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, March 2, 2023

Relationship between daily rehabilitation time and functional gain in inpatient rehabilitation medicine of hospitalized older adults with subacute stroke

Daily rehabilitation is appallingly little.

Since only 13% of time is spent in stroke rehab (2 posts), we need to know EXACTLY how much rehab we should be doing on a daily basis. There should be zero downtime, no active rehab; then action observation, mirror therapy, lucid dreaming, cognitive training.

 Relationship between daily rehabilitation time and functional gain
in inpatient rehabilitation medicine of hospitalized older adults
with subacute stroke

ABSTRACT
Igarashi T, Hayashi S, Ogawa K, Matsui S, Nishimatsu
T. Relationship between daily rehabilitation time and
functional gain in inpatient rehabilitation medicine of
hospitalized older adults with subacute stroke. Jpn J
Compr Rehabil Sci 2022; 13: 56‒63.
 
Objective: 
 Although there have been reports
examining the relationship between daily rehabilitation
time and functional gain, few have fully considered
background factors such as severity of motor paralysis
and comorbidities. This study aimed to examine the
relationship between the daily rehabilitation time and
improvement in functional status, longitudinally in
hospitalized older adults with subacute stroke.
 
Method: 
 
 From the results of the Functional Independence
Measure (FIM), we calculated the FIM gain and FIM
effectiveness, a measure that is less sensitive to the ceiling
effect of FIM. Adjusted for covariates, multiple regression
analysis was performed for daily rehabilitation time and
FIM gain and effectiveness.
 
Results:  
 
This study enrolled 298 hospitalized older
adults with subacute stroke (mean age, 78.1 ± 8.1
years, 112 females). The total scores of functional
independence measure gain and effectiveness were
31.6 ± 22.5 points and 54.4 ± 35.2%, respectively.
There was an association between FIM gain (total
score) and total rehabilitation time (β = 0.29, p < 0.01)
and between FIM effectiveness (total score) and total
rehabilitation time (β = 0.22, p < 0.01).
 
Conclusions:  
 
Although prognosis after stroke is poorer
in older adults than in young adults, this study shows
that increased daily rehabilitation time may improve
functional status
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