Deans' stroke musings: Long-term outcome poststroke: Predictors of activity limitation and participation restriction

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.

Saturday, February 11, 2012

Long-term outcome poststroke: Predictors of activity limitation and participation restriction

Every country should have this kind of followup. It seems to be the only way to get stroke rehabilitation needs in front of the public.
http://www.naric.com/research/rehab/record.cfm?search=2&type=all&criteria=J62305&phrase=no&rec=117021
NARIC Accession Number: J62305. What's this?
ISSN: 0003-9993.
Author(s): Gadidi, Vered; Katz-Leurer, Michal; Carmeli, Eli; Bornstein, Natan M..
Publication Year: 2011.
Number of Pages: 7.
Abstract: Study examined long-term activity limitation, participation restriction, and patients’ overall perception of recovery among stroke patients 4 years poststroke, and evaluated the association between these factors. In addition, the study investigated those factors present at the time of stroke onset that could predict the level of activity limitation and participation restriction at 4 years poststroke. All 139 first ever stroke patients admitted to the Sheba Medical Center in Israel between February and March 2004 were followed and reassessed for activity limitation and participation restrictions using the Barthel index and the Frenchay Activities Index, respectively. Perception of recovery was assessed by 2 simple questions. At 4 years poststroke, 9 patients (6.4 percent) were lost to follow-up, 71 (54.1 percent) patients had survived; 42.3 percent with activity limitation, 28.2 percent were classified as restricted in participation, and 78.1 percent felt they had not completely recovered. The most significant predictors of activity limitation at 4 years poststroke were age at stroke onset and disability in the acute phase. None of the demographic characteristics or baseline clinical features predicted participation restriction. A positive association was noted between activity limitation and participation restriction 4 years poststroke.
Descriptor Terms: DAILY LIVING, FUNCTIONAL LIMITATIONS, INTERNATIONAL REHABILITATION, LONGITUDINAL STUDIES, OUTCOMES, PREDICTION, STROKE.