Deans' stroke musings: Dose-Response Effect of Daily Rehabilitation Time on Functional Gain in Stroke Patients

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, May 6, 2020

Dose-Response Effect of Daily Rehabilitation Time on Functional Gain in Stroke Patients

You came up with a great conclusion but didn't follow thru and create a protocol on this. So waste of time, useless.

And since only 13% of time is spent in stroke rehab (2 posts), we need to know EXACTLY how much rehab we should be doing on a daily basis. There should be zero downtime, no active rehab; then action observation, mirror therapy, lucid dreaming, cognitive training.

Dose-Response Effect of Daily Rehabilitation Time on Functional Gain in Stroke Patients

Hanbit Ko, MD1,2,3, Howook Kim, MD1,2,3, Yeongwook Kim, MD1,2,3, Min Kyun Sohn, MD, PhD1,2,3, Sungju Jee, MD, PhD1,2,3
1Department of Rehabilitation Medicine, 2Daejeon-Chungcheong Regional Cardiocerebrovascular Center, 3Daejeon-Chungcheong Regional Medical Rehabilitation Center, Chungnam National University Hospital, Daejeon, Korea
Objective
To demonstrate the effect of daily treatment time on recovery of functional outcomes and how each type of rehabilitation treatment influences the improvement of subgroups of functional outcomes in stroke patients.
Methods
We conducted a retrospective study in 168 patients who were admitted to the Department of Rehabilitation Medicine between 2015 and 2016. Patients who experienced their first-ever stroke and unilateral lesions were included. All patients underwent conventional rehabilitation treatment, and each treatment was administered one to two times a day depending on individual and treatment room schedules. Based on the mean daily treatment time, patients were divided into two groups: a high-amount group (n=54) and low-amount group (n=114). Outcomes were measured through the Korean version of Modified Barthel Index (MBI), FuglMeyer Assessment of the upper extremity, Trunk Impairment Scale (TIS), and Berg Balance Scale (BBS) scores on admission and at discharge. Results
The functional change and scores at discharge of MBI, TIS, and BBS were greater in the high-amount group than in the low-amount group. Among various types of rehabilitation treatments, occupational therapy training showed significant correlation with MBI, TIS, and BBS gain from admission to discharge.
Conclusion
The amount of daily mean treatment in post-stroke patients plays an important role in recovery. Mean daily rehabilitation treatment time seems to correlate with improved balance and basic activities of daily living after stroke.