Deans' stroke musings: Optimizing Recovery: A Systematic Review of Ischemic Post-Stroke Rehabilitation and Its Impact on Quality of Life and Independence

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.

Friday, August 29, 2025

Optimizing Recovery: A Systematic Review of Ischemic Post-Stroke Rehabilitation and Its Impact on Quality of Life and Independence

Much more important would be CREATING EXACT RECOVERY PROTOCOLS! This review DID NOTHING USEFUL!

Optimizing Recovery: A Systematic Review of Ischemic Post-Stroke Rehabilitation and Its Impact on Quality of Life and Independence

Rohematus Soleha3, Lono Wijayanti4, Umdatus Soleha5 1,2,3,4,5Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Indonesia *Email Corespondent: yurikesepti1209@unusa.ac.id

Abstract

Background:

Stroke is a leading cause of long-term disability and the second leading cause of mortality worldwide. In ischemic stroke survivors, recovery is often limited by age, comorbidities, cognitive impairment, and initial stroke severity. Mindfulness-based interventions have emerged as a potential complement to conventional rehabilitation by enhancing neuroplasticity, emotional regulation, and functional independence. Objective: To systematically review the effectiveness of mindfulness therapy as part of ischemic post-stroke rehabilitation in improving quality of life and independence.

Methods:

A systematic review was conducted on studies published between 2020 and 2024 using PubMed, Scopus, and ScienceDirect. Search terms combined “Ischemic Stroke,” “Disability,” “Rehabilitation,” and “Mindfulness.” Eligible studies included ischemic post-stroke patients receiving mindfulness therapy with reported outcomes on quality of life or independence.

Results:

Thirteen studies met the inclusion criteria: eleven randomized controlled trials, one quasi-experimental, and one pre-test post-test design. Mindfulness therapy, delivered individually, in groups, or via technology, consistently improved physical function, emotional well being, and daily living independence. Benefits included reduced anxiety, depression, and fatigue, along with improved cognitive function. Integration with standard rehabilitation produced greater gains in quality of life compared to conventional therapy alone.

Conclusion:

Mindfulness-based rehabilitation offers promising benefits for ischemic stroke recovery, enhancing both motor and psychosocial outcomes. Incorporating structured mindfulness programs into multidisciplinary rehabilitation may optimize independence, improve quality of life, and reduce psychological distress. Future research should explore long-term effects, best delivery methods, and patient-tailored strategies.