Deans' stroke musings: Trajectories of stroke recovery of impairment, function, and quality of life in response to 12-month mobility and fitness intervention

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, November 23, 2021

Trajectories of stroke recovery of impairment, function, and quality of life in response to 12-month mobility and fitness intervention

So still a complete failure, no mention of 100% recovery. And we will never get to 100% recovery consistently until we save billions of neurons from dying by stopping the 5 causes of the neuronal cascade of death in the first week.

All as a result of NO LEADERSHIP AND NO STRATEGY IN STROKE. This is why we need survivors in charge, your children and grandchildren can't wait for that incompetence to continue forever.

Trajectories of stroke recovery of impairment, function, and quality of life in response to 12-month mobility and fitness intervention

This article was originally published here

NeuroRehabilitation. 2021 Nov 15. doi: 10.3233/NRE-210147. Online ahead of print.

ABSTRACT

BACKGROUND: Gait deficits and functional disability are persistent problems for many stroke survivors, even after standard neurorehabilitation. There is little quantified information regarding the trajectories of response to a long-dose, 12-month intervention.

OBJECTIVE: We quantified treatment response to an intensive neurorehabilitation mobility and fitness program.

METHODS: The 12-month neurorehabilitation program targeted impairments in balance, limb coordination, gait coordination, and functional mobility, for five chronic stroke survivors. We obtained measures of those variables every two months.

RESULTS: We found statistically and clinically significant group improvement(NOT recovery) in measures of impairment and function. There was high variation across individuals in terms of the timing and the gains exhibited.

CONCLUSIONS: Long-duration neurorehabilitation (12 months) for mobility/fitness produced clinically and/or statistically significant gains in impairment and function. There was unique pattern of change for each individual. Gains exhibited late in the treatment support a 12-month intervention. Some measures for some subjects did not reach a plateau at 12 months, justifying further investigation of a longer program (>12 months) of rehabilitation and/or maintenance care for stroke survivors.

PMID:34806625 | DOI:10.3233/NRE-210147