Deans' stroke musings: Functional stroke recovery varies by age, sex, and stroke type

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.

Thursday, October 13, 2022

Functional stroke recovery varies by age, sex, and stroke type

Excuses, excuses! There are no reasons that all stroke recovery shouldn't be predictable. With an objective damage diagnosis, leading to EXACT REHAB PROTOCOLS, leading to recovery that is known and can be planned for.

WHAT THE FUCK IS YOUR STROKE HOSPITAL DOING TO GET THERE?

NOTHING?

Functional stroke recovery varies by age, sex, and stroke type

Following stroke, long-term recovery patterns in multifaceted functional domains differ by patient age, stroke severity, and stroke type, according to a study published online Sept. 23 in JAMA Network Open.

Seyoung Shin, M.D., from Sungkyunkwan University in Seoul, South Korea, and colleagues examined long-term changes in functional status and residual disability in survivors of first-time stroke. The analysis included 7,858 patients with first-time strokes treated at one of nine district hospitals (August 2012 to May 2015) with 60 months of follow-up.

The researchers found that overall, functions plateaued between 12 and 18 months after stroke and declined after 30 months (e.g., the mean Korean Mini-Mental State Examination improved from seven days to 12 months, plateaued until 36 months, and decreased from 36 months to 48 months). Interaction associations were seen between time after stroke and age, stroke severity, and stroke type in functional assessment outcomes.

For example, mean Fugl-Meyer Assessment (FMA) scores were higher at seven days and at six months for those aged 65 years and younger versus those older than 65 years and for ischemic versus hemorrhagic stroke. Mean FMA scores at six months was higher for mild versus moderate stroke and higher for moderate versus severe stroke. At 60 months, older age was associated with fewer activities of daily living independence, while male sex and hemorrhagic stroke type were associated with independence.

"Understanding the diversity of long-term functional recovery patterns and factors associated with these outcomes in survivors of stroke may help clinicians develop strategies for effective stroke care and rehabilitation," the authors write.