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.

Wednesday, March 12, 2025

Adherence to rehabilitation exercise and influencing factors among people with acute stroke : a cross-sectional study

 

My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION, DO YOU? You create EXACT 100% recovery protocols, and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. GET THERE!

There would be no need for this useless research you blithering idiots!

Adherence to rehabilitation exercise and influencing factors among people with acute stroke : a cross-sectional study

Provisionally accepted
Feng Xing Feng Xing 1,2Juan Liu Juan Liu 2Chang Mei Chang Mei 3Jinglan Chen Jinglan Chen 1Yi Wen Yi Wen 1Jianrong Zhou Jianrong Zhou 1*Shiqi Xie Shiqi Xie 1*
  • 1 School of Nursing, Chongqing Medical University, Chongqing, China
  • 2 Department of Neurology, First Affiliated Hospital of Chongqing Medical University, Chongqing, China
  • 3 Department of Nursing, First Affiliated Hospital of Chongqing Medical University, Chongqing, Chongqing Municipality, China

The final, formatted version of the article will be published soon.


    Background 

    Post-stroke rehabilitation exercise is recognized as the most effective and preferred intervention to reduce disability rates in patients. However, adherence to exercise is low among stroke patients. Previous research has mainly focused on the negative psychological factors influencing adherence, while the positive psychological aspects remain underexplored. Therefore, this study aims to investigate the factors influencing adherence to rehabilitation exercises in acute stroke patients, especially the positive psychological factors, in order to reduce the disability rate of stroke. From October 2023 to March 2024, a total of 227 patients with acute stroke were selected from a Grade-A hospital in Chongqing, China, using total sampling method. The patients' general demographic data, Stroke Functional Exercise Adherence Questionnaire Scale (EAQ), Hospital Anxiety and Depression Scale (HAD), and Index of Subjective Well-Being Scale (IWB) were assessed. ANOVA, t-test analysis, correlation analysis, and multiple linear regression models were used to explore the influencing factors in people with acute stroke. The total score for rehabilitation exercise adherence in acute stroke patients was 38.41 ± 11.13, corresponding to a mean adherence rate of 68.6%. Factors influencing adherence to rehabilitation exercise in acute stroke patients were identified, including age (p<0.0001), Presence of ICU stay (p = 0.03), National Institutes of Health Stroke Scale (NIHSS) score (p<0.0001), and subjective well-being (p <0.01). Adherence to rehabilitation exercises in acute stroke patients was found to be medium. Our findings highlight that age, Presence of ICU stay, and NIHSS score were found to have negative correlations with adherence. while a positive correlation was observed with subjective well-being.

    Keywords: Stroke, Exercise, psychological well-being, adherence, Influce factor

    Received: 03 Jan 2025; Accepted: 16 Feb 2025.

    Copyright: © 2025 Xing, Liu, Mei, Chen, Wen, Zhou and Xie. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.   

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