into three groups according to tertiles of the average daily wheelchair self-propulsion distance: lowest tertile (T1, ≤0.59 km/day); middle tertile (T2, 0.60–1.23 km/day); and highest tertile (T3, ≥1.24 km/day).

Results

Multivariate logistic regression analysis adjusted for baseline characteristics showed that the T2 and T3 groups had a significant association with better FIM effectiveness, and their odds ratios (95% confidence interval, p) were 7.26 (1.13–45.85, p = .038), and 10.19 (1.15–91.75, p = .035), respectively.

Conclusions

The daily wheelchair self-propulsion distance was significantly associated with functional recovery in subacute stroke survivors.

  • IMPLICATIONS FOR REHABILITATION

  • Non-ambulatory stroke survivors can obtain extra independent physical activity by using wheelchair self-propulsion, when they do not have someone to assist them with walking.

  • This multicenter observational study revealed that the self-propulsion distance of a manual-wheelchair was significantly associated with functional recovery in subacute stroke survivors.

 
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