Deans' stroke musings: How physically active are people following stroke? Systematic review and quantitative synthesis.

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.

Wednesday, October 11, 2017

How physically active are people following stroke? Systematic review and quantitative synthesis.

The sedentary time while in hospital needs to be addressed with other therapy. Maybe music, action observation, virtual reality, passive movement?
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J76656&phrase=no&rec=134542&article_source=Rehab&international=0&international_language=&international_location=
Physical Therapy , Volume 97(7) , Pgs. 707-717.

NARIC Accession Number: J76656. What's this?
ISSN: 0031-9023.
Author(s): Fini, Natalie A.; Holland, Anne E.; Keating, Jenny; Simek, Jacinta; Bernhardt, Julie.
Publication Year: 2017.
Number of Pages: 11.
Abstract: This literature review examined physical activity (PA) across the various stages following stroke (acute, subacute, and chronic). Searches were conducted in 5 databases for eligible studies that included participants with stroke whose PA was quantitatively measured for at least 4 hours in a single session. Two reviewers independently reviewed titles and abstracts. A total of 103 papers including 5,306 participants aged 21 to 96 years met the inclusion criteria. One reviewer extracted data and assessed quality using the Downs and Black checklist. Weighted means were calculated for PA outcomes. Devices (e.g., activity monitors) were used in 73 papers, and behavioral mapping (observational monitoring) in 30. The devices show that people with stroke took on average 5,535 steps per day in the subacute phase and 4,078 steps in the chronic phase. Average daily walking duration was higher in the chronic phase (9.0 percent) than subacute (1.8 percent), and sedentary time was more that 78 percent regardless of time post stroke. Acute data were lacking for these variables. Matched healthy individuals took an average of 8,338 steps per day. Behavioral mapping showed time in bed was higher in the acute than subacute phase (mean 45.1 versus 23.8 percent), with similar time spent sitting (mean 37.6 versus 32.6 percent). The findings indicate that physical activity levels do not meet guidelines following stroke. Time spent inactive and sedentary is high at all times. Increasing PA and developing standardized activity targets may be important across all stages of stroke recovery.
Descriptor Terms: ACUTE CARE, AMBULATION, CHRONIC ILLNESS, EXERCISE, LITERATURE REVIEWS, MEASUREMENTS, MOBILITY, PHYSICAL THERAPY, STROKE, SUBACUTE CARE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Fini, Natalie A., Holland, Anne E., Keating, Jenny, Simek, Jacinta, Bernhardt, Julie. (2017). How physically active are people following stroke? Systematic review and quantitative synthesis. Physical Therapy , 97(7), Pgs. 707-717. Retrieved 10/11/2017, from REHABDATA database.