Deans' stroke musings: Psychological resilience and functional recovery after acute ischemic stroke: a prospective cohort study

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, May 4, 2026

Psychological resilience and functional recovery after acute ischemic stroke: a prospective cohort study

Resilience in only needed because your stroke medical 'professionals' have completely failed at 100% recovery protocols!

With EXACT 100% RECOVERY PROTOCOLS your survivor will gladly do the millions of reps needed because they are looking forward to recovery!

Psychological resilience and functional recovery after acute ischemic stroke: a prospective cohort study

- N
  Ning Wang
- Y

- N
  Ning Wang
- Yaoyao Zhang *

Cerebrovascular Disease Center, The affiliated Brain Hospital of Nanjing Medical University, Nanjing, Jiangsu, China

Abstract

Background:

Psychological resilience has been proposed as a factor that may influence recovery after stroke, yet evidence regarding its independent contribution to functional outcomes remains limited and inconsistent. This study evaluated the association between baseline psychological resilience and longitudinal functional recovery following acute ischemic stroke during structured rehabilitation.

Methods:

In this prospective cohort study, adult patients with imaging-confirmed acute ischemic stroke were enrolled during hospitalization and followed for 6 months. Psychological resilience was assessed using the 10-item Connor–Davidson Resilience Scale. Functional outcomes were measured using the modified Rankin Scale at 6 months and the Barthel Index at discharge, 3 months, and 6 months. Multivariable ordinal logistic regression was used to examine the association between resilience and functional outcome after adjusting for age, sex, stroke severity, comorbidity burden, rehabilitation exposure, and mood symptoms.

Results:

A total of 241 patients were included. Functional outcomes improved progressively over time, with the greatest gains observed during the early rehabilitation period. Baseline psychological resilience was associated with demographic and psychological characteristics but was not independently associated with functional recovery after adjustment for clinical factors. Sensitivity analyses using a binary definition of favorable outcome demonstrated an association between baseline stroke severity and recovery.

Conclusion:

In this prospective cohort of patients undergoing stroke rehabilitation, psychological resilience was not an independent predictor of functional outcome. Recovery was primarily determined by established clinical factors. These findings suggest that resilience may influence adaptation to illness rather than neurological recovery itself.