Deans' stroke musings: What is the probability of patients who are nonambulatory after stroke regaining independent walking? A systematic review

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, April 22, 2016

What is the probability of patients who are nonambulatory after stroke regaining independent walking? A systematic review

And walking is the leading cause of falls. Have you signed a release form allowing your therapist to try to teach you this dangerous activity?
For people 65 years old and older falls are the number one cause of death from an injury, according to the Centers for Disease Control and Prevention (CDC).
http://www.ncbi.nlm.nih.gov/pubmed/22111798

Preston E¹, Ada L, Dean CM, Stanton R, Waddington G.

Author information

Abstract

Patients after stroke who are nonambulatory require resources, and independent walking becomes a major determinant of the ability to participate in activities of daily living. Our objective was to determine the probability of walking for patients who are nonambulatory in the first month after stroke. We performed a systematic review and meta-analysis of consecutive, prospective studies of nonambulatory patients within the first month after stroke in rehabilitation and acute units. The outcomes were the probability of achieving independent walking at three-, six- and 12 months after stroke. Twenty-six studies were included in the review. Seventeen studies comprising 2856 participants were entered into meta-analyses. For initially nonambulatory stroke patients managed in a rehabilitation unit, the probability of independent walking was 0.60 (95% CI 0.47-0.74, 1373 participants) at three-months, 0.65 (95% CI 0.53-0.77, 444 participants) at six-months and 0.91 (95% CI 0.81-1.00, 24 participants) at 12 months. For patients managed in an acute unit, the probability of independent walking was 0.39 (95% CI 0.27-0.52, 634 participants) at three-months, 0.69 (95% CI 0.46-0.92, 405 participants) at six-months and 0.74 (95% CI 0.59-0.88, 34 participants) at 12 months. 60% of patients managed in a rehabilitation unit who are nonambulatory in the first month after stroke will regain independent walking compared with 39% of those managed in an acute unit. This information can be used clinically to make decisions about allocation of rehabilitation resources, education of patients and carers, and for discharge planning.
© 2011 The Authors. International Journal of Stroke © 2011 World Stroke Organization.