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, October 3, 2015

Depression after minor stroke: the association with disability and quality of life – a 1-year follow-up study

Damn it all, they tell us it is a problem but give NO solution. What the hell good is spending this money on research with no suggested solution?
http://onlinelibrary.wiley.com/doi/10.1002/gps.4353/abstract;jsessionid=D138F0CA16191A8D70229C57D294BEEA.f03t04

  1. Yu Zhi Shi1,2,
  2. Yu Tao Xiang3,
  3. Yang Yang1,2,
  4. Ning Zhang1,2,
  5. Shuo Wang1,2,
  6. Gabor S. Ungvari4,5,
  7. Helen F.K. Chiu6,
  8. Wai Kwong Tang6,
  9. Yi Long Wang1,2,
  10. Xing Quan Zhao1,2,
  11. Yong Jun Wang1,2 and
  12. Chun Xue Wang1,2,7,*
Article first published online: 7 SEP 2015
DOI: 10.1002/gps.4353
Issue
Cover image for Vol. 30 Issue 10
Article has an altmetric score of 2

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Keywords:

  • post-stroke depression;
  • minor stroke;
  • ischemic stroke;
  • quality of life;
  • disability

Objective

Minor stroke is characterized by mild neurological functional impairment and relatively good outcome. Little is known about the association between post-stroke depression (PSD) and outcomes of minor stroke. The aim of this study was to investigate the association between PSD and disability and quality of life (QoL) at 1 year after minor ischemic stroke.

Methods

Patients with first-ever minor ischemic stroke (n  = 747) were followed up at 14 ± 2 days, 3 months, 6 months, and 1 year after stroke. Depressive symptoms were assessed at each follow-up. Patients diagnosed with depression at 14 ± 2 days formed the early-onset PSD group; those who were diagnosed with depression at any subsequent follow-ups for the first time constituted the late-onset PSD group. The outcomes of minor stroke including disability (modified Rankin score ≥2) and QoL (Short Form-36 Health Survey) were assessed at the 1-year follow-up.

Results

A total of 198 (26.5%) patients were diagnosed with PSD over the 1-year follow-up; 136 and 62 patients were allocated to the early-onset PSD group and late-onset PSD group, respectively. Both early-onset and late-onset PSD were independently associated with disability and poor physical and mental health at 1 year after stroke. Recovery from depression (n = 112) within 1 year decreased the adverse impacts of PSD on functional outcome and QoL.

Conclusions

Post-stroke depression was independently associated with disability and poor QoL at 1 year after first-ever minor ischemic stroke. Recovery from PSD decreased but did not eliminate the adverse impacts of PSD on outcomes of minor stroke.
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