Deans' stroke musings: Physical performance and cognition as predictors of instrumental activities of daily living after stroke: A prospective multicenter 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.

Monday, August 22, 2022

Physical performance and cognition as predictors of instrumental activities of daily living after stroke: A prospective multicenter cohort study

Wrong, wrong, wrong. You don't do useless prediction crapola, you do research that delivers 100% recovery of ADLs.

Physical performance and cognition as predictors of instrumental activities of daily living after stroke: A prospective multicenter cohort study

Archives of Physical Medicine and Rehabilitation , Volume 103(7) , Pgs. 1320-1326.

NARIC Accession Number: J89441. What's this?
ISSN: 0003-9993.
Author(s): Einstad, Marte S.; Thingstad, Pernille; Lydersen, Stian; Gunnes, Mari; Saltvedt, Ingvild; Askim, Torunn.
Publication Year: 2022.
Number of Pages: 7.

Abstract:

Study investigated whether cognition and physical performance, both separately and combined at 3 months post stroke, predict change in instrumental activities of daily living (IADL) 15 months later. It also explored whether different paths of IADL could be identified by different scenarios, defined by combinations of high and low scores on physical performance and cognition. A total of 544 adult survivors of stroke were followed up at 3 and 18 months after stroke. The primary outcome was IADL as measured by Nottingham Extended Activities of Daily Living at 3- and 18-month follow-ups. At 3 months, the Short Physical Performance Battery (SPPB) and Montreal Cognitive Assessment (MoCA) were used to assess physical performance and cognition, respectively. Mixed-effects linear regression analyses showed that the regression coefficient for the interaction with time was significant for MoCA, but not for SPPB scores. The model combining SPPB and MoCA was significantly better than separate models. Overall, there was no improvement in IADL over time. A combination of SPPB and MoCA scores in the upper quartile at 3 months was associated with improved IADL over time. Findings suggest that combining measures of cognition and physical performance gave the best prediction of change in IADL. Function at 3 months seems to be predictive for long-term IADL status, which highlights the importance of targeted rehabilitation in the early and subacute phases after stroke.
Descriptor Terms: COGNITION, DAILY LIVING, FUNCTIONAL STATUS, LONGITUDINAL STUDIES, OUTCOMES, PHYSICAL FITNESS, PREDICTION, REHABILITATION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Einstad, Marte S., Thingstad, Pernille, Lydersen, Stian, Gunnes, Mari, Saltvedt, Ingvild, Askim, Torunn. (2022). Physical performance and cognition as predictors of instrumental activities of daily living after stroke: A prospective multicenter cohort study. Archives of Physical Medicine and Rehabilitation , 103(7), Pgs. 1320-1326. Retrieved 8/22/2022, from REHABDATA database.