So the stroke medical world wants to wash their hands of the complete failure of everything in stroke and just dump it on stroke survivors. They all need to be keel hauled. This should only be allowed AFTER THEY HAVE CREATED 100% RECOVERY PROTOCOLS. Nothing less that that.
Abstract
OBJECTIVE:
Few
community interventions following stroke enhance activity,
participation or quality of life. We tested two novel community
interventions designed to promote self-directed rehabilitation following
stroke.
DESIGN:
This was a randomized, controlled parallel group 2×2 trial.
SETTING:
Community.
PARTICIPANTS:
Maori and Pacific New Zealanders, >15 years old, randomized within three months of a new stroke.
INTERVENTIONS:
A
DVD of four inspirational stories by Maori and Pacific people with
stroke and a 'Take Charge Session'--a single structured risk factor and
activities of daily living assessment, designed to facilitate
self-directed rehabilitation.
MAIN MEASURES:
Primary
outcomes were Health-related Quality of Life (Physical Component Summary
(PCS) and Mental Component Summary (MCS) scores of the Short Form 36
(SF-36)) 12 months from randomization. Secondary outcomes were Barthel
Index, Frenchay Activities Index, Carer Strain Index and modified Rankin
score.
RESULTS:
One hundred and seventy-two people were
randomized with 139 (80.8%) followed up at 12 months post randomization.
The effect of the Take Charge Session on SF-36 PCS at 12 months was 6.0
(95% confidence interval (CI) 2.0 to 10.0) and of the DVD was 0.9 (95%
CI -3.1 to 4.9). Participants allocated to the Take Charge Session were
less likely to have a modified Rankin score of >2 (odds ratio (OR)
0.42, 95% CI 0.2 to 0.89) and their carers had lower (better) Carer
Strain Index scores (-1.5, 95% CI -2.8 to -0.1).
CONCLUSION:
A
simple, low-cost intervention in the community phase of stroke recovery
aiming to promote self-directed rehabilitation improved outcomes.
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