Altering the rehabilitation environment to improve stroke survivor activity: A Phase II trial

Is this any different than what you should have known about this enriched environment talked about by Dr. Dale Corbett in 2011?

Or Margaret Yekutiel who wrote a whole book about this in 2001, 'Sensory Re-Education of the Hand After Stroke'? Or didn't you know about that book? 20 years and you are THAT FUCKING INCOMPETENT?

When the fuck are you going to improve your stroke doctors ability to implement 100% recovery protocols?

Altering the rehabilitation environment to improve stroke survivor activity: A Phase II trial

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Heidi Janssen, Louise Ada, Sandy Middleton, ...

First Published April 13, 2021 Research Article Find in PubMed 

https://doi.org/10.1177/17474930211006999

Article information

 

Abstract

Background

Environmental enrichment involves organization of the environment and provision of equipment to facilitate engagement in physical, cognitive, and social activities. In animals with stroke, it promotes brain plasticity and recovery.

Aims

To assess the feasibility and safety of a patient-driven model of environmental enrichment incorporating access to communal and individual environmental enrichment.

Methods

A nonrandomized cluster trial with blinded measurement involving people with stroke (n = 193) in four rehabilitation units was carried out. Feasibility was operationalized as activity 10 days after admission to rehabilitation and availability of environmental enrichment. Safety was measured as falls and serious adverse events. Benefit was measured as clinical outcomes at three months, by an assessor blinded to group.

Results

The experimental group (n = 91) spent 7% (95% CI −14 to 0) less time inactive, 9% (95% CI 0–19) more time physically, and 6% (95% CI 2–10) more time socially active than the control group (n = 102). Communal environmental enrichment was available 100% of the time, but individual environmental enrichment was rarely within reach (24%) or sight (39%). There were no between-group differences in serious adverse events or falls at discharge or three months or in clinical outcomes at three months.

Conclusions

This patient-driven model of environmental enrichment was feasible and safe. However, the very modest increase in activity by people with stroke, and the lack of benefit in clinical outcomes three months after stroke do not provide justification for an efficacy trial.(You didn't do this correctly then.)

Keywords Stroke, clinical trial, rehabilitation, environmental enrichment, activity, recovery

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