Deans' stroke musings: Objectively measured arm use in daily life improves during the first 6 months poststroke: A longitudinal observational cohort study

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.

Tuesday, May 18, 2021

Objectively measured arm use in daily life improves during the first 6 months poststroke: A longitudinal observational cohort study

My objective analysis of my left arm use is that is is never used in any normal activities, 15 years later. Spasticity needs to be cured first because the hand will not open without force. This research told us absolutely nothing of any use whatsever. I do use it when chainsawing but the right hand has to open the left hand to get it around the bar. This is needed because if kickback occurs it needs the left arm there to engage the brake.

Objectively measured arm use in daily life improves during the first 6 months poststroke: A longitudinal observational cohort study

Journal of NeuroEngineering and Rehabilitation , Volume 18(51)

NARIC Accession Number: J86074. What's this?
ISSN: 1743-0003.
Author(s): Regterschot, G. R. H. ; Bussmann, J. B. J. ; Fanchamps, Malou H. J. ; Meskers, Carel G. M. ; Ribbers, Gerard M. ; Selles, Ruud W..
Publication Year: 2021.
Number of Pages: 10.

Abstract:

Study investigated the change in arm use during the first six months after stroke and compared arm-use changes between arm recovery clusters. Arm use was measured in 33 stroke patients during week 3, 12, and 26 poststroke with accelerometers on the wrists and the nonaffected leg. Outcomes were the amount of affected and nonaffected arm use during sitting and standing per day and per sit/stand hour, and the daily ratio between arms. Arm function was measured with the Fugl-Meyer Upper Extremity Scale to identify recovery clusters (poor/moderate/excellent). Generalized estimating equations compared arm use outcomes between time points and between recovery clusters. Affected arm use per day increased between week 3 and 12 (30 percent) and it increased per sit/stand hour between week 3–12 (31 percent) and between week 3 and 26 (48 percent). Nonaffected arm use per day decreased between week 3 and 12 (13 percent) and between week 3 and 26 (22 percent) and it decreased per sit/stand hour between week 3 and 26 (18 percent). The daily ratio increased between week 3 and 12 (43 percent) and between week 3 and 26 (95 percent). Changes in arm use did not differ significantly between recovery clusters. Affected arm use was higher in the excellent recovery cluster. Affected arm use and the ratio between arms increase during the first 26 weeks poststroke especially in patients with excellent arm recovery.
Descriptor Terms: BODY MOVEMENT, DAILY LIVING, LIMBS, MEASUREMENTS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-021-00847-x.

Citation: Regterschot, G. R. H. , Bussmann, J. B. J. , Fanchamps, Malou H. J. , Meskers, Carel G. M. , Ribbers, Gerard M. , Selles, Ruud W.. (2021). Objectively measured arm use in daily life improves during the first 6 months poststroke: A longitudinal observational cohort study. Journal of NeuroEngineering and Rehabilitation , 18(51) Retrieved 5/18/2021, from REHABDATA database.