Deans' stroke musings: MULTICOMPONENT EDUCATIONAL-REHABILITATION TREATMENT AND ITS IMPACT ON DEPRESSIVE SYMPTOMS IN STROKE SURVIVORS

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, October 21, 2024

MULTICOMPONENT EDUCATIONAL-REHABILITATION TREATMENT AND ITS IMPACT ON DEPRESSIVE SYMPTOMS IN STROKE SURVIVORS

ARE YOU THAT BLITHERINGLY STUPID THAT YOU CAN'T SEE THAT 100% RECOVERY PROTOCOLS WOULD OBVIATE THE NEED FOR TREATING DEPRESSION? OK, I guess you are! Solve the correct problem! It's not depression!

MULTICOMPONENT EDUCATIONAL-REHABILITATION TREATMENT AND ITS IMPACT ON DEPRESSIVE SYMPTOMS IN STROKE SURVIVORS

Alma Glinac1,2 & Osman Sinanović3,4

1 Department of Physical Medicine and Rehabilitation, University Clinical Centre Tuzla, Bosnia and Herzegovina

2 Facullty of Education and Rehabilitation, University of Tuzla, Bosnia and Herzegovina

3 Medical Faculty, Univeristy of Tuzla, Bosnia and Herzegovina

4 Sarajevo School of Medcine, University of Sarajevo Scool of Science and Technology, Sarajevo, Bosnia and Herzegovina

received: 15. 1. 2024; revised: 29. 2. 2024; accepted: 14. 3. 2024.

Summary

Background:

This study aimed to assess the efficacy of a multicomponent educational-rehabilitation intervention in mitigatingthe occurrence and intensity of depressive symptoms among stroke patients.

Subjects and Methods:

A prospective, randomized clinical trial was conducted at the Clinic for Physical Medicine and Rehabilitation, University Clinical Center Tuzla. Seventy stroke patients were divided into two groups: the first group (N=40) underwent a multicomponent educational-rehabilitation treatment tailored to individual plans and programs, consisting of 45 minutes daily for five working days a week, totaling 20 sessions. The second group (N=30) did not receive the multicomponent educational-rehabilitation treatment. Both groups received conventional physical therapy methods (electrotherapy and individual kinesiotherapy) and speech therapy. The Beck Depression Inventory Second Edition instrument assessed the presence and severity of depressive symptoms at two time intervals: initially upon admission and finally after one month. The independent samples t-test was employed to identify differences between the initial and final testing across the groups.

Results:

Patients who underwent the multicomponent educational-rehabilitation treatment exhibited a significant decrease in the presence and severity of depressive symptoms compared to those in the untreated group (t=-2.223, P=0.030).

Conclusion:

The findings suggest that multicomponent educational-rehabilitation treatment holds promise in reducing the occurrence and intensity of depressive symptoms in stroke patients. Keywords: depression, stroke, rehabilitation, educational-rehabilitation treatment* * * * * 220 and performing simple tasks, and were cooperative and communicative. Exclusion criteria included patients with stroke in a coma for more than 72 hours, recurrent stroke, pre-existing physical disabilities from other neurological, orthopedic, traumatic, or rheumatic diseases, psychotic disorders, aphasia, and quantitative impairment of consciousness. Eligible patients were randomly assigned to two groups: one receiving the multicomponent educational-rehabilitation treatment (N=40) and the other without(N=30). Both groups underwent physical therapy methods (electrotherapy and individual kinesiotherapy) and speech therapy. The first group received the multicomponent educational-rehabilitation treatment based on an individualplan and program, lasting 45 minutes per day, five working days a week, for a total of 20 sessions. Patients wereassessed at two intervals: initially upon admission and finally after one month. The randomization of patients was conducted througha simple random selection process. Once a patient met all the criteria for participation in the study, including inclusion and exclusion criteria, they were assigned an identifier to facilitate tracking throughout the research. The implementation of random selection involved using a simple random method. In other words, from among 70 cards marked with either “G1” or “G2” indicating thesubject’s allocation to a specific group, one card was drawn. This card was then assigned to the patient who would be included in the study. All patients provided written informed consent, and the study received approval from the local ethics committee. More at link.