Deans' stroke musings: Modifiable factors associated with poststroke physical activity at discharge from rehabilitation: Prospective cohort study

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, July 18, 2020

Modifiable factors associated with poststroke physical activity at discharge from rehabilitation: Prospective cohort study

Barriers to physical activity are easily explained. YOU HAVE NO EXACT PROTOCOLS WITH EXACT REPETITIONS. If a protocol said do 10 million reps of this activity and you'll get this result your patient would gladly be motivated to do those 10 million reps. Does anyone in stroke have two neurons to rub together?

Modifiable factors associated with poststroke physical activity at discharge from rehabilitation: Prospective cohort study

Physical Therapy , Volume 100(5) , Pgs. 818-828.

NARIC Accession Number: J83854. What's this?
ISSN: 0031-9023.
Author(s): Thilarajah, Shamala ; Bower, Kelly J. ; Pua, Yong-Hao ; Tan, Dawn ; Williams, Gavin ; Larik, Ashfaq ; Bok, Chek-Wai ; Koh, Gerald ; Clark, Ross A..
Publication Year: 2020.
Number of Pages: 11.

Abstract:

Study investigated the modifiable factors at discharge from inpatient rehabilitation that are associated with post stroke physical activity levels at 3 months following discharge. Sixty-four people with stroke completed baseline assessments at discharge from inpatient rehabilitation and 55 completed the follow-up 3 months later. The candidate factors (gait speed, balance, strength, cognition, mood, and motivation) were measured at discharge. The primary outcome measure at follow-up was walking-related activity (measured by wrist-worn accelerometer). Secondary outcome measures were physical activity participation (Activity Card Sort) and intensity of physical activity (International Physical Activity Questionnaire-Short 7 days). Adjusted separate multivariable linear regression models or proportional odds regression models were used to evaluate the associations between candidate factors and physical activity. Gait speed and balance were associated with all aspects of physical activity. Higher level of intrinsic motivation was also associated with higher physical activity participation. Anxiety demonstrated a significant nonlinear relationship with physical activity participation. Results demonstrated that better physical function at discharge from inpatient rehabilitation was associated with future increased levels of physical activity. Additionally, higher levels of motivation impacted on increased physical activity participation. The influence of anxiety on physical activity participation requires further exploration(Why? You are too stupid to figure out that guidelines are worthless and protocols with exact repetitions are needed? With EXACT PROTOCOLS WITH REPETITIONS motivation would never be a problem.).
Descriptor Terms: AMBULATION, COGNITION, EMOTIONS, EQUILIBRIUM, EXERCISE, LEISURE, MOBILITY, MOTIVATION, PHYSICAL FITNESS, PHYSICAL THERAPY, POSTURE, RECREATION, STOMA.

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

Citation: Thilarajah, Shamala , Bower, Kelly J. , Pua, Yong-Hao , Tan, Dawn , Williams, Gavin , Larik, Ashfaq , Bok, Chek-Wai , Koh, Gerald , Clark, Ross A.. (2020). Modifiable factors associated with poststroke physical activity at discharge from rehabilitation: Prospective cohort study. Physical Therapy , 100(5), Pgs. 818-828. Retrieved 7/18/2020, from REHABDATA database.