Deans' stroke musings: Barriers, facilitators and promising interventions for reducing sedentary behaviour during and after stroke rehabilitation

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, June 29, 2026

Barriers, facilitators and promising interventions for reducing sedentary behaviour during and after stroke rehabilitation – A scoping review

Reducing sedentary time IS EXCEEDINGLY SIMPLE! And you're too fucking stupid to see it!

With 100% recovery protocols your survivor will be spending all her time doing exercises and looking forward to recovery. No time for resting!

Barriers, facilitators and promising interventionsfor reducing sedentary behaviour during andafter stroke rehabilitation – A scoping review

Lisenka te Lindert, Winke van Meijeren-Pont, Jorit Meesters, Jan Schoones, Florian Allonsius, Åsa Mennema, Rienk Dekker & Aleid de Rooij To cite this article: Lisenka te Lindert, Winke van Meijeren-Pont, Jorit Meesters, Jan Schoones, Florian Allonsius, Åsa Mennema, Rienk Dekker & Aleid de Rooij (22 Jun 2026): Barriers, facilitators and promising interventions for reducing sedentary behaviour during and after stroke rehabilitation – A scoping review, Disability and Rehabilitation, DOI: 10.1080/09638288.2026.2686317 To link to this article: https://doi.org/10.1080/09638288.2026.2686317

ABSTRACT Purpose: Reducing sedentary behaviour (SB) in stroke rehabilitation is essential, yet effects of most interventions remain limited. this review used the Behaviour change wheel to identify: (1) barriers and facilitators for reducing SB of stroke survivors and (2) Behaviour change techniques (Bcts) incorporated in “promising” interventions. Materials and methods: Seven databases were searched from inception to January 2025. Data were systematically extracted and coded using the capacity Opportunity Motivation – Behaviour model (cOM-B) and the theoretical Domains Framework (tDF). Results: thirty-nine studies on barriers and facilitators were included, identifying 32 different barriers and 30 facilitators in inpatient settings and 109 barriers and 73 facilitators in outpatient/community settings, spanning all cOM-B domains. Four of seven interventions were rated as “promising” (predefined criterion: statistically significant changes within or between group(s)). these interventions applied 11–34 Bcts, including goal setting, action planning, reviewing goals, feedback, social support, instruction, and demonstration. Conclusions: Given the variety of barriers and facilitators experienced, personalised approaches are essential. Promising interventions share components that can inform SB-focused intervention design, but further research is needed to determine how these components can be combined and tailored to support sustained SB reduction. hIMPLICATION FOR REHABILITATION • An analysis of each stroke survivor’s individual behaviour and context should guide the application of promising Behaviour change techniques (Bcts), to ensure interventions address the barriers and strengthen the facilitators, identified for that individual. • the broad heterogeneity of barriers and facilitators across cOM-B domains highlights the importance of a person-centred approach, as individual physical, cognitive, emotional, and contextual profiles strongly influence the potential to reduce sedentary behaviour. • clinicians may use the recurring Behaviour change techniques observed in promising interventions—such as goal setting, action planning, reviewing behaviour goals, feedback, instruction, demonstration, and social support—to structure behaviour-change interventions.